Clinical and Operational Guidelines
Second edition
edited by Jack E. Ansell
Managing Oral Anticoagulation Therapy: Clinical and Operational Guidelines provides the resources and information to enhance the care of patients receiving oral anticoagulation therapy. This book focuses on the anticoagulation management service—a model of anticoagulation care that is systematic, organized, and coordinated. All aspects of development and implementation of this care model are addressed.
The book is divided into two sections: Part 1, Establishing an Anticoagulation Management Service, and Part 2, The Use of Oral Anticoagulants.
Features and Benefits
- Unique collection of articles on the use of oral anticoagulants
- Guidelines and flow sheets used in anticoagulation programs
- Decrease complications, hospitalizations, and emergency department use related to anticoagulation therapy
- Increase patient satisfaction and improve quality of life
- Policy and procedure examples
Contents
Establishing an Anticoagulation Management Service
- Historical developments in oral anticoagulation
- The value of an anticoagulation management service
- Guidelines for development of an anticoagulation management service
- Personnel needs and division of labor
- Nursing issues
- Pharmacy issues
- Guidelines for anticoagulation provider certification
- Inforamtion management and monitoring the International Normalized Ratio
- Software applications in anticoagulation management
- Education curriculum for patients and teaching methods
- Quality assurance for anticoagulation management services
- Reimbursement basics for anticoagulation services: coverage, payment, and coding
- Risk management and anticoagulation therapy
- Medical-legal implications of anticoagulation therapy
- Developing a business plan for an anticoagulation clinic
The use of Oral Anticoagulants
- Physiology of coagulation and the role of vitamin k
- Thrombogenesis and hypercoagulable states
- Cardiovascular indications for anticoagulation therapy
- Atrial fibrillation, stroke, and the role of anticoagulation
- Prevention and treatment of venous thromboembolism
- Prevention and treatment of thromboembolic disease in childhood
- Anticoagulation in the antiphospholipid syndrome
- Anticoagulation in pregnancy
- Prothrombin time
- Standardization of the prothrombin time
- Intrumentation for prothrombin times
- Clinical Laboratories Improvement Act of 1988: Regulations
- Capillary whole blood prothrombin time monitoring: instrumentation and methodologies
- Pharmacology of warfarin and related anticoagulants
- Initiation of therapy and estimation of maintenance dose
- Managing maintenance therapy
- Assessing risk factors for bleeding
- Evaluation and management of excessive anticoagulation and bleeding
- Nonhemorrhagic complications of warfarin therapy
- Warfarin drug interactions
- Dietary considerations
- Managing anticoagulation during surgery and other invasive procedures
- Managing the patient with cancer
- The challenges and opportunities of anticoagulation compliance
- Quality of life issues
- Frequency of testing and therapeutic effectiveness
- Duration of anticoagulation therapy in venous thromboembolic disease
- Questions, answers, and pearls from anticoagulation health care providers on common issues related to anticoagulation therapy
- Point-of-care testing: patient self-testing and patient self-management
- Patient selection and training for patient self-testing and patient self-management of oral anticoagulation
- Managing oral anticoagulation in the Netherlands
- Managing oral anticoagulatn therapy: an Italian perspective
Index