Making Best Practice, Every Day Practice
This Back to Basics feature is a wallchart describing the functions of a healthy liver – the largest organ in the body. It carries out more than 500 tasks essential for life. This wallchart accompanies details on the new NICE guideline on non-alcoholic fatty liver disease.
A new NICE guideline provides valuable information on the assessment and management of non-alcoholic fatty liver disease (NAFLD) caused by a build-up of fat in the liver.
Non-alcoholic fatty liver disease (NAFLD) is currently the most common cause of abnormal liver function tests. Current advice is simply to monitor patients’ liver function, but is this really correct? And how do we identify and manage people at risk of developing NAFLD?
Liver disease is the fifth largest cause of mortality in England, after heart disease, cancer, stroke and respiratory disease. Of this ‘big five’, liver disease is the only major cause of death that is rising year on year, and it affects people at a younger age. It is also becoming clear that chronic hepatitis B infection is making an increasing contribution to the rising death toll from liver disease. Recently published NICE guidelines now give practice nurses and GPs a key role in the initial assessment and onward referral of patients to specialist services, and their subsequent care.
We are a nation with an alcohol-induced dichotomy: we have a love affair with alcohol but are increasingly aware of its dangers. The pub has been a cornerstone of our society, providing a source of relationships and artistic imagination. However, our nation’s favourite drug is also responsible for as many life-years lost as tobacco, but with additional psychological and socio-economic costs.
The prison population in the UK tends to have several risk factors for the development of chronic liver disease. Prison provides a stable environment, which often enables thorough health assessment, monitoring and stabilisation of substance misuse, management of chronic disease and mental health issues, and treatment for viral hepatitis to be performed.
Chronic liver disease is a problem for all of us. It develops silently, often taking many years to cause sufficient damage to be detectable or cause signs or symptoms for which a patient would seek attention. Primary care has a central role in improving the prevention and early detection of chronic liver disease. This special […]
Chronic liver disease is a problem for all of us. It develops silently, often taking many years to cause sufficient damage to be detectable or cause signs or symptoms for which a patient would seek attention. Primary care has a central role in improving the prevention and early detection of chronic liver disease. This special issue of the British Journal of Primary Care Nursing (BJPCN) and Primary Care Cardiovascular Journal on chronic liver disease is full of step-by-step guides and informative articles to give you the key information and tools to get to grips with this important condition.
Liver disease is now the fifth leading cause of death in the UK but the good news is that liver disease is largely preventable and there is much we can do in primary care to educate people about the risks. This article explains the importance of identifying those patients who are at risk of liver disease, implementing risk reduction strategies, ensuring an accurate diagnosis is made and optimising ongoing management, including self-care strategies.
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