Risk Of Deterioration Of Liver Function

Risk Of Deterioration Of Liver Function

Introduction to NANDA Nursing Diagnosis: Risk Of Deterioration Of Liver Function

Nursing diagnosis is an important part of patient care, and it is the responsibility of nurses to complete a diagnosis to establish an appropriate plan of care. The NANDA Nursing Diagnosis guides the nurse in accurately assessing the patient’s condition and providing appropriate interventions that will help the patient achieve positive health outcomes. One common nursing diagnosis is Risk Of Deterioration Of Liver Function.

NANDA Nursing Diagnosis Definition

Risk Of Deterioration Of Liver Function is defined as “a state of increased vulnerability for developing a deterioration of liver function”. This diagnosis implies that the patient is already at risk or susceptible of deteriorating current liver function.

Defining Characteristics

Subjective Data

  • Reports symptoms of hepatic dysfunction such as nausea, fatigue, and abdominal pain.
  • Describes lifestyle changes associated with liver disease such as avoiding alcohol and reducing salt intake.
  • Expresses feelings of anxiety and/or depression due to uncertain health outcome.

Objective Data

  • Presence of signs and symptoms of liver disease such as jaundice and ascites.
  • Abnormal laboratory results such as elevated bilirubin and decreased serum albumin.
  • Significant changes in body weight.

Related Factors

  • Exposure to environmental toxins
  • Inadequate nutrition
  • Excessive alcohol consumption
  • Viral hepatitis
  • Medication side effects

Risk Population

Those individuals who are at risk of developing a deterioration of liver function include those who have a history of liver disease, prolonged antibiotic use, viral hepatitis, chronic alcohol abuse, malnutrition and obesity.

Associated Problems

Prolonged liver dysfunction can lead to complications such as cirrhosis, liver cancer, ascites, and portal hypertension.

Suggestions of Use

The NANDA Nursing Diagnosis: Risk Of Deterioration Of Liver Function can help guide the nurse in providing holistic care for the patient. It should be used in conjunction with other diagnostics to assess the patient’s overall condition and give the nurse direction in providing appropriate interventions.

Suggested Alternative NANDA Diagnoses

  • Ineffective Health Maintenance
  • Impaired Mobility
  • Ineffective Coping
  • Readiness for Enhanced Knowledge

Usage Tips

  • Educate the patient on lifestyle changes associated with avoiding further deterioration of liver function such as avoiding alcohol, reducing salt intake, maintaining healthy body weight, and following the doctor’s recommendations.
  • Encourage the patient to adhere to medication regimens by following the timing, dosage and type prescribed.
  • Chemical exposure should be monitored to identify if any exposure could be contributing to the condition.
  • In rare cases, if indicated, referral to a liver transplant center may be recommended.

NOC Results

  • Nutrition: Nutritional status is maintained within normal range.
  • Tissue Perfusion: Peripheral circulatory status is maintained.
  • Mobility: Physical mobility is preserved.
  • Pain Level: Pain level is reduced or eliminated.
  • Knowledge: Patient demonstrates knowledge of diet, drug, environmental and lifestyle modifications to improve health.
  • Health Beliefs: Patient engages in health-promoting behaviors.

NIC Interventions

  • Health Education: Patient and family education about the risk factors for progression of liver dysfunction and about lifestyle modifications to reduce or prevent such risks.
  • Nutritional Management: Monitoring of dietary intake, consideration of high-calorie, high-protein snacks, and referrals to a nutritionist for high-risk patients.
  • Assessment: Observe and monitor the patient’s skin tone, vital signs, and other indicators of liver dysfunction.
  • Safety Management: Monitor environmental safety measures, assess hazardous material exposure, and refer high-risk individuals to a specialist.
  • Medication Management: Monitor use of medications known to cause liver damage, including anabolic steroids, synthetic hormones, and nonsteroidal anti-inflammatory drugs.

Conclusion

NANDA Nursing Diagnosis: Risk Of Deterioration Of Liver Function is an important diagnosis for healthcare providers to consider when working with patients with or at risk for deterioration of liver function. Assessing for this diagnosis can help the nurse provide timely and appropriate interventions.

FAQ

  • What is a NANDA nursing diagnosis? A NANDA nursing diagnosis is a standardized way of assessing and communicating the patient’s health status.
  • What is the definition of Risk of Deterioration of Liver Function? The definition of Risk of Deterioration of Liver Function is “a state of increased vulnerability for developing a deterioration of liver function”.
  • Who is at risk for developing a deterioration of liver function? Those individuals who are at risk of developing a deterioration of liver function include those with a history of liver disease, prolonged antibiotic use, viral hepatitis, chronic alcohol abuse, malnutrition and obesity.

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