Thrombus - 2003


Extending the responsibility of the anticoagulation nurse
Bunis Packham
pp 1-4
Nurses have moved beyond their traditional boundaries to meet the ever-changing needs of the health service. The role of a nurse evolves in response to the needs of the society and an expanding body of nursing knowledge.With the publication of the White Papers, The New NHS. Modern, Dependable and A First Class Service. Quality in the New NHS, the government’s desire to support the expansion of nurses’ roles, both in acute care and in the community, and the emphasis it places on delivering the highest quality of service, is evident. The government has also issued The NHS Plan; and one of the document’s agenda focuses on making better use of nurses’ skills. Extending nurse prescribing is expected to improve patient care through giving patients quicker access to medication. In order to be able to provide patients with faster, easier access to the medicines, the government needs more nurses who can prescribe.
Comment: Thrombosis and anti-angiogenic drugs
Peter Rose
pp 2-2
Venous thromboembolism (VTE) is a well recognised complication in patients with advanced malignancy and in 12–15% of cases of VTE, malignancy is known at diagnosis.
Anticoagulant services – the foundation for clinical governance?
Trevor Baglin
pp 5-6
Clinical governance is a concept introduced by the Labour government in 1997 to give the quality of clinical care the same status as the financial wellbeing of healthcare organisations.
Herbal remedies – good or bad companions to anticoagulation therapy?
Andrew S Radley
pp 7-9
Herbal remedies are a popular way for individuals to prevent or treat minor ailments and to promote the feeling of general wellbeing or health. They are commonly used and are available from a wide range of sources, including specialist practitioners, pharmacies and healthfood stores. Herbal remedies are used by many people, including pregnant and breastfeeding women, children and older people.
Beating blood clots – ISTH conference, Birmingham 2003

pp 10-11
The July meeting of the International Society on Thrombosis and Haemostasis (ISTH), held at the International Convention Centre in Birmingham, was attended by more than 5,000 delegates from around the world. There were many ‘hot topics’ (three of which are reviewed below), and several interesting and, in some cases, interactive symposia.