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ASSIGNMENT
ON
WRITTEN BY:
16/02245012
SUBMITTED TO:
SEPTEMBER 2019
NURSING ASSESSMENT OF HEPATITIS
The nurse's role in the care of clients with acute viral hepatitis is based upon a nursing assessment of the
client and his family system, diagnosis and planning for the individual needs of the client, and
anticipatory guidance related to the client's return to the family and community.
Assessment
All patients with CHB should have a thorough initial assessment. A clinical history should be taken that
includes ethnicity, place of birth, risk factors for acquiring the hepatitis B virus (HBV), family history of
CHB or hepatocellular carcinoma (HCC), any previous HBV medication and any factors that could
influence disease progression (Lee et al, 2010).
A physical examination should be carried out to look for signs and symptoms of liver disease and all
patients should have a baseline liver ultrasound. Laboratory investigations to check for other forms of
liver disease or bloodborne viruses should be part of the initial assessment and include HBV serology
(including genotype), assessment of liver enzymes and hepatic function, metabolic liver disease screen,
renal and bone profile, full blood count and INR (international normalised ratio), alpha-fetoprotein and
co-infections with HIV, hepatitis C virus or hepatitis D virus (delta virus) (B Positive, 2008).
3. The Lancet Commission. Addressing liver disease in the UK: a blueprint for attaining excellence in
health care are reducing premature mortality from lifestyle issues of excess consumption of alcohol,
obesity and viral hepatitis. The Lancet 2014;27:1-45.
6. Hawley C. Understanding viral hepatitis: as easy as A,B C. British Journal of Primary Care Nursing
2012;9:1.
8. Perillo R. Benefits and risks of interferon therapy for hepatitis B. Hepatology 2009;49:103-11.
11. Public Health England. Hepatitis C in the UK 2015 Report, July 2015. PHE publications number:
2015208
12. NICE. Hep B and Hep C testing: people at risk of infection, 2012.
nice.org.uk/guidance/ph43/chapter/1-recommendations#/recommendation-5-testing-for-hepatitis-b-
and-c-in-prisons-and-immigration-removal-centres (accessed 5 May 2016).