Critical Analysis on Liver Cirrhosis Nursing Care

Running head: CRITICAL ANALYSIS ON LIVER CIRRHOSIS NURSING CARE
CRITICAL ANALYSIS ON LIVER CIRRHOSIS NURSING CARE
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1CRITICAL ANALYSIS ON LIVER CIRRHOSIS NURSING CARE
Table of Contents
Introduction................................................................................................................................2
Discussion..................................................................................................................................2
 Case description:.............................................................................................................2
 Diagnosis of the patient:..................................................................................................3
 Assessment tool used for Diagnosis:...............................................................................5
 Nursing Care plan:..........................................................................................................7
 Pharmacological interventions:.......................................................................................8
 Critical analysis of nursing strategies:............................................................................9
Conclusion................................................................................................................................11
References................................................................................................................................13
Appendix..................................................................................................................................17

2CRITICAL ANALYSIS ON LIVER CIRRHOSIS NURSING CARE
Introduction
In this essay, a detail insight on the nursing care plan and its interventions on liver
cirrhosis is conducted. Critical analysis is done on liver cirrhosis with different approaches of
the nursing care strategies. The patient was suffering from liver cirrhosis as examined from
the symptoms obtained from his medical report. Liver cirrhosis also identified as hepatic
cirrhosis (British Liver Trust 2019). It is an enduring hepatic sickness specified by diffuse
demolition and fibrotic renewal of various hepatic cells which leads to two major health
problem of acute anxiety and chronic pain due to change in liver structure. Fibrosis is caused
due to necrotic tissues, the diseases changes the structure of liver and standard vasculature,
weakens body fluid and lymph movement, and eventually leads to hepatic insufficiency. In
United States, cirrhosis is considered as the fourth principal reason of demise between people
aged 35 to 55, and signifies a severe danger to long-standing health (Beck, Tornquist and
Edberg 2014). The case description of the patient was analysed, thoroughly and the diagnosis
method was listed down according to the sign and symptoms of the patient health, and for the
nursing care Activities of Daily Life (ADL) framework, is used as compared to other
framework because in ADLs the duty and routines are performed on a regular basis to help
the patient with proper care and to live independently. Different assessment tool such as
anxiety assessment tool, VIP score or waterloo score was used to test patient’s health and
according to the patient health report nursing care plan strategies was made and critical
analysis was performed on that nursing strategy (Gimenes et al. 2016).
Discussion
 Case description:
Ravi was already diagnosed with liver related disease (alcoholic liver disease) six
months ago. He had medical history of hypertension and was on a strict diet controlled type 2

3CRITICAL ANALYSIS ON LIVER CIRRHOSIS NURSING CARE
diabetes. Though Ravi had stopped consuming alcohol from last few months, his health was
still declining and he was getting exhausted and weak after a small task and used to spend his
time in resting and sleeping. He was suffering from itchy skin and was looking jaundiced.
Ravi could not sleep properly on bed because of his swollen abdomen. His skin was
becoming fragile and because of his diabetes, his wounds would take more time to heal. The
liver consultant met Ravi and informed him regarding his declining liver function and the fact
that no medical or surgical treatment could help him (Borras et al. 2014). From Ravi’s above
condition, it was clear that he had liver cirrhosis as he was continuously suffering from
tremendous pain and his skin was still fragile and itchy with jaundiced appearance. Nurse
was appointed to take proper care of him by using her nursing care plan. Proper care and
medication was done. As a palliative measure, Ravi could open his bowel twice a day by
passing small amounts of urine. After the assessment of his condition, he was medicated with
certain medicines and diagnosis was performed.
 Diagnosis of the patient:
As the patient was already diagnosed with alcoholic liver disease, it was
comparatively easy to relate his symptoms with the condition of liver cirrhosis. According to
British Liver Trust 2019, the early and late symptoms of liver cirrhosis was elaborated. Early
symptoms included usually feeling sick and drained all the time, loss of hunger, weight loss
and muscle deterioration, nausea and vomiting, frequent aching in the liver zone, blemished
red palms, and distressed sleep pattern (Jensen et al. 2018). Late symptoms of liver cirrhosis
included itchy skin, yellowing of eyes and skin resulting in jaundiced appearance, white nails,
hair loss, swelling in leg, feet, abdomen, and ankles, dark discharge of urine and continuous
muscle pain.
Hence, from the above symptoms it was clear that Ravi was suffering from liver
cirrhosis as he had itchy skin with jaundiced appearance, he used to get tired easily and spend