N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide • Review laboratory and radiology reports: o X-rays: o Synovial fluid: Aspiration of joint fluid will show uric acid crystals o Uric acid levels: Check for elevated uric acid in the urine and blood Nursing diagnosis for gout: • Pain related to joint inflammation • Impaired physical mobility related to joint pain, stiffness, and inflammation • Self-care deficit related to immobility and pain • Knowledge deficit related to disease process, medications, and management Nursing interventions for gout: • Assess pain frequently and give pain medications per MD order: o Joints will show increased inflammation ©2017 Achieve Test Prep Page 117 of 204 • Encourage gentle stretching and range of motion exercises • Teach patient and family about strict adherence to gout diet; low purines (organ meats, cured foods, alcohol use, and canned anchovies) • Refer to physical therapy • Stress the importance of increased fluids to decrease uric acid levels • Teach patient and family about importance of compliance with medications, side effects, and safety issues Nursing interventions for gout: • Verbalizes increased comfort and pain relief • Demonstrates increased mobility • Demonstrates compliance with diet and medications • Verbalizes understanding of disease process, diet, medications, and treatment plan Rheumatoid Arthritis and Systemic Lupus Erythematosus This is a systemic type of arthritis that stems from the body’s own immune system. It is the most common type of arthritis, occurs in mid-life, and results in chronic disease. Some people have remissions, but during a flare-up they experience severe joint pain, fatigue, immobility, and stiffness of the joints. Females are more likely to suffer from this disease and certain conditions are thought to Non-steroidal anti-inflammatory medications: acetaminophen, indomethacin, and colchicine; narcotic medications are usually ineffective for gout pain rest during acute flare-ups • • Encourage Apply ice to affected joints