<![CDATA[Gout arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals, resulting in pain, stiffness, limited mobility, and impaired body balance in the elderly. This condition increases the risk of falls and reduces independence in performing daily activities. One of the non-pharmacological interventions that can be applied is Balance Exercise. This Final Nursing Scientific Project aimed to describe the implementation of gerontological nursing care through the application of Balance Exercise in elderly patients with gout arthritis who experienced impaired body balance in Pulau Nguan, Batam City, in 2026. The method used was a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of this case study was Mrs. J, a 61-year-old woman with a history of gout arthritis for approximately five years. The assessment results showed that the client experienced pain in the knee and ankle joints with a pain scale of 5 out of 10, impaired body balance, and a high risk of falls. Balance Exercise intervention was provided regularly according to the exercise program. The evaluation results showed a decrease in the pain scale from 5 to 3, improved body balance, increased postural stability, reduced fear while walking, and improved independence in performing daily activities. The application of Balance Exercise was effective in reducing fall risk and improving the quality of life of elderly patients with gout arthritis. It is hoped that clients will be able to implement this on their own, under the supervision of their families, to achieve better results.Keywords: Gout Arthritis, Balance Exercise, Fall Risk, Elderly]]>
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