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Good morning everyone, today I will be presenting a Nursing Care Plan on a patient diagnosed with Hepatitis B. Hepatitis B is a serious viral infection that affects the liver and can lead to both acute and chronic disease conditions. The patient, John Smith, reported feeling extremely tired, nauseated, and complained of pain and discomfort in the right upper quadrant of the abdomen. Upon assessment, yellowish discoloration of the eyes and skin was observed, along with dark-colored urine and elevated liver enzyme levels, confirming hepatic involvement.
Vital signs showed a blood pressure of 110 over 70 millimeters of mercury, pulse rate of 86 beats per minute, oxygen saturation of 96 percent on room air, temperature of 38.2 degrees Celsius, and respiratory rate of 22 breaths per minute. Based on the collected data, the priority nursing diagnosis identified was “Imbalanced nutrition: less than body requirements related to anorexia and nausea secondary to hepatic inflammation.”
The short-term goal was that the patient would verbalize an improved appetite and tolerate small frequent meals within 24 hours. The long-term goal aimed for the patient to maintain optimal nutritional status and stable liver function within one week. To achieve these goals, nursing interventions included monitoring vital signs and liver function tests regularly, recording the patient’s intake and output, and providing small, frequent, high-calorie, and low-fat meals to prevent nausea and promote adequate nutrition. The patient was also encouraged to take sufficient rest and was educated about avoiding alcohol and any medications that could harm the liver further.
After implementing these interventions, the patient reported an improved appetite and was able to tolerate small meals, meeting the short-term goal successfully. Over time, the patient’s nutritional status improved, and liver enzyme levels began to stabilize, meeting the long-term goal as well. This care plan emphasizes the importance of early identification, continuous monitoring, patient education, and supportive nutritional care in promoting recovery and preventing complications associated with Hepatitis B.
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