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Table 7 Factors facilitating optimal management of thromboprophylaxis

From: Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses

• Case Management
• Good GP/GP support
• Ease of access to INR checking
• Education
• Counselling assessment
• Discharge planning
• Follow up
• Family support & involvement
• A HAS-BLED and CHADS2 Score
• Open discussion and understanding of thromboprophylaxis
• Good understanding of risks and benefits
• Pharmacy education
• Regular adherence and INR monitoring
• Multi-disciplinary care
• Good communication (including listening, interpreters, written info)
• Warfarin booklets (written information)
• Self-management & community support
• Careful assessment, reassessment of factors if change
• Monitoring of adherence
• Ensuring type of lifestyle and therapy is matched with patients capacity to self-manage
• Nurse-led anticoagulation clinics