STUDI KASUS PENGELOLAAN PENURUNAN KADAR ASAM URAT PADA LANSIA PENDERITA GOUT ARTHRITIS DENGAN AIR REBUSAN DAUN SALAM DI DESA WINONG NGAMPEL

Gout Arthritis is inflammation of the joints due to increased levels of uric acid in the blood, due to disruption of purine metabolism (hyperuricemia) in the body which is characterized by joint pain, so it can interfere with activities. Normal levels of uric acid in women are 2.6-6.0 mg/dl and in men 3.5-7.0 mg/dl. One alternative therapy to reduce uric acid levels is bay leaf decoction. The content contained in bay leaves is flavonoids which can help remove uric acid through urine by increasing urine production. The purpose of this study was to determine the effect of giving boiled water of bay leaves on reducing uric acid levels in the elderly with gout arthritis. The case study is a study based on EBP (Evidence based practice) to explore the problem of uric acid levels in the blood in gout arthritis patients in the elderly. The results of the study, before gived the boiled water of bay leaves, the patient's uric acid level was 8.1 mg/dl. The level of uric acid after gived boiled water of bay leaves on the third day was 6.8 mg/dl. Giving boiled water of bay leaves has a significant effect on reducing uric acid levels in patients with Gout Arthritis. If consumed regularly and in accordance with the recommended dose of 200 ml taken twice a day.