The viability and necessity of APRN-led care models in the clinical management of haemophilia and other inherited bleeding and clotting disorders.

A growing and ageing haemophilia treatment centre (HTC) population, as well as a glaring shortage of adult haematologists available for the clinical management of persons with haemophilia (PWH), has resulted in significant care gaps in the United States. In response, various advanced practice registered nurse (APRN)-based models have been adopted across the country to counteract a deficit in haematologist resources for adult PWH. These models in the management of PWH have demonstrated competency and efficiency in the care of patients with haemophilia, offering a viable solution in areas where haematologist resources are limited and assure quality care provision, most notably in rural areas. The available literature indicates equivalence in terms of clinical outcomes, patient satisfaction and elements of healthcare service utilization. With continued support in current clinical guidelines and institutional contributions in the form of residency and fellowship programmes, the robust successes of APRN models for the clinical management of PWH can be maintained and expanded well into the foreseeable future.

Hemophilia B. Case study and intervention plan.

Persistent bleeding from the circumcision site or umbilicus of a newborn male should alert the neonatal nurse to the possibility of hemophilia. Treatment of hemophilia B requires immediate medical and nursing intervention as well as long-term follow-up so that psychosocial, developmental, and physiological needs of the infant and family are met. Most important, treatment requires an organized team approach. Information to assist the nurse in the treatment of the infant and family is presented.