Pharmacist-managed oral anticoagulation therapy in the community setting

Carla Bouwmeester, Christine Chim

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Pharmacists are at the forefront when caring for patients requiring anticoagulation resulting from chronic conditions, complex medications therapy, or at risk for drug interactions. As a consequence, there is a greater need for pharmacist-managed anticoagulation clinics in the community setting. This article will review special considerations for oral anticoagulant therapy in the elderly, collaborative therapy management, establishment of policies and procedures, documentation of patient visits, patient counseling, and barriers to successful anticoagulation management. It will also discuss evidence-based guidelines for the use of oral anticoagulants and compare the agents currently approved by the Food and Drug Administration. Finally, barriers to anticoagulation management will be examined, including issues with adherence and communication with patients and health care providers.

Original languageEnglish
Pages (from-to)280-294
Number of pages15
JournalConsultant Pharmacist
Volume28
Issue number5
DOIs
StatePublished - May 2013
Externally publishedYes

Keywords

  • Ambulatory care
  • Anticoagulation
  • Collaborative drug therapy management
  • Oral anticoagulants
  • Pharmacist
  • Point-of-care testing
  • Warfarin

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