Gouty arthritis is a metabolic disease that mostly occurs in middle-aged to elderly men and women in the post-menopausal period. This metabolic disease is caused by the accumulation of monosodium urate monohydrate crystals in the joints and connective tissue tophi. Joint pain is a problem for elderly people in the world and in Indonesia. It was recorded according to (WHO, 2023) that in 2019, around 528 million people worldwide suffered from joint pain, an increase of 113% since 1990. Around 73% of joint pain sufferers were over 55 years old, and 60% were women. With a prevalence of 365 million people, the knee is the joint most frequently affected, followed by the hip and hand. By using cinnamon as a non-pharmacological measure to reduce pain caused by signs and symptoms of gouty arthritis. Method: Case study using nursing care for Mr. S by doing a warm cinnamon compress for 7 days. Results and Conclusions: Chronic pain problems were resolved with warm cinnamon compresses marked by Mr. S said the pain had disappeared and he could carry out daily activities. P: pain caused by gout Q: none R: none S: 1 T: none. Mr. S still looks smiling and no longer grimacing, Mr. S doesn't seem anxious, Mr. S appears to be able to carry out activities and does not avoid pain. TTV results TD: 130/80 mmH N: 84x/m RR: 22x/m S: 36.6?.

Background: The results of a survey by the United Nation International Children Found (UNICEF, 2019), the most common diseases in the elderly are non-communicable diseases, including hypertension, joint disease, diabetes mellitus, heart disease, stroke, and Gout Arthritis. This can happen considering that the elderly have a declining body work system and there are still many poor lifestyles, eating patterns, and sleep patterns in the elderly, sleep pattern disturbances are a problem that often occurs in the elderly. There are two ways to treat sleep disorders, namely pharmacological and non-pharmacological. Non-pharmacological can be done with SEFT (Spiritual Emotional Freedom Technique) complementary therapy to improve sleep quality. Purpose: the purpose of this paper is to provide an overview of nursing care for Gout Arthritis patients who experience sleep pattern disturbances with the SEFT intervention on sleep quality. Method: case study design using nursing care. The case study sample used 1 patient. Results: based on the implementation results on Tn.S with the application of SEFT therapy for 7 days, data were obtained on the first day of the PSQI scale, namely 23 (≥5, meaning poor sleep quality), then on day 7 it dropped to a PSQI score of 14 (moderate sleep quality). it can be concluded that with changes towards improvement, this indicates the effect of SEFT (Spiritual Emotional Freedom Technique) therapy on sleep quality in elderly patients with Gout Arthritis.
 

Background: Elderly is a closing period in a person's life span, namely a period when a person has moved from a more useful and productive time. With increasing age, physiological function decreases due to the aging process so that joint disease appears in the elderly. One of the joint diseases in the elderly is gout arthritis. There are two ways to reduce uric acid, pharmacological and non-pharmacological. Non-pharmacological can be done by giving ginger compresses to reduce pain levels. Objective: The purpose of this paper is to determine the effectiveness of ginger compresses to reduce pain levels in the elderly with gout problems. Method: Case study design using nursing care. The case study sample used 1 patient. Results: Based on the implementation results on Mr. S with the application of ginger compress therapy for 7 days the pain scale decreased, the first and second days a pain scale of 5, on the third and fourth days a pain scale of 4, on the fifth and sixth days a pain scale of 2 and on the seventh day a pain scale of 1 with uric acid levels on day the first was 8 mg/dl and on the seventh day the uric acid level was 7.3 mg/dl, so a nursing diagnosis of chronic pain, it can be concluded that there is a change towards improvement, this shows the effect of giving ginger compresses on reducing pain levels.