ABSTRACT
IMPAIRED LIVER function affects every aspect of the body's physiology. Diseases of the liver have more widespread and life-threatening impacts than malfunctioning of any of the body's other conditions. accessory organs. Non-alcoholic fatty Liver disease rates are soaring, concurrent with the obesity epidemic and increasing rates of type 2 diabetes. Alcoholic liver disease and viral hepatitis also contribute to high rates of liver damage in the population, making liver disease one of the commonest causes premature death. Liver transplants, hepatocellular carcinomas, and deaths from Liver disease are increasingly due to preventable or treatable liver conditions. Understanding normal liver function allows nurses to predict the impact of Liver disease on their patients' health and well-being. Knowledge of underlying causes of impaired liver function enhances our ability to support and counsel those who are at risk of, or have been diagnosed with liver disease.
Subject(s)
Liver Diseases/nursing , Liver/physiology , Carcinoma, Hepatocellular/metabolism , Carcinoma, Hepatocellular/nursing , Carcinoma, Hepatocellular/physiopathology , Hepatitis, Viral, Human/metabolism , Hepatitis, Viral, Human/nursing , Hepatitis, Viral, Human/physiopathology , Humans , Liver/cytology , Liver/metabolism , Liver Diseases/metabolism , Liver Diseases/physiopathology , Liver Diseases, Alcoholic/metabolism , Liver Diseases, Alcoholic/nursing , Liver Diseases, Alcoholic/physiopathology , Liver Function Tests , Liver Neoplasms/metabolism , Liver Neoplasms/nursing , Liver Neoplasms/physiopathology , Liver Transplantation/nursing , Non-alcoholic Fatty Liver Disease/metabolism , Non-alcoholic Fatty Liver Disease/nursing , Non-alcoholic Fatty Liver Disease/physiopathologySubject(s)
Liver Diseases, Alcoholic/nursing , Practice Guidelines as Topic , Empathy , Female , Humans , Liver Cirrhosis, Alcoholic/diagnosis , Liver Cirrhosis, Alcoholic/etiology , Liver Diseases, Alcoholic/complications , Liver Diseases, Alcoholic/physiopathology , Malnutrition/etiology , Malnutrition/nursing , Mass Screening/nursing , Middle Aged , Nurse-Patient Relations , Nursing Assessment , Nursing Diagnosis , Pain Management/nursing , Patient Education as Topic , Substance Withdrawal Syndrome/nursingABSTRACT
Alcohol is one of the three leading causes of liver disease in the developed world. Patients with alcohol-related liver disease are often cared for in general wards and hospitals, rather than specialist centres. This may be a result of the number of patients being admitted or a lack of referral to specialist services by healthcare professionals. The financial cost of caring for patients with alcohol-related injuries is continuing to rise. This article explores the mechanisms of liver injury caused by alcohol; the risk factors associated with alcohol-related liver disease; assessment tools used to identify patients with alcohol use disorders; withdrawal from alcohol; chronic liver disease; and issues surrounding transplantation. The importance of the nursing role in assessing and monitoring patients undergoing withdrawal from alcohol, information giving and advice on the prevention of alcohol-related liver injury, and supporting patients with alcohol-related liver injury is highlighted.
Subject(s)
Alcohol Withdrawal Delirium/nursing , Liver Diseases, Alcoholic/therapy , Alcohol Withdrawal Delirium/pathology , Humans , Liver Diseases, Alcoholic/nursing , Liver Diseases, Alcoholic/pathology , Transplantation , United KingdomABSTRACT
Alcohol-related problems are substantial in this society. In support of national health goals, increased effectiveness of hospital-provided care, and patient's well-being, hospital nurses are called to address the issue of addiction and recovery with patients and their families. SBIRT involve a set of strategies useful for this purpose. Nurse-led use of SBIRT strategies into hospital procedural care was demonstrated through the scenario. This technique is applicable to patient encounters during most direct-care inpatient procedures.
