NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: Impaired • Gout is a • After 3 days • Evaluate or • Level of activity • After 3 days of
physical of nursing continuously or exercise nursing
“Masakit ang paa mobility disorder of
intervention monitor degree of depends on interventions,
ko, hindi ako related to pain. purine s, the joint inflammation progression and the patient was
makalakad” (My metabolism patient will or pain. resolution of able to maintain
feet hurts, I can’t characterized maintain or inflammatory or increase
walk) as increase process. strength and
by elevated uric
verbalized by the strength and • Maintain bed rest • Systemic rest function of
patient. acid levels with
function of or chair rest when during acute affected or
deposition of affected or indicated. attacks and compensatory
Objective: urate crystals in compensato Schedule important body part.
joints and other ry body part. activities throughout all
• Reluctance to tissues. High providing frequent phases of
attempt rest periods and disease to
uric acid levels
movement. uninterrupted reduce fatigue
result from
night time sleep. and improve
• Limited range decreased strength.
of motion. excretion of uric • Encourage • To assist with
acid ( 90% of adequate fluid excretion of uric
• Decreased cases) due to a intake. acid and
muscle decrease
wide variety of
strength. likelihood of
causes. The
stone formation.
• V/S taken as disorder may • Assist with active • Maintains or
follows: progress from or passive range improves joint
an of motion. function,
T: 37.5 asymptomatic muscle
P: 76 strength, and
stage through
R: 20 general
BP: 120/80 acute gouty stamina.
arthritis, to • Encourage • Maximizes joint
chronic patient to function,
tophaceous maintain upright maintains
gout. and erect posture mobility.
when sitting,
Complications
standing, or
include erosive walking.
deforming
arthritis, uric • Encourage the • That can
acid kidney patient to avoid precipitate
alcohol. acute attack.
stones, and
• Review foods that • To avoid foods
urate are rich in purines that precipitate
nephropathy like sardines, acute attacks.
caused by anchovies, shell
hyperuricemia. fish and organ
meats.
• Provide safety • Help prevent
needs. accidental
injuries or falls.
Collaborative:
• Administer anti- • To relieve pain
inflammatory and swelling
drugs and also during acute
colchicines as attacks.
prescribed.