7 Hepatitis Nursing Care Plans


Hepatitis is a widespread inflammation of the liver that results in degeneration and necrosis of liver cells. Inflammation of the liver can be due to bacterial invasion, injury by physical or toxic chemical agents (e.g., drugs, alcohol, industrial chemicals), viral infections (hepatitis A, B, C, D, E, G), or autoimmune response. Although most hepatitis is self-limiting, approximately 20% of acute hepatitis B and 50% of hepatitis C cases progress to a chronic state or cirrhosis and can be fatal.

Nursing Care Plans

Nursing care planning and management for patients with hepatitis includes: reducing the demands of the liver while promoting physical well-being, preventing complications of hepatitis, enhance self-concept, acceptance of situation, and providing information about the disease process, prognosis, and treatment.

This post includes seven (7) nursing care plans and nursing diagnosis for patients with hepatitis:

  1. Imbalanced Nutrition: Less Than Body Requirements
  2. Risk for Deficient Fluid Volume
  3. Fatigue
  4. Risk for Impaired Skin Integrity
  5. Deficient Knowledge
  6. Situational Low Self-Esteem
  7. Risk for Infection
  8. Other Possible Nursing Care Plans

Risk for Impaired Skin Integrity

Nursing Diagnosis

Risk factors may include

  • Chemical substance: bile salt accumulation in the tissues

Possibly evidenced by

  • Not applicable. A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention.

Desired Outcomes

  • Display intact skin/tissues, free of excoriation.
  • Report absence/decrease of pruritus/scratching.
Nursing Interventions Rationale
Encourage use of cool showers and baking soda or starch baths. Avoid use of alkaline soaps. Apply calamine lotion as indicated. Prevents excessive dryness of skin. Provides relief from itching.
Provide diversional activities. Aids in refocusing attention, reducing tendency to scratch.
Suggest use of knuckles if desire to scratch is uncontrollable. Keep fingernails cut short, apply gloves on comatose patient or during hours of sleep. Recommend loose-fitting clothing. Provide soft cotton linens. Reduces potential for dermal injury.
Provide a soothing massage at bedtime. May be helpful in promoting sleep by reducing skin irritation.
Observe skin for areas of redness, breakdown. Early detection of problem areas allows for additional intervention to prevent complications/promote healing.
Avoid comments regarding patient’s appearance. Minimizes psychological stress associated with skin changes.
Administer medications as indicated:
Relieves itching. Use cautiously in severe hepatic disease.
  • Antilipemics: cholestyramine (Questran).
May be used to bind bile acids in the intestine and prevent their absorption. Note side effects of nausea and constipation.

See Also

You may also like the following posts and care plans:

Gastrointestinal Care Plans

Care plans covering the disorders of the gastrointestinal and digestive system:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.

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