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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.
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 (INR). For the majority of patients, this means visits for regular venous blood sampling which can be costly, inconvenient and impact on a patient’s quality of life. Evidence suggests that patient …
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