Cirrhosis Case Study Essay

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A: Student nurse, TZ, asked patient JW, to explain about his experience of the doctor telling him that he possibly have cirrhosis of the liver.

JW explained that about a week ago, he went into Dr. Brown’s office because for a few months he has been having fullness around the abdomen. The doctor took a look, and told him that he immediately needs to go to the ER. In the ER, the doctor did a liver scan, and saw that the liver was enlarged. The doctor told him that he may have liver cirrhosis, however more tests need to be done. The doctor did a paracentesis, the patient reported that “seven liters of fluid was drained.” Patient stayed he has had a total for two paracenteses. Patient states, “I was 311 pounds before they drained my abdomen, and now I am 275 pounds.” Patient states that he has gone to multiple doctors, since his ER visit, 1/25, and they have told him different things, such as he does or doesn’t have cirrhosis of the liver. Yesterday, 2/7 the patient’s cirrhosis was confirmed, and was told
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I wanted to give him advice, however I just listened, and supported him thought this conversation. The patient did talk with me about ways he wanted to try and decrease his anxiety, however I feel he would benefit from maybe talking to his daughter or someone else (a counselor, friend), to help him cope with his anxiety. I felt sympathy towards this individual. He has gone through a tough few days. A: The patient’s nonverbal communication of progressively making more hand movements throughout the conversation, makes me wonder if this topic makes him anxious. I could imagine not knowing, where or how he got HEP C, could be a huge stressor. This information was helpful, because it made me think that this topic could cause this patient some anxiety. Therefore, leading me to a NANDA diagnosis, and helping me to develop some interventions to best help this

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