This book includes the most up-to-date information on "Gout & Managing Gout." Gout is a frequently mismanaged and neglected disease. This book exclusively addresses gout and provides a medical and social perspective to treat it effectively. Practical information that can help patients suffering from gout is the hall mark of this book. As treatment of gout primarily depends upon medications and certain changes in lifestyle, this book makes a conscious effort to explain these two factors in detail. At the same time, it uncovers ravaging side effects of the majority of medications used for managing pain in gout and in doing so explains the recent shift towards alternative remedies. In this book, we cover the disease and its etiology, along with specific information about clinical features, symptoms, diagnosis and management of Gouty Arthritis and Hyperuricemia; latest therapies, medication, alternative treatments and preventions. Included in this book: - Prevalence - Risk Factors - Stages of Gout - Purine Biochemistry - Getting the right diagnosis - Hyperuricemia - Treating gout - Lifestyle changes - Managing gout - Coping with gout - Inflammation of gouty arthritis - Significance of nutrition - Ideal meal recipes - Alternative medicines -...and more
The most comprehensive and up-to-date book on managing gout written for the gout sufferer. Covers all aspects of the disease from its progression, diagnosis, and treatment, to the latest research on diet and lifestyle choices that affect gout. No other source has more practical, scientifically backed information that gout sufferers can start using immediately to reduce or stop attacks while living a healthier, pain free life.
This book is printed both in paperback & eBook formats for your convenience. Educate yourself, and help educate others on Gout, while managing it. Gout Prevention topics of discussion inside of this guide are as follows: GoutFacts about GoutPrevalence of GoutIncidence of GoutDeath from GoutSymptoms of GoutCauses of GoutTriggers of GoutRisk Factors for GoutThe Diagnosis of GoutTreatment of GoutMedications for an Acute Attack of GoutMedications for decreasing Uric Acid LevelsSelf-Care for GoutDietary GoalsPhysical Activity to reduce Gouty AttacksComplications of GoutAlternative Medications for Gouty ArthritisPrevention of GoutExercises for GoutAerobic ExerciseNatural Supplements for GoutDealing with a Loved One with GoutGout ResourcesMisinformation about GoutSide Effects from Gout DrugsCase Study on GoutSummary Excerpts from the book... Causes of GoutWhile the symptoms of gout appear to happen overnight, the ongoing process leading up to a painful attack of gouty arthritis comes on over a process of many months or years. The most basic cause of gout is an elevation of uric acid in the body (hyperuricemia). This is brought on by eating a diet high in purines (red meat is an example) or by failing to excrete uric acid to an adequate degree by the kidneys. Uric acid is a breakdown product of purines. Purines are made by cells of the body and are taken in as part of the diet. Under normal conditions, the uric acid breakdown product is sent from the cells of the body to the kidneys, where it is excreted. The sufferer of gout tends to make more purines or eat more purines in the diet or fails to excrete it due to kidney disease. The main causes of gout include the following:* Eating high purine-containing foods* Being obese* Drinking too much alcohol, particularly beer* Living a sedentary lifestyleTriggers of GoutHyperuricemia alone does not trigger gout. There often is another trigger in the individual's life that brings on the onset of a painful arthritic joint. There are medical triggers for gout. These include the following:* Taking diuretic medications that concentrate the uric acid in the blood. Diuretics are used to treat high blood pressure, heart failure, or swelling of the legs.* Infections occurring in the body, not necessarily in the joints of the body.* The onset of a severe illness anywhere in the body.* Injury to a specific joint that responds by precipitating uric acid crystals into the joint space. * Being on chemotherapy drugs.* Starting a medication that is supposed to reduce the uric acid in the blood.* Taking cyclosporine for various reasons. Some of the lifestyle factors that trigger gout include the following:* Consumption of sugary beverages, such as sodas* Dehydration through not taking in fluids or losing fluids through diarrhea or diuretics* Taking on a crash diet or fasting* Eating high purine foods, such as shellfish and red meats* Drinking excessive amounts of alcohol, particularly beerIt is important to remember that these triggers lead to hyperuricemia, which may or may not result in gouty arthritis. Not all cases of hyperuricemia will be symptomatic and will lead to joint pain. This is why the absolute value of the uric acid is not a good diagnostic test for gouty arthritis as the elevation in uric acid may not be the cause of a given case of arthritis and gouty arthritis may be present with normal uric acid levels. Risk Factors for GoutAs mentioned, about 3 million or more people in the US suffer from gout. Those at the highest risk of developing gout include the following:* Men at any age, although the disease increases with age.* Women who have already gone through menopause.* People of any age with kidney disease.* People who are obese.* People who have high blood pressure. ...
Written by and for Nurse Practitioners from a unique collaborative perspective, Primary Care: A Collaborative Practice, 4th Edition, prepares you to provide care for all of the major disorders of adults seen in the outpatient setting. Evidence-based content reflects the latest guidelines for primary care of hundreds of conditions, including hypertension, diabetes, and sexually transmitted infections. Now in full color, the 4th Edition includes chapters on emerging topics such as genetics, obesity, lifestyle management, and emergency preparedness. Combining a special blend of academic and clinical expertise, the author team provides a practical text/reference that promotes a truly collaborative primary care practice. Comprehensive, evidence-based content incorporates the latest standardized guidelines for primary care in today's fast-paced, collaborative environment. Unique! A collaborative perspective, reflecting the key roles of NPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care. A consistent format from chapter to chapters facilitates learning and clinical reference value. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans. Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary. Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility. Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting. Complementary and alternative therapies are addressed where supported by solid research evidence. NEW Inclusion of evidence-based guidelines for such topics as hypertension, diabetes, advanced cardiac life support, coronary artery disease, and sexually transmitted infections equips you to provide state-of-the-science primary care in these key areas. An expanded emphasis on caring for the elderly, italicized for easy identification, equips you to provide high-quality care for our aging population. NEW Obesity and Weight Management chapter explores the causes of and risk factors for obesity, and provides in-depth strategies for its management and prevention. NEW Genetic Considerations in Primary Care chapter helps you look at primary care with a genetic perspective, focusing on risk assessment, family history-taking, and direct-to-consumer genetic testing. NEW Lifestyle Management chapter offers guidelines for helping patients to increase their quality and length of life through nutrition and diet, smoking cessation, avoidance of lifestyle-related illnesses, and curbing domestic violence. NEW Emergency Preparedness, Recognition, and Response in Primary Care chapter addresses the emerging role of primary care providers in responding to outbreaks, pandemics, and disasters. NEW Neuropsychological Evaluation chapter explains when to refer patients with cognitive difficulties for neuropsychological testing. NEW Environmental Allergies chapter addresses increasingly common allergy complaints. NEW full-color design makes the text easier to read and easier to use, with key assessment findings shown in true-to-life color photos. Expanded The Changing Landscape of Collaboratve Practice chapter covers new partners in collaborative practice (DPTs and PharmDs), new venues for collaborative practice (such as retail health), and the future of collaborative practice (including health care reform, the patient-centered medical home, telehealth, and electronic medical records). Expanded Health Literacy, Health Care Disparities, and Culturally Competent Care chapter includes a section on health care disparities in the treatment of patients with diabetes and LGBT patients. Expanded Principles of Geriatric Primary Care and Common Geriatric Syndromes chapter provides greater emphasis on the care of older adults, including additional information on advance directives.