title: Pharmacist-managed oral anticoagulation therapy in the community setting.
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.
authors: Northeastern University, Bouve College of Health Sciences School of Pharmacy, Boston, MA, USA. c.bouwmeester@neu.edu
authors: Carla
authors: C
authors: Bouwmeester
authors: Christine
authors: C
authors: Chim
mesh_terms: D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage* / Q000009:adverse effects; D003142:Communication; D003299:Cooperative Behavior; D004347:Drug Interactions; D006801:Humans; D055118:Medication Adherence; D010353:Patient Education as Topic / Q000379:methods; D010593:Pharmaceutical Services / Q000458:organization & administration*; D010595:Pharmacists / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D024382:Professional Role
chemical_list: D000925:Anticoagulants