Patient self-testing and self-management of anticoagulation is safe and patients are satisfied with these programmes

Commentary on: Grogan A, Coughlan M, Prizeman G, et al. The patients' perspective of international normalized ratio self-testing, remote communication of test results and confidence to move to self-management. J Clin Nurs 2017 doi: 10.1111/jocn.13767. [Epub ahead of print: 23 Feb 2017].

Implications for practice and research

Patient self-testing and self-management programmes that augment education and telehealth approaches present a safe, sustainable and acceptable model of care for individuals with routine anticoagulation monitoring and management needs.

There is need for further research of patient self-testing and self-management programmes that addresses patient selection and building patient confidence.

Context

Warfarin remains a key agent for thromboprophylaxis. However, it is not without complications. A narrow therapeutic range translates to a fine balance between thrombosis and bleeding. Given warfarin's sometimes unpredictable nature, achieving quality anticoagulation can be challenging. Regular monitoring and careful titration of therapy are required in accordance with a patient's international normalised ratio...

from # All Medicine by Alexandros G. Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2wthz2X
via IFTTT