Management of venous thromboembolism for older adults in long-term care facilities.
OBJECTIVE
To provide information on current evidence-based clinical management of venous thromboembolism (VTE) for nurse practitioners working for older adults in long-term care facilities. METHODS AND DATA RESOURCES: A systematic review and summary using current clinical guidelines and reliable clinical research studies: American Medical Directors Association, American College of Chest Physicians, Medline, PubMed, Refworks, and CINAHL.


CONCLUSIONS
The management of VTE focuses on a comprehensive approach including acute and long-term pharmacologic approach, surgical and mechanical approach, prophylaxis of recurrent VTE, maintaining INR, and monitoring lab values.


CONCLUSIONS
Recommendations based on the most current clinical research studies and guidelines will facilitate a cost-effective management of venous thromboembolism for older adults in long-term care facilities.
College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA. mchoi7@asu.edu
Myunghan
M
Choi
Melvin
M
Hector
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006268:Health Facilities / Q000191:economics*; D006801:Humans; D019934:International Normalized Ratio; D008134:Long-Term Care / Q000191:economics / Q000379:methods*; D008297:Male; D012307:Risk Factors; D053828:Stockings, Compression; D014481:United States; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000188:drug therapy* / Q000191:economics
D000925:Anticoagulants