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Advanced nurse practitioner-led abdominal therapeutic paracentesis
1Great Western Hospitals NHS Foundation Trust, Swindon, Wiltshire, England.
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.
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.
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