LHN - Coordinate Care

Coordinate Care

22% to 37% of 30-day readmissions

among patients with cirrhosis are potentially preventable with improved disease management.^1,2

Patients with cirrhosis can present with complex, often conflicting medical needs (eg, diuretics for ascites with renal insufficiency or hyponatremia; anxiety treated with sedatives that may precipitate encephalopathy).³

Continuous coordination of care is needed in the areas of medication reconciliation and patient/ family education interventions are needed to maintain vigilance.³

Open discussions with patients about medication and liver disease may help improve adherence.⁴

Collaboration with the patient’s family, the general practitioner, and caregivers helps everyone involved understand the management plan for the patient, including new medications, comorbidities, and follow-up visits.

LIVERHEALTHNOW has resources to support you as you coordinate care for your patients with chronic liver disease with tools for providers and companion patient and caregiver tools to educate patients.

You can add your organization logo to the resources and create favorite links of the tools.

Get Resources Register now to get access to the resources below.

Screening Tools for the Provider

Nurse Checklist for Patients With Hepatic Encephalopathy Who Are Transitioning to Another Care Setting
Discuss Patient Journaling With Your Patients
Nurse Checklist for Liver Disease and Hepatic Encephalopathy

Tools for the Patient

I Have HE
Medication Information for Patients With Hepatic Encephalopathy and Their Caregivers
Lifestyle Self-management for Patients With Overt Hepatic Encephalopathy
The Importance of Patient Journaling

References

Volk ML, Tocco RS, Bazick J, et al. Hospital re-admissions among patients with decompensated cirrhosis. Am J Gastroenterol. 2012;107(2):247-252.
Agrawal K, Kumar P, Markert R, Agrawal S. Risk factors for 30-day readmissions of individuals with decompensated cirrhosis. South Med J. 2015;108(11):682-687.
Tapper EB, Halbert B, Mellinger J. Rates of and reasons for hospital readmissions in patients with cirrhosis: a multistate population-based cohort study. Clin Gastroenterol Hepatol. 2016;14:1181-1188.
Hayward KL, Valery PC, Martin JH, et al. Medication beliefs predict medication adherence in ambulatory patients with decompensated cirrhosis. World J Gastroenterol. 2017;23(40):7321-7331.