Managing ascites in patients with chronic liver disease
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Managing ascites in patients with chronic liver disease

Danielle Fullwood Lecturer practitioner for hepatology, King’s College Hospital NHS Foundation Trust, London
Anan Purushothaman Practice development nurse, Liver Intensive Care Unit, King’s College Hospital NHS Foundation Trust, London

This article discusses the pathophysiology of ascites, a complication associated with chronic liver disease. The diagnosis and grading of ascites and assessment of patients with the condition are explored. In addition, the nursing and medical management of ascites is discussed, and recommendations for interdisciplinary working and education are suggested. Nursing knowledge of this complication is essential to ensure that patients with ascites are cared for effectively and that their comfort is maximised.

Correspondence danielle.fullwood@nhs.net

Nursing Standard. 28, 23,51-58. doi: 10.7748/ns2014.02.28.23.51.e8004

Received: 21 June 2013

Accepted: 29 October 2013

Published in print: 05 February 2014

Peer review

This article has been subject to double blind peer review