Amanda Chaney – Managing Chronic Liver Disease in Primary Care

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Exploring the Essential Features of “Amanda Chaney – Managing Chronic Liver Disease in Primary Care”

Speaker:Amanda Chaney, DNP, FAANP, AF-AASLD

Duration:2 Hours

Format:Audio and Video

Copyright:May 11, 2023  

Media Type:Digital Seminar

Description

Nonalcoholic fatty liver disease (NAFLD) is becoming more common in the United States and worldwide. There is a wide spectrum of disease progression when discussing NAFLD. The mainstay of treatment is lifestyle modification. There are ongoing research endeavors that are promising. This session will discuss important information for the primary care provider to offer the best care for the patient with NAFLD.

Abnormal liver function testing (LFTs) occurs often in the primary care setting. The purpose of this lecture is to establish an overview of the liver, what testing is done when determining liver injury and liver function, and how to appropriately triage and manage the patient with these abnormalities.

The purpose of this presentation will be to review the background and current management of the patient with cirrhosis. In the United States, cirrhosis is the 12th most common cause of death. Nurse practitioners are frequently the first providers to see patients in the acute care setting for admission and should be knowledgeable of cirrhosis and its complications. Nurse practitioners in the primary care setting are seeing patients with cirrhosis much more often, as more patients have chronic diseases which cause liver fibrosis and cirrhosis, such as Leannec cirrhosis or hepatitis C-related liver disease. Proper diagnosis and quick management are essential in both primary care and acute care settings to ensure patient improvement and a stable outcome.

Speaker

Amanda Chaney, DNP, FAANP, AF-AASLD, is a nurse practitioner and Senior Director of Advanced Practice Provider Services at Cleveland Clinic in Florida, staffing over 430 nurse practitioners and physician assistants. Prior to this role, Dr. Chaney served at Mayo Clinic for over 20 years in a variety of roles in leadership, patient care, and academic faculty. Dr. Chaney has presented nationally and published on topics including liver disease and transplant management, quality improvement, professional development, and leadership. She has been instrumental to national change for NP and PA practice and is regularly consulted to discuss APP best practices. She is a Fellow of the American Association of Nurse Practitioners (AANP), was awarded a State Award of Excellence for AANP, and is an Associate Fellow of the American Association for the Study of Liver Disease (AF-AASLD). She has served in several leadership roles at Cleveland Clinic, Mayo Clinic, as well as AANP, AASLD, and the International Transplant Nurses Society.

Speaker Disclosures:

Financial: Amanda Chaney has an employment relationship with Cleveland Clinic. She receives royalties as a published author. Amanda Chaney receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Amanda Chaney is a member of the American Association of Nurse Practitioners, The American Association for the Study of Liver Disease, and the International Transplant Nurses Society.

Objectives

1. Differentiate between compensated and decompensated cirrhosis.
2. Integrate two recommendations for the management of patients with NAFLD.
3. Analyze two causes of an elevated liver profile.
4. Determine two complications of chronic hepatitis C infection.

Outline

Abnormal LFTs

• Reasons for Abnormal LFTs
• Finding the “why”
• When to Refer

Hepatitis C Update

• Background
• Diagnosis and Presentation
• Treatment Options

Non-alcoholic Fatty Liver Disease

• Background
• Treatment Options
• Consultations

Cirrhosis and Its Complications

• Cirrhosis Complications
• Portal Hypertension – GI bleeding and Ascites
• Infections
• Pulmonary issues
• Renal issues
• Palliative Care
• Transplant

Target Audience

• Nurses
• Nurse Practitioners
• Physician Assistants
• Physicians

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