Additional Material

Test Your Knowledge

Mrs. Harrison presents to urgent care with extreme pain localized to her left elbow for 24 hours. The elbow is erythematous and swollen, and she states that ibuprofen did not relieve the pain. One possible diagnosis is gout. What factors listed below are associated with gout?

Gout is confirmed in Mrs. Harrison. Pain management of an acute episode of gout might include:

Mrs. Harrison asks what she can do to help her sleep.  It is noted that she has hypertension and diminished renal function. Which of the following is most appropriate for Mrs. Harrison?

You discover that Mrs. Harrison cannot remember all the medications she takes – only that she takes “lots of pills”. You recognize that polypharmacy may be an issue and that it most likely occurs in patients who:

You want to be sure Mrs. Harrison is able to follow instructions on how to manage the acute case of gout, as well as long term prevention of recurrence. You conduct an assessment of her cognitive ability using the MoCA, a tool which includes:

Patient teaching for Mr. Clark (and his wife) on ways to minimize  recurrence of gout include:

It is not unusual for gout to recur within  6 months. Which statement is true regarding management of an acute episode of gout?

Interventions  to facilitate sleep in older adults include:

Consequences of polypharmacy include:

The MoCA is preferred over the MMSE because: