If this is a life-threatening emergency, call 911 immediately.
Chest pain, severe difficulty breathing, stroke symptoms, major bleeding, or loss of consciousness require emergency medical services. This page describes non-emergency care delivered at home by skilled nurses.

Understanding Clotting Disorders
What you should know
Clotting disorders — also called coagulopathies or thrombophilias — are conditions where the blood clots too easily, too slowly, or abnormally. Patients with clotting disorders often require lifelong anticoagulation therapy, regular blood monitoring, and careful management of any injuries or surgical procedures.
For patients on warfarin, maintaining the right INR (International Normalized Ratio) level is a constant balancing act. Too low and you risk dangerous clots; too high and you risk uncontrolled bleeding. Diet, other medications, illness, and even seasonal changes can throw levels off.
Our skilled nurses perform regular INR draws at home, communicate results to your physician, and educate you on the factors that affect your clotting levels. For patients on injectable anticoagulants, we teach self-injection technique and monitor for complications. This is ongoing management — not a short-term fix — and having consistent nursing support makes it safer and less stressful.
Warning signs
You may need care if…
Your care plan
How we help at home

Expert care for clotting disorders,
delivered to your home
Our clinicians bring hospital-level expertise to the comfort and safety of where you live.
Common questions
Clotting Disorders — Common Questions
Frequency depends on how stable your levels are. When first starting warfarin or after dose changes, checks may be weekly or even more frequent. Once stable, every 2–4 weeks is typical. Your physician determines the schedule based on your individual response.
The key with warfarin isn't avoiding vitamin K foods entirely — it's keeping your intake consistent. Sudden changes in how much leafy greens, broccoli, or other vitamin K–rich foods you eat can swing your INR. Our nurses provide detailed dietary guidance specific to your medication.
Get help with clotting disorders at home
Our experienced clinicians provide expert cardiovascular care in the comfort of your home. Contact us today to discuss your needs.
For life-threatening emergencies, always call 911.
