Palliative Care of a Patient with End-Stage Liver Disease: An Unfolding Case Study

Wed, 15 Aug 2018 18:37:41 +0000

University of Washington

Abstract:

This case study was developed for use in academic coursework and as a standalone training for health care providers (MDs, ARNP, Pharmacists, Social Workers, Nurses). This unfolding case study about the management of an adult in the midst of a health crisis. This case is a composite of many actual cases seen in clinical practice. During the course of this case study, learners are presented with information as the providers learn of the patient’s emergent and ongoing health concerns – from his Emergency Department admission through the development of his palliative care plan. Learners are asked to make decisions and use their best judgment about how to care for this patient and family.

Educational objectives:

By the end of this case study, the learner will be better able to:

Understand the natural history and disease management of end stage liver disease (ESLD).
Use evidence-based practice to collaboratively develop and refine goals of care for patients with chronic, progressive conditions.
Work interprofessionally to ensure the best quality of care for the patient and family.

Content Categories:

Diseases

Care Settings & Models

Geriatric Palliative Care

Intended learner audience:

Advanced Practice Nursing Student

Medical Student Clinical

Entry Level Nursing Student

Physician Assistant

Practicing Physician/CME

Resident

Social Worker

Geriatric Competencies:

SELF-CARE CAPACITY

10 SCC: Develop management plan for patients with functional deficits

PALLIATIVE CARE

19 PC: Assess and manage pain and non-pain symptoms

20 PC: Identifiy psychological, social, and spiritual needs

21 PC: Present palliative care as a positive option

Learning resource types:

Case-Based Instruction/Learning

Independent/Self-Directed Learning

Other Learning Resource Type:

Interactive Online Web Module

Discipline/specialty:

Internal Medicine

Intro to Clinical Medicine/Clinical Skills/Doctoring

Nursing

Palliative Care

Pharmacology/Toxicology

Physical Diagnosis

Estimated time to complete:

2 hours

POGOe Id:

22009

Date posted:

Fri, 09/14/2018

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Wed, 08/15/2018

No CME credits available

Not peer reviewed

Palliative Care of a Patient with End-stage Liver Disease

Assigned Editor:

Emedinagall

Posting status:

Posted

Resident Level Competencies:

Medication Management

Complex or Chronic Illness(es) in Older Adults

Palliative and End of Life Care

Transitions of Care

Conflict of Interest Disclosure:

Yes, I (we) have conflict of interest to disclose.

Conflict Description:

Paula Cox has a conflict of interest to disclose. She is a member of the hepatitis B and C Nurse Practitioner Advisory Board for Gilead Sciences. Her role is to review current standards of practice yearly among nurse practitioners in the treatment of chronic hepatitis B and C, and provide an assessment in the gaps between the available literature and current practices. She does receive an honorarium for my advisory role with this manufacturer of commercial products. This is not a conflict of interest for this particular project as this case does not involve the treatment or management of chronic hepatitis B or C.

Author(s):

Paula Cox

Megan Moore

Hilaire J. Thompson

Patricia Kritek

Leigh Ann Mike

Phyllis Christianson

Joelle T. Fathi

Janet Lenart

Marni Levy

Kumhee Ro

Contact Person/Corresponding Author:

Hilaire J. Thompson

Contact Person Email:

[email protected]">[email protected]

Already Expired Email Date:

Wednesday, September 1, 2021 - 2:57pm

Already Expired Email 1 month date:

Thursday, October 28, 2021 - 1:39pm

POGOe - Portal of Geriatrics Online Education - Interactive Online Web Module

Palliative Care of a Patient with End-Stage Liver Disease: An Unfolding Case Study