The number of patient's under oral anticoagulation therapy has markedly increased (Meschengieser, Casais, Sanchez &Lazzari, 2000). The demand for anticoagulation management has in turn increased (Parry, Fitzmaurice & Raftery, 2000). Morbidity and mortality from atrial and venous thromboembolism has been significantly reduced with anticoagulation therapy. Patients taking anticoagulants must make daily decisions involving their diet, medication dosage, blood test monitoring, and keeping appointments. Patients need to experience success in their self-care performance and effectively interact with the healthcare system to obtain the necessary support to manage their anticoagulation therapy. The focused care available through specialized anticoagulation clinic services enhances patient compliance and offers a more accessible monitoring process. Clinical guidelines that specifically outline anticoagulation therapy initiation, patient assessment, patient education, and cost analysis are being scrutinized through retrospective clinical trials. Developments of standard pharmacokinetic anticoagulation protocols to perform anticoagulation dosage management, dosage adjustment, and excessive anticoagulation management need to be agreed upon. Future anticoagulation management with in-home blood testing accompanied by practitioner oversight has yielded high patient satisfaction and more therapeutic INR results. Successful anticoagulation management begins with providing the patient with the skills they need to attain within range INR results to avoid hemorrhage or thromboembolism complications. Consistent motivated oversight of anticoagulation management is an important factor in positive outcomes with anticoagulation therapy.
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Details
Title
Anticoagulation Therapy: Past, Present, and Future
Creators
Coreen (Cory) M. Slobig
Contributors
Lorna Schumann (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590731801842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)