Top Ten Tips Palliative Care Clinicians Should Know about End-Stage Liver Disease

Brittany L. Waterman, Sinthana U. Ramsey, Maureen P. Whitsett, Arpan A. Patel, Jacob A. Radcliff, Drew L. Kotler, Adam C. Winters, Christopher D. Woodrell, Nneka N. Ufere, Marina Serper, Anne M. Walling, Christopher A. Jones, Sean G. Kelly

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


End-stage liver disease (ESLD) is an increasingly prevalent condition with high morbidity and mortality, especially for those ineligible for liver transplantation. Patients with ESLD, along with their family caregivers, have significant needs related to their quality of life, and there is increasing attention being paid to integration of palliative care (PC) principles into routine care throughout the disease spectrum. To provide upstream care for these patients and their family caregivers, it is essential for PC providers to understand their complex psychosocial and physical needs and to be aware of the unique challenges around medical decision making and end-of-life care for this patient population. This article, written by a team of liver and PC experts, shares 10 high-yield tips to help PC clinicians provide better care for patients with advanced liver disease.

Original languageEnglish
Pages (from-to)924-931
Number of pages8
JournalJournal of Palliative Medicine
Issue number6
StatePublished - Jun 2021


  • cirrhosis
  • end-stage liver disease (ESLD)
  • hepatic encephalopathy
  • pain management
  • pharmacodynamic challenges
  • symptom management


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