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

Situational Low Self-Esteem

Nursing Diagnosis

  • Situational Low Self-Esteem

May be related to

  • Annoying/debilitating symptoms, confinement/isolation, length of illness/recovery period

Possibly evidenced by

  • Verbalization of change in lifestyle; fear of rejection/reaction of others, negative feelings about body; feelings of helplessness
  • Depression, lack of follow-through, self-destructive behavior

Desired Outcomes

  • Verbalize feelings.
  • Identify feelings and methods for coping with negative perception of self.
  • Verbalize acceptance of self in situation, including length of recovery/need for isolation.
  • Acknowledge self as worthwhile; be responsible for self.
Nursing Interventions Rationale
Contract with patient regarding time for listening. Encourage discussion of feelings/concerns. Establishing time enhances trusting relationship. Providing opportunity to express feelings allows patient to feel more in control of the situation. Verbalization can decrease anxiety and depression and facilitate positive coping behaviors. Patient may need to express feelings about being ill, length and cost of illness, possibility of infecting others, and (in severe illness) fear of death. May have concerns regarding the stigma of the disease.
Avoid making moral judgments regarding lifestyle. Patient may already feel upset and angry and condemn self; judgments from others will further damage self-esteem. Can also start distrust issues with care worker.
Discuss recovery expectations. Recovery period may be prolonged (up to 6 mo), potentiating family and/or situational stress and necessitating need for planning, support, and follow-up.
Assess effect of illness on economic factors of patient and SO. Financial problems may exist because of loss of patient’s role functioning in the family and prolonged recovery.
Offer diversional activities based on energy level. Enables patient to use time and energy in constructive ways that enhance self-esteem and minimize anxiety and depression.
Suggest patient wear bright reds or blues and blacks instead of yellows or greens. Enhances appearance, because yellow skin tones are intensified by yellow/green colors. Jaundice usually peaks within 1–2 wk, then gradually resolves over 2–4 wk.
Make appropriate referrals for help as needed: case manager, discharge planner, social services, and/or other community agencies. Can facilitate problem solving and help involved individuals cope more effectively with situation.

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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