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Published on: April 19, 2022
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Nursing Management of Hepatic Encephalopathy
Diana Rodenbaugh1,2,3,4, Christina T Vo1,2,3,4, Rhoda Redulla1,2,3,4
1Diana Rodenbaugh, MSN, RN, CMSRN, WCC, is Clinical Nurse IV, The Hospital of the University of Pennsylvania, Philadelphia.
Summary
This review details hepatic encephalopathy (HE), a complication of liver disease, and its management. It emphasizes the crucial role of nurses in identifying, grading, and treating HE, alongside patient and family education to prevent symptom recurrence.
Area of Science:
- Hepatology
- Clinical Nursing
- Internal Medicine
Background:
- Hepatic encephalopathy (HE) is a neuropsychiatric complication of liver dysfunction.
- Its prevalence in the United States necessitates improved clinical awareness and management strategies.
- Understanding the link between liver disease and HE is critical for patient outcomes.
Purpose of the Study:
- To provide a comprehensive overview of hepatic encephalopathy (HE).
- To highlight the essential role of nurses in the identification and management of HE.
- To equip nurses with evidence-based tools for managing HE patients and educating families.
Main Methods:
- A literature review was conducted to synthesize current knowledge on HE.
- The review covers pathophysiology, diagnosis, grading, and treatment options.
- Emphasis is placed on nursing interventions and patient/family education.
Main Results:
- The article outlines evidence-based diagnostic criteria and grading systems for HE.
- It details various pharmacologic therapies and nutritional interventions for managing HE.
- Key nursing responsibilities in HE care are identified, including early detection and intervention.
Conclusions:
- Nurses play a pivotal role in the effective management of hepatic encephalopathy.
- Comprehensive education for nurses, patients, and families is vital for successful HE treatment and prevention of recurrence.
- Implementing evidence-based practices in HE care improves patient outcomes and reduces hospital readmissions.
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