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Alcoholism and liver transplantation: ethical and nursing implications.

Alcoholism is the major cause of end-stage liver disease, yet only a small portion of alcoholics receive liver transplants. The author discusses the ethical and nursing implications of the rigorous criteria for transplantation that alcoholic clients must meet. A case history of a 36-year-old woman with end-stage liver disease is described to support the author's contention that substance abuse treatment can ultimately have a positive impact on liver transplant candidacy.