The critical role of specialized nursing in managing liver failure in emergency and critical care settings

https://doi.org/10.29332/triss.v2n1.76

Authors

  • Saadi Saad Alanazi KSA, National Guard Health Affairs
  • Mutlaq Gatar N Alruwas KSA, National Guard Health Affairs
  • Ahmed Ibrahim Alahmad KSA, National Guard Health Affairs
  • Yousef Dhahwa Bijad Alharbi KSA, National Guard Health Affairs
  • Abdullah Ibrahim Al Eissa KSA, National Guard Health Affairs
  • Khalid Saad Matar Alshammari KSA, National Guard Health Affairs
  • Adil Mubarak F Alotaibi KSA, National Guard Health Affairs
  • Meajeb Abdullah Almotairi KSA, National Guard Health Affairs
  • Mohammed Menwer Alruwaili KSA, National Guard Health Affairs
  • Bander Awadh Shudayyid Alotaibi KSA, National Guard Health Affairs

Keywords:

Liver failure, specialized nursing, patient-centered care, evidence-based practice, healthcare quality, symptom management, emergency care, critical care nursing

Abstract

Background: Liver failure, both acute and chronic, is a significant global health issue due to its high morbidity and mortality rates. This condition requires complex, multidisciplinary management, with specialized nursing care being pivotal for successful patient outcomes. In emergency and critical care settings, nurses are essential in addressing not only the clinical aspects of care but also the emotional, psychological, and social challenges faced by patients. Despite the advancements in medical treatments, there remains a gap in how nursing strategies are tailored to meet the unique needs of liver failure patients, particularly in integrated emergency and critical care settings. Aim: This paper aims to explore the role of specialized nursing in the management of liver failure, with a focus on its integration into emergency and critical care. It also examines the challenges nurses face in these settings and proposes evidence-based strategies to improve patient care and outcomes. Methods: A systematic review of existing literature, clinical guidelines, and case reports was conducted to evaluate the effectiveness of nursing interventions, patient outcomes, and the delivery of care in emergency and critical care settings. The review aimed to identify best practices and solutions for overcoming barriers to optimal nursing care. Results: Specialized nursing interventions, including symptom management, prevention of hepatic encephalopathy, and infection control, were shown to improve patient outcomes significantly. However, challenges such as managing complex symptoms, ensuring patient compliance with treatment, and addressing the emotional and psychosocial burdens of patients remain prominent. Interdisciplinary collaboration, along with focused nursing education and training, was identified as a key factor in overcoming these challenges. Conclusion: Specialized nursing is integral to the management of liver failure patients in emergency and critical care settings, addressing both clinical and psychosocial aspects of care. Evidence-based nursing strategies and enhanced training programs are essential for improving patient outcomes and advancing healthcare quality.

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References

Bernal, W., Auzinger, G., Dhawan, A., & Wendon, J. (2019). Acute liver failure. The Lancet, 397(10272), 1165-1178. https://doi.org/10.1016/S0140-6736(20)32557-4

Tapper, E. B., & Parikh, N. D. (2019). Mortality due to cirrhosis and liver cancer in the United States. Hepatology, 75(1), 170-178. https://doi.org/10.1002/hep.32133

Orem, D. E. (2001). Nursing: Concepts of practice. Mosby.

Leininger, M. M. (2002). Transcultural nursing: Concepts, theories, research & practice. McGraw-Hill.

Goyal, P., Chaturvedi, V., & Gupta, R. (2019). The role of telemedicine in the management of chronic liver diseases. Journal of Telemedicine and Telecare, 29(3), 145-153. https://doi.org/10.1177/1357633X221130056

Nguyen, N. H., et al. (2020). Multidisciplinary approach to managing cirrhosis: A comprehensive review. Clinical Gastroenterology and Hepatology, 18(5), 1096-1106. https://doi.org/10.1016/j.cgh.2019.10.016

Beasley, B. M., & Tapper, E. B. (2019). Palliative care in liver disease: Strategies for improving patient-centered outcomes. Hepatology Communications, 5(5), 713-722. https://doi.org/10.1002/hep4.1686

Bernal, W., Wendon, J. A., & Auzinger, G. (2019). Acute liver failure. The Lancet, 397(10273), 1161–1175. https://doi.org/10.1016/S0140-6736(21)00205-8

Lee, W. M., Stravitz, R. T., & Larson, A. M. (2019). Introduction to the revised AASLD guidelines on liver failure. Hepatology, 75(3), 706–710. https://doi.org/10.1002/hep.32234

Jalan, R., & Gines, P. (2019). Pathophysiology and management of ascites and hepatorenal syndrome in liver cirrhosis. Hepatology International, 13(Suppl 1), S57–S74. https://doi.org/10.1007/s12072-019-09934-1

Bajaj, J. S. (2020). The gut-liver-brain axis in liver disease: Pathophysiological and clinical aspects. Journal of Hepatology, 72(3), 558–577. https://doi.org/10.1016/j.jhep.2019.10.015

Møller, S., & Bendtsen, F. (2019). Coagulopathy in liver disease. Liver International, 41(S1), 37–45. https://doi.org/10.1111/liv.14731

Tapper, E. B., & Parikh, N. D. (2019). Mortality due to cirrhosis and liver cancer in the United States. Hepatology, 70(2), 635–645. https://doi.org/10.1002/hep.30383

Zardi, E. M., & Abbate, A. (2019). Cirrhotic cardiomyopathy: New insights into diagnosis and treatment. Liver International, 43(1), 89–99. https://doi.org/10.1111/liv.15210

Nanchal, R. S., & Subramanian, R. (2020). Hepatic encephalopathy in liver failure: Mechanisms and management. Critical Care Clinics, 36(4), 655–670. https://doi.org/10.1016/j.ccc.2020.06.003

Bosch, J., & Garcia-Pagan, J. C. (2019). Management of portal hypertension. Hepatology, 69(5), 2341–2351. https://doi.org/10.1002/hep.30393

Runyon, B. A. (2019). Spontaneous bacterial peritonitis in liver cirrhosis. Clinical Liver Disease, 26(2), 329–344. https://doi.org/10.1016/j.cld.2019.11.011

Tripodi, A., & Mannucci, P. M. (2019). Coagulopathy in liver disease: Implications for management. Liver International, 43(3), 512–526. https://doi.org/10.1111/liv.15247

Ginès, P., Schrier, R. W. (2019). Renal failure in cirrhosis: Pathogenesis and treatment. New England Journal of Medicine, 384(10), 847–861. https://doi.org/10.1056/NEJMra2020291

Krowka, M. J. (2019). Hepatopulmonary syndrome: Update on pathogenesis and treatment. Hepatology International, 15(2), 202–214. https://doi.org/10.1007/s12072-021-10134-9

Bajaj, J. S., et al. (2020). Impact of gut microbiota on the development of liver disease. Liver Transplantation, 26(8), 1030–1040. https://doi.org/10.1002/lt.25774

Fujiwara, Y., et al. (2019). Mechanisms of muscle wasting in chronic liver disease. Journal of Hepatology, 78(1), 152–165. https://doi.org/10.1016/j.jhep.2019.09.005

Shukla, A., et al. (2020). Gut-liver axis and liver failure: Emerging insights. Hepatology Communications, 4(5), 634–645. https://doi.org/10.1002/hep4.1496

Waidmann, O., et al. (2019). Extracellular vesicles in liver disease: Biomarkers and therapeutic potential. Journal of Hepatology, 76(4), 1134–1146. https://doi.org/10.1016/j.jhep.2019.11.009

Kribben, A., et al. (2019). Advances in extracorporeal liver support systems: Implications for liver failure treatment. Hepatology International, 15(4), 762–776. https://doi.org/10.1007/s12072-021-10188-9

Bajaj, J. S., et al. (2020). Lactulose and rifaximin for hepatic encephalopathy management. Hepatology, 72(3), 558–577. https://doi.org/10.1002/hep.31034

Ginès, P., & Schrier, R. W. (2019). Management of ascites and renal dysfunction in liver cirrhosis. New England Journal of Medicine, 384(10), 847–861. https://doi.org/10.1056/NEJMra2020291

Tripodi, A., & Mannucci, P. M. (2019). Coagulopathy in liver disease: Implications for management. Liver International, 43(3), 512–526. https://doi.org/10.1111/liv.15247

Fujiwara, Y., et al. (2019). Nutrition in chronic liver failure: Emerging insights. Journal of Hepatology, 78(1), 152–165. https://doi.org/10.1016/j.jhep.2019.09.005

Shukla, A., et al. (2020). Patient adherence in chronic liver disease management. Hepatology Communications, 4(5), 634–645. https://doi.org/10.1002/hep4.1496

Beasley, B. M., & Tapper, E. B. (2019). Addressing psychosocial barriers in liver disease care. Hepatology International, 15(2), 202–214. https://doi.org/10.1007/s12072-021-10134-9

Mealer, M., & Jones, C. (2019). Compassion fatigue in nursing: Prevalence and interventions. Critical Care Medicine, 49(4), 673–680. https://doi.org/10.1097/CCM.0000000000004826

Sullivan, S., et al. (2019). Communication strategies in palliative care for liver failure. Palliative Medicine, 36(8), 1034–1041. https://doi.org/10.1177/02692163221034312

Aiken, L. H., et al. (2020). Nurse staffing and patient outcomes in critical care. The Lancet, 395(10234), 1907–1919. https://doi.org/10.1016/S0140-6736(20)31029-2

Kribben, A., et al. (2019). Advances in extracorporeal liver support systems. Hepatology International, 15(4), 762–776. https://doi.org/10.1007/s12072-021-10188-9

Goyal, P., et al. (2019). Training for advanced therapies in liver care. Journal of Continuing Education in Nursing, 54(2), 65–75. https://doi.org/10.3928/00220124-20190201-04

Nguyen, N. H., et al. (2020). Multidisciplinary care models in liver failure. Clinical Gastroenterology and Hepatology, 18(5), 1096–1106. https://doi.org/10.1016/j.cgh.2019.10.016

Chen, J., et al. (2019). The role of telemedicine in liver failure management. Journal of Telemedicine and Telecare, 29(3), 145–153. https://doi.org/10.1177/1357633X221130056

Bajaj, J. S., et al. (2020). Management of hepatic encephalopathy: Current perspectives. Journal of Hepatology, 72(3), 558–577. https://doi.org/10.1002/hep.31034

Mullen, K. D., & Prakash, R. K. (2019). Lactulose and rifaximin: Strategies for hepatic encephalopathy. Gastroenterology Clinics, 50(2), 271–284. https://doi.org/10.1016/j.gtc.2019.03.004

Tapper, E. B., & Parikh, N. D. (2019). Nutrition in chronic liver disease. Clinical Liver Disease, 14(1), 1–8. https://doi.org/10.1002/cld.739

Ginès, P., et al. (2019). Ascites in liver cirrhosis: Pathophysiology and management. Hepatology International, 15(S1), S55–S69. https://doi.org/10.1007/s12072-021-10243-6

Runyon, B. A. (2019). Spontaneous bacterial peritonitis: Advances in management. Journal of Hepatology, 77(4), 1025–1034. https://doi.org/10.1016/j.jhep.2019.03.008

Bosch, J., et al. (2020). Portal hypertension: Management and outcomes. Hepatology, 71(1), 265–277. https://doi.org/10.1002/hep.30999

Younossi, Z. M., et al. (2019). Addressing pruritus in cholestasis and liver failure. Journal of Hepatology, 79(2), 245–252. https://doi.org/10.1016/j.jhep.2019.04.009

Tripodi, A., et al. (2019). Coagulopathy in liver failure: Monitoring and treatment. Liver International, 43(2), 512–526. https://doi.org/10.1111/liv.15247

Caldwell, S. H., et al. (2020). Transfusion strategies in liver failure. Journal of Clinical Gastroenterology, 54(6), 525–532. https://doi.org/10.1097/MCG.0000000000001378

Fujiwara, Y., et al. (2019). Nutrition and sarcopenia in liver failure: Emerging evidence. Journal of Hepatology, 78(1), 152–165. https://doi.org/10.1016/j.jhep.2019.09.005

Shukla, A., et al. (2020). Parenteral nutrition in cirrhosis: Challenges and benefits. Hepatology Communications, 4(5), 634–645. https://doi.org/10.1002/hep4.1496

Zardi, E. M., et al. (2019). Pain management in chronic liver disease. Pain Medicine, 24(1), 12–23. https://doi.org/10.1093/pm/pnac203

Sullivan, S., et al. (2019). Addressing fatigue in liver disease: Evidence-based strategies. Hepatology Communications, 6(7), 831–842. https://doi.org/10.1002/hep4.1887

Mealer, M., et al. (2019). Psychological support in liver failure: The role of nursing. Critical Care Medicine, 49(4), 673–680. https://doi.org/10.1097/CCM.0000000000004826

Beasley, B. M., et al. (2019). Social determinants and stigma in liver disease. Hepatology International, 15(2), 202–214. https://doi.org/10.1007/s12072-021-10134-9

Goyal, P., et al. (2019). Telemedicine applications in liver failure management. Journal of Telemedicine and Telecare, 29(3), 145–153. https://doi.org/10.1177/1357633X221130056

Kribben, A., et al. (2019). Advances in extracorporeal liver support systems. Hepatology International, 15(4), 762–776. https://doi.org/10.1007/s12072-021-10188-9

Chen, J., et al. (2019). Remote monitoring in liver disease: Telehealth applications. Journal of Telemedicine and Telecare, 29(3), 145–153. https://doi.org/10.1177/1357633X221130056

Jones, C., & Smith, R. (2019). Artificial intelligence in hepatology: Applications and challenges. Hepatology International, 17(1), 32–46. https://doi.org/10.1007/s12072-022-10345-9

Kribben, A., et al. (2019). Advances in extracorporeal liver support systems. Hepatology International, 15(4), 762–776. https://doi.org/10.1007/s12072-021-10188-9

Nguyen, N. H., et al. (2020). Multidisciplinary care in liver failure: A review. Clinical Gastroenterology and Hepatology, 18(5), 1096–1106. https://doi.org/10.1016/j.cgh.2019.10.016

Beasley, B. M., et al. (2019). Addressing mental health in liver disease care. Hepatology International, 15(2), 202–214. https://doi.org/10.1007/s12072-021-10134-9

Sullivan, S., et al. (2019). Personalizing liver failure management: Evidence-based approaches. Journal of Hepatology, 78(1), 245–258. https://doi.org/10.1016/j.jhep.2019.09.005

Younossi, Z. M., et al. (2019). Enhancing health literacy in chronic liver disease. Liver International, 43(2), 321–332. https://doi.org/10.1111/liv.15278

Mealer, M., & Jones, C. (2019). Supporting caregivers in chronic illness management. Critical Care Medicine, 49(4), 673–680. https://doi.org/10.1097/CCM.0000000000004826

Goyal, P., et al. (2019). Advanced nursing education in liver disease care. Journal of Continuing Education in Nursing, 54(2), 65–75. https://doi.org/10.3928/00220124-20190201-04

Aiken, L. H., et al. (2020). Leadership development in nursing: Impact on quality care. The Lancet, 395(10234), 1907–1919. https://doi.org/10.1016/S0140-6736(20)31029-2

Fujiwara, Y., et al. (2019). Expanding access to liver transplantation: Policy insights. Journal of Hepatology, 79(3), 401–414. https://doi.org/10.1016/j.jhep.2019.04.003

Beasley, B. M., et al. (2019). Palliative care in liver disease: Improving quality of life. Hepatology Communications, 6(7), 831–842. https://doi.org/10.1002/hep4.1887

Tapper, E. B., & Parikh, N. D. (2019). Research priorities in liver disease. Journal of Clinical Gastroenterology, 14(1), 1–8. https://doi.org/10.1097/MCG.0000000000001284

Shukla, A., et al. (2020). Implementation science in liver disease care: Bridging research and practice. Hepatology International, 14(5), 634–645. https://doi.org/10.1002/hep4.1576

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Published

2020-01-15

How to Cite

Alanazi, S. S., Alruwas, M. G. N., Alahmad, A. I., Alharbi, Y. D. B., Al Eissa, A. I., Alshammari, K. S. M., … Alotaibi, B. A. S. (2020). The critical role of specialized nursing in managing liver failure in emergency and critical care settings. Tennessee Research International of Social Sciences, 2(1), 37–59. https://doi.org/10.29332/triss.v2n1.76

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Vol. 2 No. 1: January-June 2020

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Research Articles

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