...Hepatitis C is a viral disease that leads to swelling (inflammation) of the liver. Causes, incidence, and risk factors Hepatitis C infection is caused by the hepatitis C virus (HCV). People who may be at risk for hepatitis C are those who: * Have been on long-term kidney dialysis * Have regular contact with blood at work (for instance, as a health care worker) * Have unprotected sexual contact with a person who has hepatitis C (this risk is much less common than hepatitis B, but the risk is higher for those who have many sex partners, already have a sexually transmitted disease, or are infected with HIV) * Inject street drugs or share a needle with someone who has hepatitis C * Received a blood transfusion before July 1992 * Received a tattoo or acupuncture with contaminated instruments (the risk is very low with licensed, commercial tattoo facilities) * Received blood, blood products, or solid organs from a donor who has hepatitis C * Share personal items such as toothbrushes and razors with someone who has hepatitis C (less common) * Were born to a hepatitis C-infected mother (this occurs in about 1 out of 20 babies born to mothers with HCV, which is much less common than with hepatitis B) Symptoms Most people who were recently infected with hepatitis C do not have symptoms. About 1 in 10 have yellowing of the skin (jaundice) that gets better. Of people who get infected with hepatitis C, most develop a long-term (chronic) infection. Usually...
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...Your Liver and Hepatitis. The Liver Facts . One out of every 10 Americans is affected by liver disease. Liver disease is one of the top 10 causes of death in the United States. There are more than100 liver diseases. The good news is we can help prevent the liver diseases and keep it healthy. Overview of the liver. The liver is the second largest organ in the body and is located under the cage on the right side. It weighs about three pounds and is shaped like a football that is flat on one side. The liver performs many functions in the body. It processes what you eat and drink into energy and nutrients that your body can use. The liver also removes harmful substances from your blood. Functions of the liver include: • Filters your blood • Makes proteins, including blood-clotting factors (needed to help you heal) • Stores vitamins, sugars, fats, and other nutrients • Helps regulate hormones • Releases chemicals and nutrients into the body when needed • Makes bile needed for digesting fats Liver damage can lead to swollen, shrunken, hard, or scarred liver tissue. Such livers do not work well, and the person can get very sick, or even die, if the liver stops working altogether. Symptoms of liver disease Acute (When symptoms occur suddenly it is categorized as acute process) Tiredness or weakness Jaundice (yellowing of the eyes and skin) Fever Nausea and vomiting Dark urine or very pale colored...
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... In this paper I will be analyzing the Mickey Mantle case involving him getting a liver transplant. It has been brought to my attention that Mickey has been treated differently than others with the same or similar illness due to him being a celebrity. During my analysis I will be utilizing the Seven-Step Decision model to determine the outcome of this case. I will carefully look at the case to determine if I feel as though his case was in violation of the code of ethics, what are the long and short-term consequences, whether good or bad. Look at some alternatives and values and compare them. I will also determine if the procedure was done for profit or respect for who he is. Lastly I will come up with a decision on whether or not I feel as though if the decision made was ethical or not. Determining the Facts Mickey Mantle was a famous baseball player for the New York Yankees from 1951 into the late1960’s where soon after was voted into the baseball hall of fame. With several years of heavy drinking it began to take a toll on his health that resulted in cirrhosis, hepatitis and cancer of his liver. Over time his liver began to get worst and doctors told him that he has to have a liver transplant soon or he was going to die. The hunt was on for a liver for mantle, but there is a waiting list for those who are in need of a transplant and it can take up to 130 days before his doctors get a response. Within an astonishing 2 days after the request Baylor Medical Center's transplant...
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...“Hepatitis B is a virus that infects the liver; it can be acute or chronic. Having chronic hepatitis B can increase your risk of developing liver failure, liver cancer or cirrhosis — a condition that causes permanent scarring of the liver”. (© 1998-2014 Mayo Foundation for Medical Education and Research. All rights reserved.) “In the United States, approximately 1.2 million people have chronic Hepatitis B. Unfortunately; many people do not know they are infected. The number of new cases of Hepatitis B has decreased more than 80% over the last 20 years. An estimated 40,000 people now become infected each year”.(http://www.cdc.gov/hepatitis/hbv/pdfs/hepbgeneralfactsheet.pdf) Many experts believe this decline is a result of widespread vaccination of children when the liver cannot remove harmful toxins from the blood, fight infection, also help digest food, store important nutrients and vitamins a person is not capable of living without a liver. Hepatitis B infection may be either short-lived (acute) or long lasting (chronic). Acute hepatitis B infection lasts less than six months. Your immune system likely can clear acute hepatitis B from your body, and you should recover completely within a few months. Most people who acquire hepatitis B as adults have an acute infection, but it can lead to chronic infection. Chronic hepatitis B infection lasts six months or longer. When your immune system can't fight off the acute infection, hepatitis B infection may last a lifetime, possibly...
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...hepatitis B? Hepatitis means the inflammation of the liver. Hepatitis B, “formerly called serum hepatitis (Richard Adler)”, is caused by a serious liver infection with the hepatitis B virus (HBV) and the infection has two phases: acute and chronic (eMedicineHealth). Acute hepatitis B is short-term and occurs after being exposed to the virus and only few develop fulminant hepatitis which is very severe and life threatening. Chronic hepatitis can lead to “liver failure, liver cancer, or cirrhosis” (MayoClinic.com). Chronic hepatitis is long-term and an infection with HBV that lasts longer than 6 months and once it becomes chronic it may never go away (eMedicineHealth). Is hepatitis B infectious? Yes it is. “Hepatitis B is the most widespread of the hepatitis viruses, infects an estimated 300,000 people every year in the United States alone (Time Life Books)”. Can hepatitis B be treated or cured, and is there a vaccine? With acute hepatitis B there is no medication available to treat it. Doctors recommended rest, adequate nutrition, and fluids (CDC Division of Viral Hepatitis). Only few people are hospitalized due to acute hepatitis B and those who are, it is the result from the loss of fluids and electrolytes that then need to be restored. Most commonly acute hepatitis B will usually go away by itself (eMedicineHealth). Those with chronic Hepatitis B should seek care from a doctor, “they will need to be monitored regularly for signs of liver disease and elevated for possible treatment’...
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...Walking on a Dream - Recap The episode begins and Arizona is out for a run. Arizona gets to the hospital and her leg shatters to pieces and she falls over. Then she wakes up from her nightmare. At the hospital, Hunt calls a quick staff gathering to explain that because the hospital is facing a financial crisis, there will be a "physician advisor" who will be helping make decisions that will cut some costs. Meredith is checking her pregnant patient, who is experiencing pain, but it isn't labor and the baby appears to be fine. Shane has test results for the patient, but he ordered the wrong tests. He leaves to order the right test. Alex, Arizona and Cristina are treating a young girl who is there as part of their program to treat kids from Africa. After they leave the room, Cristina tells Alex that the consultant is likely going to cut the program. The pregnant patient is unconscious as Meredith and Bailey try to revive her. Shane walks back into the room, followed by the woman's partner. Bailey says she has liver failure. Bailey explains to the woman's partner that the liver problem seems unrelated to the baby. She should be moved to the top of the donor list because of her situation. Outside the room, Meredith tells Shane not to say anything to her and not to come back to her until he has a liver for their patient. Derek comes to see his patient, Jimmy, whom he's been meaning to operate on for a while. Jimmy says no other doctors were willing to go near his brain tumor...
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...Liver: Largest internal organ and gland Gerontologic Consideration of Liver Disease * Increase liver disease rate with age because of liver structure changes with age * Decrease liver volume – Because liver size will change with age * Decrease in hepatobilary function * Decrease drug metabolism: which increases the vulnerability for drug-induced hepatitis and increase risk for drug interactions * Decrease ability to respond to injury Hepatitis Most common cause for liver inflammation is viral infection Acute Infection: * Inflammation causes damage liver cell and may develop into hepatic cell necrosis. * If there are no complications, the liver cells can regenerate and regain its normal appearance and function. Chronic Infection: * Last longer than 6 months * May persist for years * Continuous inflammation and damage done to the liver will slowly develop into liver cirrhosis, then liver failure, and then liver cancer. Clinical Manifestations: Acute Phase: 1-4 Months: Icteric Phase * Jaundice begins * Clay Color stools Convalescence Phase: Post-Icteric phase (healing phase) * Jaundice starts to disappear * Last about 2-4 months. * Major complaint is easy fatigue and malaise. Priority Nursing Diagnosis: * Activity Intolerance r/t decrease physical energy and strength. Recovery Phase: Most patients recover completely Chronic Infection/Condition: * Develops into: Chronic hepatitis, Cirrhosis, Hepatic Failure...
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...Hepatitits B is an infection of the liver, it’s caused by the hepatitis B virus also known as (HBV). This virus can be transmitted from person to person via blood, semen and other body fluids. Some common ways that (HBV) is transmitted is by sexual contact, having unprotected sex or being in contact with any bodily fluids from an infected person. Sharing needles such as getting a tattoo with equipment that wasn’t sterilized correctly and or accidental needle sticks are other forms of transmission of (HBV), people that share IV drugs are at higher risk for hepatitis B as well. Healthcare workers are at higher risk for transmission of this disease, due to the exposure they have to blood and bodily fluids, that’s why it’s so important to use precautions when dealing with these and making sure that any accidental needle stick gets reported immediately in order to take the necessary steps for treatment if needed. Another way Hepatitis B can be transmitted is by mother to child, pregnant women can transmit the infection during childbirth and although these babies get vaccinated for Heptatitis B after birth to avoid getting infected special precautions must be taken from the expecting mother and getting tested for hepatitis B during pregnancy is recommended. Hepatittis B can be acute and chronic, acute infections can last for a short time and can get better, on the other hand chronic hepatitis b infections can cause liver damage or cirrhosis of the liver which in turn additional complication...
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...Leggio, L. , Ferrulli, A. , D' Angelo, C. , et al. (2013). Liver transplantation in alcoholic patients: Impact of an alcohol addiction unit within a liver transplant center. Alcoholism: Clinical and Experimental Research, 37(9), 1601-1608. This article discusses an experiment that was done on an alcoholic addiction unit in a liver transplant center. This Alcohol Addiction Unit (AAU) was formed for alcoholic patients who are affected by end-stage liver transplant and are on the waiting list of transplantation. It includes tables and graphs of the characteristics of Alcohol Abuse in Recidivistic (Lapse or Relapse) and Nonrecidivistic patients. This article can be useful for my memo topic by providing useful information such as the number of patients who relapse after a liver transplant, based on the experiment. It also evaluates the relationship between relapse and the duration of alcohol abstinence after a transplant. It would also help by providing an example that alcohol patients that get liver transplants can stop drinking by participating in a program such as the Alcohol Addiction Unit. GLANNON, W. (2009). Responsibility and priority in liver transplantation. Cambridge Quarterly of Healthcare Ethics, 18(1), 23-35. This article summarizes a paper that argues that it is wrong to give...
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...Alcoholism Alcoholism is a treatable disease and many treatment programs and approaches are available to support alcoholics who have decided to get help. The idea approach is to help people understand how much their alcohol use is harming their life and those around them. One important thing to remember; recovering from alcohol addiction is not an easy task and there is no medical cure only management. Many people with alcohol problems do not recognize they have a drinking problem. Regardless of how someone is diagnosis as alcohol dependent or how they realize they have a serious drinking problem, the first step is a sincere desire to get help. Once you have made that commit to yourself, the second step to refrain from alcoholic drinks. Almost all alcoholics who have been chronic drinkers will have some experience of withdraw; there is no magic pill that will cure alcoholism. Withdrawal can be mild to life threating. From mild body shakes, to confusion, seizures, chest pain, sweating, your eyes can become sensitive to light, you may begin to feel as if something is crawling on your skin or see things that are not there, you can lose control of your bowel and bladder also your blood pressure and heart rate will increase. During your withdrawal stage, depending on symptoms, the doctor can give you medication to help you through the withdrawal period, such as Ativan, Librium and Serax.The process of alcohol clearing (detoxification) takes three to seven days, after that the alcohol...
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...Liver Cirrhosis Jenna M. Keirn Institute of Technology Clovis Liver Cirrhosis What is liver cirrhosis? It is a chronic liver disease. By definition in Textbook of Basic Nursing ( Roshdal B. Caroline, Kowalski T. Mary) “ Cirrhosis is a chronic, degenerative disease of the parenchymal cells ( the normal architecture and functioning cells) of the liver.” When you have cirrhosis eventually it will get to the point where your liver can no longer do what it is supposed to do. If a patient has uncontrolled cirrhosis it can result in hepatorenal syndrome and hepatic coma. Eventually all body functions will deteriorate. According to Textbook of Basic Nursing (Roshdal B. Caroline, Kowalski T. Mary) “ Toxins absorbed by the GI tract...
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...The liver is the largest internal organ, representing 2%-3% of the total body weight. It is found in the right upper quadrant of the abdomen, and surrounds the inferior vena cava, and attaches to the diaphragm and parietal peritoneum by ligaments. The vascular supply of the liver includes the hepatic artery and portal vein. The liver has many functions which are important and vital for life. These functions include detoxification, excretion of metabolic wastes and hormones, and the production of most proteins. Because of this, dysfunction of the liver causes lethal complications, which is why in hepatocellular carcinoma, in which the liver slowly loses its function, patients are incapable of sustaining life. Hepatocellular carcinoma (HCC) is a...
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...individual or via an animal, vector or the inanimate environment to a susceptible animal or human host‖ ("CDC," 2010, p. 1). Hepatitis B is one of the communicable diseases which are a contagious liver disease that results from infection with the Hepatitis B virus (HBV). CAUSES ―Exposure may occur: After a needle stick or sharps injury - Hepatitis B is a concern for health care workers and anyone else who comes in contact with human blood If any blood or other body fluid touches your skin, eyes or mouth People who may be at risk of hepatitis B are those who: Unprotected sex with an infected partner – one may become infected having unprotected sexual contact with an infected partner whose blood, saliva, semen or vaginal secretions enter your body. Receive blood transfusions (not common in the United States) Have contact with blood at work (such as health care workers) Have been on long-term kidney dialysis Get a tattoo or acupuncture with unclean needles Share needles during drug use - HBV is easily transmitted through needles and syringes contaminated with infected blood. Sharing intravenous (IV) drug paraphernalia puts one at high risk of hepatitis B. EPIDEMIOLOGY PAPER - HEPATITIS B 3 Share personal items (such as toothbrush, razor, and nail clippers) with a person who has the virus Hepatitis-B infected mother - Pregnant women infected with HBV can pass the virus to their babies during childbirth‖ ("The New York...
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...research topic that is about the business of developing new drugs for liver cancer patients. Because liver cancer is the third most common cancer in the world, and the majority of patients with liver cancer will die within one year as a result of the cancer. Furthermore, every year there were about 564,000 new cases of liver cancer worldwide, and a similar number of patients died as result of this disease and about 75% of the liver cancer are found in Southeast Asia. Liver cancer is also very common in Mozambique and South Africa (Melissa Conrad Stoppler,2011). But in North America and Western Europe is much lower, less than five per 100,000 population. In USA, there were about 21,600-30,600 new cases liver cancer of 315,6 million people (Melissa Conrad Stoppler,2011), in Mongolia, 1,600 new cases of liver cancer of 3.1 million people that is percent of per the population is more than USA. Everybody of all ages is possible to get liver cancer but men are to get liver cancer than women because their behavior, life style, alcohol drinking, tobacco using. Usually, drinking huge alcohol, two types of diabetes is cause of the liver cancer (American Cancer Society, 2013). This cancer developing for many years without any sign of disease, so people know about their disease too late and becoming too difficult. If we could invent new drug for preventable of liver cancer or designed new machine to determine liver cancer in all developing stage and to medicate any drug, would be...
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...Reversing liver damage Liver Basics The liver is one of the only organs in the body that is able to replace damaged tissue with new cells rather than scar tissue. For example, an overdose of acetaminophen (Tylenol) can destroy half of a person's liver cells in less than a week. Barring complications, the liver can repair itself completely and, within a month, the patient will show no signs of damage. However, sometimes the liver gets overwhelmed and can't repair itself completely, especially if it's still under attack from a virus, drug, or alcohol. Scar tissue develops, which becomes difficult to reverse, and can lead to cirrhosis. Liver transplants Liver Basics Liver transplants are considered only when a patient might die from liver disease. This is sometimes the case when a patient has liver cancer or when someone has advanced liver disease and the liver has stopped functioning properly. Being considered for a liver transplant does not mean that a patient is in danger of dying right away. Liver transplantation is a long process that involves a lot of medical care. After a transplant, a patient needs lifelong drugs to keep the body from rejecting the new liver, and lifelong follow-up care from a specialist. Survival rates after a transplant are higher than 90% at 1 year, and patients usually have a good quality of life after their recovery. Keeping your liver healthy Liver Basics Here are some things to remember about keeping your liver healthy: · Don't have unsafe...
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