Hepatic Encephalopathy (HE) is a dangerous
complication of cirrhosis of the liver. HE can result in increased mortality,
hospitalizations, falls, traffic accidents, and psychological burden. The
incidence of cirrhosis has doubled in the last decade due to alcohol-related
and non-alcoholic fatty liver diseases. The mean age group for cirrhotic liver
disease is 65 years and older, and are at higher risk of HE, due mainly to
medications that are typically prescribed for this age group.
Regardless of age, for those with cirrhosis experiencing HE, morbidity and mortality significantly increase. Prevention, and properly coordinated and transitional care after hospitalization will help decrease incidence. Case managers are on the frontline of prevention education, care coordination, and care transitions.
- Define the clinical presentation of hepatic encephalopathy.
- Examine the causes of hepatic encephalopathy and evidence-based treatment.
- Apply the case management process to reduce the complications related to hepatic encephalopathy.
NANCY SKINNER, RN, CCM, CMGT-BC, ACM-RN, CMCN, FCM
1 hour CE: RN, CCM, SW
Sponsored by Bausch Health