through health education
22.214.171.124 Assessments should include
function, mood, mobility
and pain assessments
2.1.1 An inflammatory reaction to monosodium urate crystals.
126.96.36.199 Increased production of uric acid,
decreased excretion, increased
purine intake - increase urate
188.8.131.52.1 Needle-shaped monosodium urate
crystals which are deposited in the
articular cartilage or in the tend
sheaths, ligaments and around
distal joints and tissues.
2.2 Risk factors and signs/symptoms
2.2.1 Acute and come out of nowhere.
Severe pain in the joints, nodules
on joints - redness and
inflammation, tender and hot
joints. Often onset of pain at
2.3.1 Hyperuricemia > 6.8.
Crystals in the joints
2.4 Treatment and Management
2.4.1 Pharm - rate
184.108.40.206.1 Used to decrease uric acid
concentrations. Taken once daily after
meal. SIDE EFFECTS: skin reactions,
2.4.2 Pharm - acute gout:
220.127.116.11.1 Inhibits urate crystal deposition. Not an analgesic but
relies pain in acute attacks of gout. You can't take it if
you have kidney and liver disease, cardiac or GI
18.104.22.168 NSAIDS; diclofenac, ibuprofen
2.5 Nursing Interventions
2.5.1 Health education
22.214.171.124 Keep a healthy body weight, rest lots,
keep sheets off of the joint if its an
early morning attack. Drink 2L of water.
126.96.36.199 Avoid purine rich foods: red meat,
fish, yeast extracts. Avoid alcohol
and soft drinks.
3 Rheumatoid Arthritis
3.1 What is it
3.1.1 Chronic disease that cannot be cured. Form of
inflammatory arthritis and autoimmune diseases.
Fluid build up causing inflammation and joint pain,
systemic and intermittent. Is the second most
common form of arthritis and women are three
times more likely to develop RA than men.
3.2 Signs and symptoms
3.2.1 Fatigue, pain in the joints, swelling of the
joints, stiffness in the joints, muscle pain
3.3 Treatment and Management
3.3.1 Treats the symptoms. Reducing pain and inflammation,
minimising or preventing joint damage and maximising join
3.4.1 Education and counselling.
Self-management support approach.
Information and referral to support
networks. Fatigue management and
exercise. Encouraing reg check ups