Subjective: Impaired physical Gout is a disorder of After 3 days of nursing Independent: Level of activity or After 3 days

“Masakit ang paa ko, mobility related purine metabolism interventions, the • exercise depends on of nursing
hindi ako to pain. characterized by patient will maintain or Evaluate or progression and interventions,
makalakad” elevated uric acid increase strength and continuously monitor resolution of the patient
(My feet hurts, I levels with deposition function of affected or degree of joint inflammatory process. was able to
can’t walk) of urate crystals in compensatory body inflammation or pain. • maintain or
as verbalized by the joints and other part. • Systemic rest during increase
patient. Objective: tissues. High uric acid Maintain bed rest or acute attacks and strength and
• levels result from chair rest when important throughout function of
Reluctance to decreased excretion of indicated. Schedule all phases of disease affected or
attempt movement. uric acid ( 90% of activities providing to reduce fatigue and compensatory
• cases) due to a wide frequent rest periods improve strength. body part.
Limited range of variety of causes. The and uninterrupted •
motion. disorder may progress night time sleep. To assist with
• from an asymptomatic • excretion of uric acid
Decreased muscle stage through acute Encourage adequate and decrease
strength. gouty arthritis, to fluid intake. likelihood of stone
• chronic tophaceous • formation.
V/S taken as gout. Complications Assist with active or
follows: T: 37.5 P: include erosive passive range of •
76 R: 20 BP: 120/80 deforming motion. Maintains or
• improves joint
Encourage patient to function, muscle
maintain upright and strength, and general
erect posture when stamina.
sitting, standing, or •
walking. Maximizes joint
function, maintains
mobility.
Gout is a disorder of purine metabolism characterized by elevated uric acid levels with deposition of urate crystals in joints and other tissues. High

uric acid levels result from decreased excretion of uric acid ( 90% of cases) due to a wide variety of causes. The disorder may progress from an
asymptomatic stage through acute gouty arthritis, to chronic tophaceous gout. Complications include erosive deforming arthritis, uric acid kidney stones, and
urate nephropathy caused by hyperuricemia.