1

Liver Disease: Management and Care of

Patients - 6KNIN337 Level: 6

Credits: 15

Module leader: Adam Riedlinger

Email: adam.riedlinger@kcl.ac.uk

Module deputy: TBC

____________________________________________________________________

This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Postgraduate Programme Handbook, available on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to asc@kcl.ac.uk.

2

Contents

Module overview .............................................................................................................. 4

Module aim ................................................................................................................... 4

Learning outcomes ....................................................................................................... 4

Teaching arrangements ............................................................................................... 4

Submitting coursework ................................................................................................ 5

Assessment criteria ...................................................................................................... 5

Formative assessment .................................................................................................. 5

Summative assessment ................................................................................................ 5

Results and resubmissions for coursework ................................................................ 6

Learning outcomes and resources .................................................................................. 8

General reference ......................................................................................................... 8

Day 1 .................................................................................................................................. 8

Course Introduction ..................................................................................................... 8

Session 1: Anatomy & Physiology of the liver ............................................................. 8

Session 2: Chronic Liver Disease; Setting the Scene ................................................. 8

Session 3: The Effect of Chronic Liver Disease on other Body Systems (Respiratory and Cardiovascular) ............................................................................................................ 9

Session 4: Understanding & Assessing a Patient’s Liver Function & Dispelling the Myths about Haemostasis.................................................................................................................. 9

Day 2 ................................................................................................................................. 10

Session 1: Portal Hypertension and the Management of a Patient with a Variceal Haemorrhage ....................................................................................................................................... 10

Session 2: Ascites & Management............................................................................... 10

Session 3: Acute Kidney Injury and Hepatorenal Syndrome in Chronic Liver Disease 11

Session 4: The Jaundiced Patient ............................................................................... 11

Day 3 ................................................................................................................................. 12

Session 1: Hepatic Encephalopathy and Management in Chronic Liver Disease .... 12

Session 2: Acute Pancreatitis....................................................................................... 12

Session 3: Viral Hepatitis............................................................................................. 13

Session 4: Assignment Workshop ............................................................................... 13

Day 4 ................................................................................................................................. 14

Session 1: Hepatocellular, Hepatobiliary & Pancreatic Carcinomas ........................ 14

Session 2: Overview and Management of Alcoholic Related Liver Disease ............. 14

Session 3: Nutrition in Chronic Liver Disease ........................................................... 15

Session 4: Non-Alcohol related Fatty Liver Disease .................................................. 15

Session 5: Primary Biliary Cholangitis and Primary Sclerosing Cholangitis ........... 15

Day 5 ................................................................................................................................. 16

3

Session 1: Acute Liver Failure ..................................................................................... 16

Session 2: Introduction to Immunosuppression for the Post-transplant Patient ... 16

Session 3: Issues in Liver Transplantation ................................................................. 16

Module evaluation ........................................................................................................... 17

Action from previous evaluations ............................................................................... 17

Timetable .......................................................................................................................... 18

4

Module overview This module forms part of the BSc Nursing Studies. The module contributes to your programme of study by providing an overview of the current evidence base surrounding the diagnosis & treatment of common liver diseases.

The module can also be taken as a freestanding module.

Module aim This module will enable practitioners to develop their knowledge base in caring for patients with liver disease. The focus will predominately be on chronic liver disease, although the course will provide an overview of acute liver failure and transplantation.

Learning outcomes The learning outcomes of this course meet some of the nine liver care competencies as set out by the Royal College of Nursing, NHS Liver Care and the Department of Health in the ‘Caring for people with liver disease: a competence framework for nursing’ (2013).

1. Analyse and apply the evidence base that underpins the medical and nursing management of patients with liver disorders, both in a Hepatology or general setting.

2. Appraise the knowledge and skills needed for assessment planning, delivery and evaluation of

care for patients with liver disease

3. Appraise and evaluate the contribution of nursing and other professional groups in the

management and delivery of effective care to patients with liver disease

4. Analyse the factors influencing health care promotion for patients with liver disease

5. Examine the factors which determine the provision of health care resources taking into

account the importance of cost, efficiency, quality and resources available

Teaching arrangements The educational approach is adult student centred, which builds on your experience as a qualified practitioner. You will experience a wide variety of teaching and learning strategies:

Lecture and discussion

Group work

Tutorials

Guided study

Quiz

Independent study

Case study exploration

E-learning

5

Submitting coursework For this module you are assessed by Adam Riedlinger. All assessments are submitted online via TurnItIn (through the KEATS site)

Assessment criteria Essay — 2,000 words. This constitutes 100% of the overall grade. You will demonstrate an achievement of the course learning outcomes by writing an assignment addressing either a liver disease or a complication of liver disease as identified in a patient-based case study.

Formative assessment Students are advised to seek tutorial support from the course lecturer. This should be a student led

discussion focusing on the students’ essay. The student should provide a plan in which the key

themes are identified along with relevant literature using the bullet points below.

Which patient case study have you chosen?

What disease/complication aspect will you focus on?

Identify the key references which you will use to support the pathophysiology/management of the chosen aspects

Is the evidence clear? Are there any opposing views? How does it relate to your practice?

Summative assessment Your assignment must be in a structured essay format, but sub headings may be used. It

should include an introduction, main body and conclusion

Critically appraise the management of either the chosen liver disease or complication of liver

disease which may be carried out to address the patients’ health care needs, this must

include a critical appraisal of the nurses’ role and nursing practice in relation to the

identified management

Critically analyse the evidence-based literature in relation to both the patient’s problem,

interventions and nursing management

Make recommendations for future nursing practice in relation to your analysis of the

interventions and nursing management of your identified complication

Your assignment needs to be appropriately referenced using the JAN referencing system

(please see post-registration handbook for guidance).

6

Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Z for the academic year 2018/19, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”. If you require further support in these circumstances you are advised to contact KCLSU. Submission date for coursework: 8 January 2019 (11.59am) Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is a hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is Karen Staniland. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section.

Results and resubmissions for coursework Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Nightingale Student Hub. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Nightingale Student Hubhttps://internal.kcl.ac.uk/student/index.aspx ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance or please use King’s Libguides site.

7

The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Adam Riedlinger. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work. Resubmission date: 9 April 2019

8

Learning outcomes and resources

General reference

Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Sargent S. (2009) Liver Diseases, An Essential Guide for Nurses and Health Care Professionals.

Wiley-Blackwell, Oxford.

Day 1

Course Introduction

By the end of this session the students will be able to:

Demonstrate familiarity with the course structure and content

Demonstrate familiarity with other course students

Understand the principles of e-learning and self-directed learning

To understand how to access KEATS liver disease module 6KNIN337

Indicative reading

Module handbook

Post-Qualification handbook

Session 1: Anatomy & Physiology of the liver

By the end of this session the students will be able to: Differentiate between acute and chronic liver disease

Acknowledge the common aetiologies of liver failure

Understand the anatomy of the Liver and the main functions

Indicative reading

Part 1: Basics - Liver and biliary anatomy and structure in Joshi D., Keane G. & Brind A.

(2015). Hepatology at a Glance. John Wiley & Sons.

Session 2: Chronic Liver Disease; Setting the Scene

By the end of the session students will

Understand the UK prevalence of chronic liver disease

Understand the most common aetiologies

Recognise stigmata of chronic liver disease and reasons for these

Indicative reading

Lancet Commission - http://www.thelancet.com/commissions/crisis-of-liver-disease-in-the-uk

9

Session 3: The Effect of Chronic Liver Disease on other Body Systems (Respiratory and Cardiovascular)

By the end of the session the student will be able to To analyse the respiratory and cardiovascular complications of chronic and acute liver failure

To revise the relevant pathophysiology

To examine current treatments and evaluate effectiveness

Explore the current nursing management of respiratory and cardiovascular complications in

patients with liver diseases.

Indicative reading

Part 3 (18): Cardiopulmonary complications in Joshi D., Keane G. & Brind A. (2015). Hepatology

at a Glance. John Wiley & Sons.

Møller S. & Bernardi M. (2013) Interactions of the heart and the liver. European Heart Journal 34,

2804-2811.

Yang Y.Y. & Lin H.C. (2012) The heart: Pathophysiology and clinical implications of cirrhotic

cardiomyopathy. Journal of the Chinese Medical Association 75, 619-623.

Session 4: Understanding & Assessing a Patient’s Liver Function & Dispelling the Myths about Haemostasis

By the end of the session the students will be able to: Differentiate between liver enzymes and liver function tests

To analyse normal and abnormal values and the relation to liver disease

To understand how Haemostasis changes in liver disease

To debate appropriate interventions and precautions in managing coagulopathy in liver

disease.

Indicative reading

Part 1: Basics – Coagulation in liver disease & Part 2: Evaluation of liver disease in Joshi D., Keane

G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Khoury T., Ayman A.R., Cohen J., Daher S., Shmuel C. & Mizrahi M. (2016). The Complex Role of

Anticoagulation in Cirrhosis: An Updated Review of Where We Are and Where We Are Going.

Digestion, 93(2), 149-159.

Northu P.G. & Caldwell S.H. (2013) Coagulation in Liver Disease; a guide for the clinician. Clinical

Gastroenterology and Hepatology 11, 1064-1074.

10

Day 2

Session 1: Portal Hypertension and the Management of a Patient with a Variceal Haemorrhage

By the end of the session the student will be able to To revise the pathophysiology of portal hypertension and formation of varices

To demonstrate knowledge of the SIGN guidelines for management of variceal bleeding

To examine the emergency and long-term treatment strategies for portal hypertension

Indicative reading

Part 3 (13 & 14): Portal Hypertension, Variceal bleeding in Joshi D., Keane G. & Brind A.

(2015). Hepatology at a Glance. John Wiley & Sons.

Fullwood D. (2012) Portal hypertension and varices in patients with liver cirrhosis. Nursing

Standard 26(48), 52-57.

Session 2: Ascites & Management

By the end of the session the student will be able to To examine the pathophysiology of ascites and diagnostic criteria

To analyse the dietary, medical and surgical approaches to the management of patients with

ascites

To analyse and evaluate the nursing management of patients with ascites.

Indicative reading

Angeli P., Bernardi M., Villanueva C., Francoz C., Mookerjee R. P., Trebicka J., ... & Gines P. (2018).

EASL Clinical Practice Guidelines for the management of patients with decompensated

cirrhosis. Journal of Hepatology.

Part 3 (15 & 16): Ascites & Management of complication of ascites in Joshi D., Keane G. & Brind A.

(2015). Hepatology at a Glance. John Wiley & Sons.

Fullwood D. & Purushothaman (2014) Managing ascites in patients with chronic liver disease.

Nursing Standard 28(23), 51-58.

11

Session 3: Acute Kidney Injury and Hepatorenal Syndrome in Chronic Liver Disease

By the end of the session the student will be able to To identify causes of acute kidney injury in patients with chronic liver disease and some of

the management strategies

To demonstrate increased understanding of the pathophysiological factors underpinning

hepatorenal syndrome and the international ascites club diagnostic criteria

To examine the current medical and nursing strategies for patients with hepatorenal

syndromes

Indicative reading

Part 3 (17): Renal dysfunction in cirrhosis in Joshi D., Keane G. & Brind A. (2015). Hepatology at a

Glance. John Wiley & Sons.

Tsien C.D., Rabie R. & Wong F. (2013) Acute kidney injury in decompensated cirrhosis. GUT 62,

131-137.

Session 4: The Jaundiced Patient

By the end of the session the student will be able to To revise the anatomy and physiology of liver cells and biliary system to understand the flow

of bile

To examine the differences between conjugated and unconjugated bilirubin

To examine the pre-hepatic, hepatic and post hepatic causes of jaundice

To analyse current treatments and nursing management

To analyse and evaluate the psychological impact of altered body image.

Indicative reading

Clayton M. (2009) Jaundice in Sargent S. (Ed.) (2009) Liver Disease; An Essential Guide for

Nurses and Health Care Professionals. Wiley-Blackwell, Oxford.

Part 3 (12): Jaundice in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley

& Sons.

12

Day 3

Session 1: Hepatic Encephalopathy and Management in Chronic Liver Disease

By the end of the session the student will be able to To revise the pathophysiology and underlying theories of hepatic encephalopathy

To review current treatment therapies and effects

Have an understanding of future therapies

To analyse and review current nursing management

Indicative reading

Part 3 (19): Hepatic Encephalopathy in Joshi D., Keane G. & Brind A. (2015). Hepatology at a

Glance. John Wiley & Sons.

Vilstrup H., Amodio P., Bajaj J., Cordoba J., Ferenci P., Mullen K. D., ... & Wong P. (2014). Hepatic Encephalopathy in Chronic Liver Disease: Practice Guideline by AASLD and EASL. The American Association for the Study of Liver Diseases, 12-14.

Session 2: Acute Pancreatitis

By the end of the session the student will be able to To revise the pathophysiology and underlying theories of pancreatitis

Explore current epidemiology both worldwide and UK

To review current treatment therapies and effects

To analyse and review current nursing management

Indicative reading

Part 4 (44): Pancreatic disorders in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance.

John Wiley & Sons.

Bank P.A., et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut 62.1(2013), 102-111.

Tenner, Scott, et al. "American College of Gastroenterology guideline: management of acute pancreatitis." The American journal of gastroenterology 108.9(2013), 1400-1415.

Wu B.U. & Bank P.A. Clinical management of patients with acute pancreatitis. Gastroenterology 144.6(2013), 1272-1281.

13

Session 3: Viral Hepatitis

By the end of the session the student will be able to Understand the current modes of viral transmission of hepatitis

Explore current epidemiology both worldwide and UK

Analyse serological tests for the diagnosis and treatment of Hepatitis

Understand current treatment options for patients with Hepatitis

Indicative reading

Part 4 (29 & 30): Hepatitis B virus and delta hepatitis & Hepatitis C virus in Joshi D., Keane G. &

Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Oakes K. (2014) Management of chronic hepatitis B virus. Nursing Times. 110(8), 20-24.

EASL (2017) Clinical Practice Guidelines on the management of Hepatitis B virus infection

http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/easl-2017-

clinical-practice-guidelines-on-the-management-of-hepatitis-b-virus-infection

EASL (2018) Recommendations on treatment of hepatitis C 2018 http://www.easl.eu/research/our-

contributions/clinical-practice-guidelines/detail/easl-recommendations-on-treatment-of-hepatitis-

c-2018

Session 4: Assignment Workshop

By the end of the session the student will be able to Understand the requirements of the module assessment

Have an understanding of academic writing style and standards

Have an understanding of plagiarism & how to avoid it

Indicative reading

Post-qualification handbook.

University plagiarism guidance (can be found via KEATS).

14

Day 4

Session 1: Hepatocellular, Hepatobiliary & Pancreatic Carcinomas

By the end of the sessions the student will be able to To examine the incidence of Liver related cancers in the United Kingdom

To review both medical and surgical treatment strategies

Demonstrate increased understanding of the postoperative complication of hepatobiliary

surgery and procedures

To examine current nursing management strategies for patients with liver related cancers.

Indicative reading

Part 3 (24): Focal liver lesions & Part 4 (40 & 41) Hepatocellular carcinoma & Cholangiocarcinoma in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

EASL (2018) Clinical practice guidelines on hepatocellular carcinoma http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/easl-clinical-practice-guidelines-on-hepatocellular-carcinoma

Jervis N. (2009) in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for Nurses and Health Care Professionals. Wiley-Blackwell, Oxford.

Session 2: Overview and Management of Alcoholic Related Liver Disease

By the end of the session the student will be able to To analyse current incidence and impact on the health service

To examine the pathophysiology of alcoholic liver disease, including fatty liver, alcoholic

hepatitis and cirrhosis

To appraise current management for both ALD and alcoholic hepatitis

Indicative reading

Part 4 (25 & 26): Alcohol related liver disease & Management of alcohol misuse in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

EASL (2018) Management of alcohol-related liver disease http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/easl-clinical-practice-guidelines-management-of-alcohol-related-liver-disease

15

Session 3: Nutrition in Chronic Liver Disease

By the end of the session the student will be able to To revise the alterations in energy metabolism found in chronic liver disease

To review current treatment therapies and effects

To analyse and review current nursing management.

Indicative reading

Part 4 (49): Nutrition and liver disease in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Plauth M., Cabre E., Riggio O., Assis-Camilo, M., Pirlich M., Kondrup J., ... & Nolte, W. (2006). ESPEN guidelines on enteral nutrition: liver disease. Clinical Nutrition, 25(2), 285-294.

Johnson T. M., Overgard E. B., Cohen A. E., & DiBaise J. K. (2013). Nutrition assessment and management in advanced liver disease. Nutrition in Clinical Practice, 28(1), 15-29.

Session 4: Non-Alcohol related Fatty Liver Disease

By the end of the session the student will be able to To understand the increasing incidence of NAFLD

To examine the underlying pathophysiology, disease presentation and associated

complications

To review the current evidence base management strategies.

Indicative reading

Part 4 (27): Fatty liver disease in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

EASL (2016) Management of non-alcoholic fatty liver disease, EASL-EASD-EASO clinical practice guidelines http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/the-management-of-non-alcoholic-fatty-liver-disease-easl-easd-easo-clinical-practice-guidelines

Session 5: Primary Biliary Cholangitis and Primary Sclerosing Cholangitis

By the end of the session the student will be able to

To review the basic pathophysiology of cholestatic liver diseases

To examine diagnostic testing and signs and symptoms

To examine disease related complications

Appraise the effectiveness of current medical, surgical and nursing management

Indicative reading

Part 4 (32 & 33): Primary biliary cirrhosis & Sclerosing cholangiopathies in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

EASL (2017) The diagnosis and management of patients with primary biliary cholangitis http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/the-diagnosis-and-management-of-patients-with-primary-biliary-cholangitis

Fullwood D. (2009) Primary Biliary Cirrhosis and Primary Biliary Cholangitis in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for Nursed and Health Care Professionals. Wiley-Blackwell, Oxford.

16

Day 5

Session 1: Acute Liver Failure

By the end of the session the student will be able to To examine the clinical presentations of hyper acute, acute and sub-acute liver failure.

To recognise the main aetiologies of acute liver failure

To examine clinical presentation and nursing management of encephalopathy and cerebral

oedema, renal failure, coagulopathy, metabolic, cardiovascular and respiratory

complications in acute liver failure

Consider the indications for referral and transplantation criteria

Evaluate the current and future research of acute liver failure management

Indicative reading

Part 3 (20): Acute liver failure in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance.

John Wiley & Sons.

Bernal W. & Wendon J. (2013). Acute liver failure. New England Journal of Medicine, 369(26)

EASL (2017) Management of acute (fulminant) liver failure http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/management-of-acute-fulminant-liver-failure

Session 2: Introduction to Immunosuppression for the Post-Transplant Patient

By the end of the session the student will be able to To examine current Immunosuppression therapies in transplantation

To look at Immunosuppression for the treatment of specific diseases of the liver

Indicative reading

EASL (2015) Liver transplantation: clinical practice guidelines http://www.easl.eu/research/our-contributions/clinical-practice-guidelines/detail/liver-transplantation-easl-clinical-practice-guidelines-1

Part 4 (45): Post-liver transplantation: general considerations in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Session 3: Issues in Liver Transplantation

By the end of the session the student will be able to Be aware of the current issues affecting liver transplantation

Appraise the current transplant assessment and listing criteria for chronic transplant

recipients.

Indicative reading

Part 3 (22): Indications for liver transplantation in Joshi D., Keane G. & Brind A. (2015). Hepatology at a Glance. John Wiley & Sons.

Fullwood D., Jones F. & Lau-Walker M. (2011) Care of patients following liver transplantation. Nursing Standard 25(49), 50-56.

Littlejohn W. & Routledge J. (2009) in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for Nurses and Health Care Professionals. Wiley-Blackwell, Oxford.

17

Module evaluation As part of the university’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online.

Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard.

To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.

Action from previous evaluations 1. Assignment changed to avoid unintended plagiarism 2. Presentations made available prior to sessions

18

Timetable Subject to change due to speaker availability.

Liver Disease: Care & Management of Patients

Teaching mode

Date Type of Session

Title Time Lecturer Room

University based study

28 Sept 2018

Introduction Welcome and introduction to the liver course 11:00-11:30 Adam Riedlinger

FWB 1.68

Lecture

Introduction to the anatomy & physiology of the liver

11:30-12:15 Sheela Vinu Kurian

Chronic liver disease: setting the scene 12:15-13:00

Adam Riedlinger

The effect of chronic liver disease on other body systems (Respiratory and cardiovascular)

14:00-15:00

Understanding and assessing a patient’s Liver Function and dispelling the myths about Haemostasis

15:00-16:00

Day 2

University based study

5 Oct 2018

Self-study/e-learning

Tutorial appointments available 10:00-11:00

JCMB 2.43

Lecture

Portal Hypertension and managing a patient with a variceal bleed

11:00-12:00 Sheela Vinu Kurian

FWB 1.68

Ascites and management in patients with Chronic Liver disease

12:00-13:00

Hepatorenal syndrome and renal complications

14:00-15:00 Adam Riedlinger Causes of jaundice and care of the jaundiced

patient 15:00-16:00

19

Day 3

University based study

12 Oct 2018

Self-study/e-learning

Tutorial appointments available 10:00-11:00

Lecture

Managing patients with Hepatic Encephalopathy in Chronic Liver disease

11:00-12:00 Sara Sawieres Wolfson Lecture Theatre, WEC

Acute Pancreatitis 12:00-13:00

Viral Hepatitis 14:00-15:00 Kath Oakes

Essay workshop 15:00-16:00 Adam Riedlinger

Day 4 (Adults)

University based study

19 Oct 2018

Self-study/e-learning

Tutorial appointments available 10:00-11:00

Lecture

HPB cancers 11:00-12:00 Wendy Martin

Wolfson Lecture Theatre, WEC

Alcohol related liver disease 12:00-13:00 Adam Riedlinger

Nutrition in liver disease 14:00-15:00

NAFLD 15:00-15:30 Adam Riedlinger PBC/PSC 15:30-16:00

Day 4 (Paeds)

University based study

26 Oct 2018

Lecture

Acute liver failure in children 09:00 -09:45

TBC

Wolfson Lecture Theatre, WEC

Alpha 1 antitrypsin deficiency 09:45-10:45

Wilsons Disease/autoimmune 11:15-12:15

Liver transplantation 12:15-13:00

Surgical post-transplant complications 14:00-15:00

Nutrition in children with chronic liver disease

15:00-15:45

20

Day 5

University based study

2 Nov 2018

Self-study/e-learning

Tutorial appointments available 10:00-11:00

Lecture

Acute liver failure and transplantation 11:00-12:30 Adam Riedlinger Wolfson

Lecture Theatre,

WEC

Immunosuppression for the post-transplant patient

12:30-13:00

Issues in transplantation for patients with chronic liver disease

14:00-16:00 Wendy Littlejohn

Location key:

FWB – Franklin-Wilkins Building, Waterloo Campus

JCMB – James Clerk Maxwell Building, Waterloo Campus