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“The best thing since sliced bread” : patients’ perceptions of self-management of warfarin

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Apenteng, Patricia N., McCahon, Deborah, Murray, Ellen T., Jowett, Sue, Murray, Kathryn A., Swancutt, Dawn and Fitzmaurice, David A. (2015) “The best thing since sliced bread” : patients’ perceptions of self-management of warfarin. Thrombus, 19 (3). pp. 45-47.

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Official URL: http://www.thrombus.co.uk/home.aspx

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Abstract

Current guidelines recommend self-monitoring, including patient self-management, of oral anticoagulation for suitable adults with atrial fibrillation and heart valve disease on long-term anticoagulation therapy (generally warfarin in the UK). Self monitoring involves the patient being responsible for the measurement of their own international normalised ratio (INR) using a finger prick blood sample and a portable point of care coagulometer device. Patients may either interpret their INR test result themselves and adjust their warfarin dose and test frequency accordingly (self-management) or contact a healthcare professional for dosing advice (self-testing). Despite evidence supporting this model of patient care, only around 1–2% of people receiving oral anti-coagulation engage in self-monitoring in the UK.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Thrombus
Publisher: Hayward Group Ltd.
ISSN: 1369-8117
Official Date: 1 January 2015
Dates:
DateEvent
1 January 2015Accepted
Volume: 19
Number: 3
Page Range: pp. 45-47
Status: Not Peer Reviewed
Publication Status: Published
Access rights to Published version: Closed Access

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