Asuhan Keperawatan Gerontik dengan Masalah Utama Nyeri Akut pada Gout Arthritis dengan Terapi Non Farmakologis Kompres Jahe pada Ny A di Panti Pelayanan Sosial Lanjut Usia Dewanata Cilacap

Abstract

Gout arthritis is a degenerative joint disease commonly found in older adults, characterized by the accumulation of uric acid crystals that cause acute pain and inflammation in the joints. This case study aimed to describe the nursing care process for an elderly patient with acute pain due to gout arthritis using non-pharmacological therapy of warm ginger compresses at the Dewanata Elderly Social Service Center in Cilacap. The method used was a nursing care approach including assessment, diagnosis, intervention, implementation, and evaluation. The main nursing diagnoses identified were acute pain, impaired physical mobility, and disturbed sleep pattern. The interventions focused on pain management through ginger warm compresses, relaxation techniques, and activity modification. On the first day, the patient reported severe stabbing pain in the right knee with a pain scale of 6 and limited movement. After two days of nursing intervention, the pain intensity decreased to a scale of 5, serum uric acid levels dropped from 12 g/dl to 9.4 g/dl, and the patient reported improved sleep quality and mobility. The results indicate that non-pharmacological interventions, especially warm ginger compress therapy, effectively reduce joint pain, improve comfort, and enhance physical function in elderly patients with gout arthritis. In conclusion, comprehensive gerontological nursing care with a combination of pharmacological collaboration and non-pharmacological approaches can improve the quality of life and functional independence of elderly gout arthritis patients.