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Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association·2017
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Advanced nurse practitioner-led abdominal therapeutic paracentesis.

Neal Aplin1

  • 1Great Western Hospitals NHS Foundation Trust, Swindon, Wiltshire, England.

Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association
|March 11, 2017
PubMed
Summary

A new framework enables advanced nurse practitioners to perform therapeutic paracentesis for ascites, a common complication of liver cirrhosis. This procedure offers symptomatic relief for patients with liver disease.

Keywords:
advanced nurse practitionercompetenceemergency nurseliver diseasetherapeutic paracentesis

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Area of Science:

  • Hepatology
  • Gastroenterology
  • Nursing Practice

Background:

  • Liver disease is a leading cause of mortality in England and Wales.
  • Ascites, a common complication of liver cirrhosis, carries a significant 50% mortality rate.
  • Therapeutic paracentesis is frequently required for symptomatic relief in patients with ascites.

Purpose of the Study:

  • To describe the development of a competency framework.
  • To enable advanced nurse practitioners (ANPs) to perform therapeutic paracentesis.
  • To facilitate the delivery of paracentesis in an ambulatory care setting.

Main Methods:

  • Development of a structured competency framework.
  • Focus on enabling advanced nurse practitioners.
  • Implementation within an ambulatory care unit.

Main Results:

  • A defined framework for ANPs to perform therapeutic paracentesis.
  • Potential for enhanced patient care delivery in ambulatory settings.
  • Standardization of a key procedure for ascites management.

Conclusions:

  • The developed competency framework supports ANPs in performing therapeutic paracentesis.
  • This initiative can improve the management of ascites in liver cirrhosis patients.
  • Ambulatory care units are suitable settings for therapeutic paracentesis procedures.