Peoples’ capacity to engage, accept and self-manage their gout varies significantly.2
Patients may blame themselves for their gout and feel whakamā (shame), holding on to outdated yet strong beliefs their gout is caused by overindulgence in food/drink. Raise awareness of genetic predisposition to gout in Māori and Pacific peoples; this can reduce whakamā and encourage treatment programme participation.1,2 Talk about food/drink as triggers only.
Daily, life-long treatment can be challenging and hard to accept. Support patients in engagement, and share decision-making.
Be aware Māori and Pacific peoples are less likely to receive regular ULT than others.3 Pharmacists, especially, have an opportunity to detect irregular ULT dispensing. Be alert to the person with joint pain or repeated purchases of NSAIDs – reach out to prescribers.