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Nursing Diagnosis and Nursing Intervention for Hepatitis

Nursing Diagnosis and Nursing Intervention for Hepatitis


Hepatitis is an inflammation of the liver, most commonly caused by a viral infection. There are five main hepatitis viruses, referred to as types A, B, C, D and E. These five types are of greatest concern because of the burden of illness and death they cause and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease in hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer.

Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids. Common modes of transmission for these viruses include receipt of contaminated blood or blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth, from family member to child, and also by sexual contact.

Acute infection may occur with limited or no symptoms, or may include symptoms such as jaundice (yellowing of the skin and eyes), dark urine, extreme fatigue, nausea, vomiting and abdominal pain.


Nursing Diagnosis and Nursing Intervention for Hepatitis

Nursing Diagnosis

Acute Pain : abdominal

Related to
  • tender
  • enlarged liver

Expected outcome
Report a decrease or absence of abdominal pain and tenderness;restrict activities if pain occurs;participates in planned activities when free of pain; take prescribed analgesic if necessary.

Nursing Intervention for Hepatitis
  • Asses and record presence or absence of abdominal pain or tenderness, hepatomegally and splenomegally.
  • Encourage the patient to maintain bedrest or restrict activities if abdominal pain or tenderness is present.
  • Administer analgesic as prescribed.
  • Notify the physian of sudden occuraence or increase in pain or tenderness.

Nursing Diagnosis

Activity Intolerance

Related to
  • fatigue
  • generalized malaise.
Expected outcome
Exhibits increased ability to carry out desired activities and allow sufficient periods for rest and relaxation.

Nursing Intervention for Hepatitis
  • Encourage the patient to limit activity when fatigue
  • Assist the patient in planning periods of rest and activity when symptoms begin to subside.
  • Encourage gradual resumption of activities and mild excercise during recovery.

Nursing Diagnosis and Nursing Intervention for Hepatitis

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