Informed Consent and Framework of Living Donor Care

2021 ◽  
pp. 25-58
Author(s):  
Anji E. Wall ◽  
Elisa J. Gordon ◽  
Rebecca E. Hays
Keyword(s):  
Informed Consent ◽  
Living Donor

Join the Lone Kidney Club: incentivising live organ donation

2020 ◽  
pp. medethics-2019-105999
Author(s):  
Annet Glas
Keyword(s):  
Informed Consent ◽  
Organ Donation ◽  
Living Donor ◽  
Organ Procurement ◽  
Organ Transplant ◽  
Live Organ Donation ◽  
Regulatory Frameworks ◽  
Attractive Option ◽  
Patient Groups ◽  
Procurement System

Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient non-maleficence. Only a few legal and regulatory frameworks incentivise LOD, with the key exception of Israel’s Organ Transplant Law, which has produced significant improvements in organ donation rates. Therefore, I propose an organ procurement system that incentivises LOD by allocating additional priority points to the living donor on any transplant waiting list. I outline benefits and challenges for potential recipients, donors and society at large, and suggest measures to ensure medical protection of marginalised patient groups.

A Multidisciplinary Program to Educate and Advocate for Living Donors

2008 ◽  
Vol 18 (4) ◽  
pp. 284-289 ◽  
Author(s):  
Anita K. Sites ◽  
Jason R. Freeman ◽  
Michael R. Harper ◽  
David B. Waters ◽  
Timothy L. Pruett
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Organ Donation ◽  
Living Donor ◽  
Living Donors ◽  
Informed Consent Process ◽  
Consent Process ◽  
University Of Virginia ◽  
Multidisciplinary Program ◽  
The University

Education is critical in decision making and the informed consent process in prospective living donors. Little has been written about how and what living donors should be taught. This article describes a multidisciplinary program for living donor education at the University of Virginia. The goals of the program are to impart information needed for prospective donors to make an informed decision and to independently evaluate donors' medical and psychosocial suitability. A partnership between the transplant department and an independent donor advocacy team establishes an environment conducive to education. By embracing independence, transparency, partnership, and advocacy, our program permits bidirectional education. This partnership facilitates unbiased understanding and appreciation of this education and considers each individual's unique circumstances when making informed decisions. Likewise, prospective donors educate the team about their circumstances, which helps the team safeguard the prospective donor and may enhance the safety of prospective donors and the perceived integrity of living organ donation.

A living donor with low intelligence: Can we obtain informed consent?

Surgery ◽  
2012 ◽  
Vol 152 (5) ◽  
pp. 911-914
Author(s):  
Leah Givens ◽  
Barry A. Hong ◽  
Jason R. Wellen ◽  
Nicole J. Werner ◽  
Ira J. Kodner ◽  
...  
Keyword(s):  
Informed Consent ◽  
Living Donor

Tools and Resources: Web Sites of Interest

2001 ◽  
Vol 6 (2) ◽  
pp. 6-8
Author(s):  
Christopher R. Brigham
Keyword(s):  
Informed Consent ◽  
Physical Examination ◽  
Functional Status ◽  
Web Sites ◽  
Satisfaction Survey ◽  
High Quality ◽  
Diagnostic Studies ◽  
Physician Relationship ◽  
Complete History

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, explains that independent medical evaluations (IMEs) are not the same as impairment evaluations, and the evaluation must be designed to provide the data to answer the questions asked by the requesting client. This article continues discussions from the September/October issue of The Guides Newsletter and examines what occurs after the examinee arrives in the physician's office. First are orientation and obtaining informed consent, and the examinee must understand that there is no patient–physician relationship and the physician will not provide treatment bur rather will send a report to the client who requested the IME. Many physicians ask the examinee to complete a questionnaire and a series of pain inventories before the interview. Typical elements of a complete history are shown in a table. An equally detailed physical examination follows a meticulous history, and standardized forms for reporting these findings are useful. Pain and functional status inventories may supplement the evaluation, and the examining physician examines radiographic and diagnostic studies. The physician informs the interviewee when the evaluation is complete and, without discussing the findings, asks the examinee to complete a satisfaction survey and reviews the latter to identify and rectify any issues before the examinee leaves. A future article will discuss high-quality IME reports.

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