Basic Needs Analysis and Disorders of Comfort

Oct 13, 2025 by wbrum.org 24 views

Nursing Care for Mrs. P.P with Priority Problems: Basic Needs of Comfort (Pain) in Sari Rejo Village, Medan Polonia

Discussion Category: Diploma Papers, Education, Journal, Thesis, University, Student, Campus

Abstract:

Gout arthritis, a common medical condition in Indonesia, affects millions of people, particularly men, as they age. Women, however, are also at risk, especially after menopause. This article discusses the nursing care for Mrs. P.P, a resident of Sari Rejo Village, Medan Polonia, who experiences pain due to gout arthritis. The article highlights the importance of meeting the basic needs of comfort, including physiological, security, social, and self-esteem needs, to improve the quality of life of patients with gout arthritis.

Introduction

Gout arthritis, also known as uric acid, is a medical condition that affects millions of people worldwide, including Indonesia. According to estimates, the prevalence of gout arthritis in Indonesia ranges from 1.6 to 13.6 per 100,000 people. This disease is often experienced by men as they age, while women have a smaller percentage. However, women are also at risk, especially after menopause, due to the loss of estrogen levels, which helps remove uric acid through urine.

Basic Needs Analysis and Disorders of Comfort

In the context of nursing care for Mrs. P.P, who experiences pain due to gout arthritis, it is essential to understand the basic needs that must be met. Basic needs, which consist of physiological, security, social, and self-esteem needs, are crucial foundations in supporting the quality of life of a person who experiences health problems.

1. Physiological Needs

Pain is one of the main manifestations experienced by patients with gout arthritis. This pain not only interferes with physical comfort but can also inhibit daily activities. Therefore, pain management through the administration of analgesics, cold compresses, and relaxation techniques becomes very important in nursing care. In addition, eating patterns also need to be considered, such as avoiding high purine foods to prevent increased uric acid levels.

Pain Management Strategies

Administering analgesics, such as acetaminophen or ibuprofen, to reduce pain and inflammation
Applying cold compresses to the affected area to reduce pain and swelling
Encouraging relaxation techniques, such as deep breathing, meditation, or yoga, to reduce stress and anxiety

2. Security Needs

Creating a safe and comfortable environment for Mrs. P.P is very crucial. This can be done by ensuring the area of residence is clean, neat, and free from objects that can cause injury. In addition, education about gout and preventive measures is also very important to increase Mrs. P.P's awareness and ability to prevent gout attacks in the future.

Creating a Safe Environment

Ensuring the area of residence is clean and free from objects that can cause injury
Providing education about gout and preventive measures to increase awareness and ability to prevent gout attacks
Encouraging Mrs. P.P to take responsibility for her own health and well-being

3. Social Needs

Family involvement in the treatment process becomes one of the important aspects that must be considered. Emotional and social support from the family can help Mrs. P.P feel more comfortable and reduces the loneliness that is often experienced by sufferers of chronic diseases. Plan a consultation session or group support to share experiences and motivate each other.

Family Involvement

Encouraging family members to participate in the treatment process
Providing emotional and social support to Mrs. P.P
Organizing a consultation session or group support to share experiences and motivate each other

4. Self-Esteem Needs

Increasing self-esteem in Mrs. P.P is one of the goals in nursing care. Encourage Mrs. P.P to be active in daily activities, although within a reasonable limit, as well as giving praise for every progress achieved, can help increase self-confidence and values.

Increasing Self-Esteem

Encouraging Mrs. P.P to be active in daily activities, although within a reasonable limit
Giving praise for every progress achieved
Encouraging Mrs. P.P to take responsibility for her own health and well-being

Conclusion

Comprehensive nursing care for Mrs. P.P, who experiences pain due to gout arthritis, must be done with a holistic approach. By meeting the basic needs of physical, security, social, and self-esteem, it is expected that Mrs. P.P can live life with better quality despite having to fight against the disease she suffered. Education, emotional support, and good pain management are the key to maintaining the welfare of Mrs. P.P in Sari Rejo Medan Polonia Village.

Recommendations

Provide education about gout and preventive measures to increase awareness and ability to prevent gout attacks
Encourage family involvement in the treatment process
Provide emotional and social support to Mrs. P.P
Encourage Mrs. P.P to take responsibility for her own health and well-being
Provide good pain management strategies, such as administering analgesics, applying cold compresses, and encouraging relaxation techniques.
Frequently Asked Questions (FAQs) about Nursing Care for Mrs. P.P with Gout Arthritis

Q: What is gout arthritis and how does it affect the body?

A: Gout arthritis, also known as uric acid, is a medical condition that affects the body by causing inflammation and pain in the joints. It occurs when there is an excess of uric acid in the blood, which can lead to the formation of urate crystals in the joints, causing pain and inflammation.

Q: What are the symptoms of gout arthritis?

A: The symptoms of gout arthritis include:

Sudden and severe pain in the joints, often in the big toe
Redness and swelling in the affected joint
Warmth and tenderness in the affected joint
Limited mobility and stiffness in the affected joint

Q: How is gout arthritis diagnosed?

A: Gout arthritis is diagnosed through a combination of physical examination, medical history, and laboratory tests, including:

Blood tests to measure uric acid levels
Joint fluid analysis to check for urate crystals
Imaging tests, such as X-rays or ultrasound, to check for joint damage

Q: What are the treatment options for gout arthritis?

A: The treatment options for gout arthritis include:

Medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or colchicine, to reduce pain and inflammation
Lifestyle changes, such as maintaining a healthy weight, following a balanced diet, and staying hydrated
Alternative therapies, such as acupuncture or massage, to reduce pain and inflammation

Q: What is the role of nursing care in managing gout arthritis?

A: Nursing care plays a crucial role in managing gout arthritis by:

Providing education and support to patients and their families
Helping patients to manage pain and inflammation
Encouraging patients to make lifestyle changes to prevent future attacks
Monitoring patients for signs of complications, such as kidney damage or joint damage

Q: How can patients with gout arthritis manage their pain and inflammation?

A: Patients with gout arthritis can manage their pain and inflammation by:

Taking medications, such as NSAIDs or colchicine, as prescribed by their healthcare provider
Applying cold or heat packs to the affected joint
Elevating the affected joint above the level of the heart
Getting regular exercise, such as walking or swimming, to improve mobility and reduce stiffness

Q: What are the complications of gout arthritis?

A: The complications of gout arthritis include:

Kidney damage or kidney stones
Joint damage or deformity
Increased risk of heart disease or stroke
Increased risk of developing other health conditions, such as diabetes or high blood pressure

Q: How can patients with gout arthritis prevent future attacks?

A: Patients with gout arthritis can prevent future attacks by:

Maintaining a healthy weight
Following a balanced diet that is low in purine-rich foods
Staying hydrated by drinking plenty of water
Getting regular exercise, such as walking or swimming, to improve mobility and reduce stiffness
Avoiding triggers, such as alcohol or certain medications, that can increase the risk of a gout attack.

Q: What is the prognosis for patients with gout arthritis?

A: The prognosis for patients with gout arthritis is generally good, especially if they receive proper treatment and make lifestyle changes to prevent future attacks. However, patients with gout arthritis are at increased risk of developing complications, such as kidney damage or joint damage, if they do not receive proper treatment or make lifestyle changes.