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Related Concept Videos

Disorders of Hemostasis01:24

Disorders of Hemostasis

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Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Improving multidisciplinary tailored care models for bleeding disorders.

Tinatin Muradashvili1, Robert F Sidonio2

  • 1Department of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.

Expert Review of Hematology
|April 2, 2026
PubMed
Summary

Multidisciplinary care models for bleeding disorders need adaptation to improve patient outcomes. Flexible, tailored approaches are key for earlier diagnosis and better long-term management.

Keywords:
Bleeding disordercare modelshemophilia treatment centersmultidisciplinary carepatient-centered outcomestransition of care

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Area of Science:

  • Hematology
  • Patient Care Models
  • Public Health

Background:

  • Bleeding disorder care has advanced, but delivery systems lag, causing fragmented care and delayed diagnoses for many phenotypes.
  • While multidisciplinary care improved hemophilia outcomes, diverse bleeding disorders require evolving strategies across the lifespan.
  • Current care models often fail to address the complex needs of individuals with inherited and acquired bleeding disorders.

Purpose of the Study:

  • To explore adaptations of multidisciplinary care for diverse bleeding disorder phenotypes across life stages.
  • To identify emerging tailored care models and structural factors affecting access, continuity, and effectiveness.
  • To provide insights into optimizing bleeding disorder care delivery.

Main Methods:

  • A targeted literature search was conducted up to February 1, 2026.
  • Included were peer-reviewed studies, registry analyses, consensus guidance, and quality improvement reports.
  • A narrative review synthesized the identified evidence.

Main Results:

  • Flexible, tailored multidisciplinary models are superior to uniform approaches for bleeding disorder care.
  • Key elements for progress include redesigned care delivery, patient-centered outcomes, and prioritizing equity and scalability.
  • Emerging models focus on integrated, hybrid systems for improved diagnosis and management.

Conclusions:

  • The future of bleeding disorder care necessitates adaptable, patient-centered multidisciplinary models.
  • Integrating care delivery systems will enhance early diagnosis, sustained engagement, and long-term safety.
  • Prioritizing equity and scalability is crucial for advancing care for all bleeding disorder patients.