The Signs and Symptoms of Hepatic Encephalopath in Hospice


Hepatic encephalopathy is defined as a spectrum of neuropsychiatric abnormalities in patients with liver dysfunction, after exclusion of brain disease.

High Quality Hospice Education for Nurses

Simplify Your Hospice Team’s Training and Skill Building

A complete solution for your agency: more than 125 hospice courses, caregiver in-services, training plans, and more.

Signs of Hepatic Encephalopathy

  • Flapping tremor or asterixis (early stages)
  • Stupor (late stage)
  • Coma (late stage)

Symptoms of Hepatic Encephalopathy

The following and should be documented:

  • Decreased awareness of environment
  • Sleep disturbance
  • Depression
  • Emotional lability
  • Somnolence
  • Slurred speech
  • Obtundation


Warrell DA, Cox TA, Firth JD & Benz EJ, Oxford Textbook of Palliative Medicine, 4th ED. Oxford University Press, UK 2003.

If you found this article informative and useful share it with your friends and colleagues.

Was this article helpful?
Dislike 0
Views: 150