The psychological needs of patients with
ascites are important yet are often neglected
because of the prioritisation of medical
needs. The complications of and treatments
for chronic liver disease can lead to lethargy,
depression and reduced quality of life (Mucci
et al 2013). The complications of end-stage
liver disease, including ascites, have been
shown to reduce mobility, limit physical
activity and reduce patients’ health-related
quality of life (Cox-North et al 2013). Nurses
should be sensitive to the psychological
needs of these patients and refer them to
available support as appropriate. Referral
to a counselling team may benefit these
patients with ascites, particularly as they
may experience loss of independence and