Social Work Interventions with Living Related Liver Donors: The Implications for Practice

2005 ◽  
Vol 15 (4) ◽  
pp. 353-362 ◽  
Author(s):  
Kelli Kalimi Schnurman ◽  
Felice Zilberfein ◽  
Antonia Augurt ◽  
Mary Brosnan ◽  
Yu Mee Song
Keyword(s):  
Social Work ◽  
Organ Transplant ◽  
Extensive Study ◽  
Organ Donors ◽  
Psychosocial Issues ◽  
End Stage ◽  
Living Related ◽  
Social Work Interventions ◽  
Interview Questionnaire

Living related liver donations are increasingly used to address the lack of organs available to patients faced with end-stage liver disease. A significant need exists for enhanced psychosocial intervention for donors. We sought to explore donor reactions by assessing psychosocial issues after donation. A descriptive review of donors was undertaken. The overall incidence of psychosocial issues after donation was examined by using a uniform interview questionnaire and by anecdotal case studies. Responses tend to indicate a general positive reaction to donation; yet, findings suggest a need for more preparation in the predonor stage, 100% social work follow-up after donation to provide needed support services, and inclusion of the donor as a critical partner in organ transplant treatment. A more extensive study drawing on the questionnaire may offer a standardized approach to the treatment of organ donors.

scholarly journals Commercial renal transplantation: A risky venture? A single Canadian centre experience

2013 ◽  
Vol 5 (5) ◽  
pp. 335
Author(s):  
Anil Kapoor ◽  
Kevin G. Kwan ◽  
J. Paul Whelan
Keyword(s):  
Renal Transplantation ◽  
Deceased Donor ◽  
Infectious Complications ◽  
Goal Directed Therapy ◽  
Stage Renal Disease ◽  
End Stage ◽  
Living Related ◽  
Donor Criteria ◽  
Developed Nations

Background: Canada, akin to other developed nations, faces thegrowing challenges of end-stage renal disease (ESRD). Even withexpanded donor criteria for renal transplantation (the treatment ofchoice for ESRD), the supply of kidneys is outpaced by the escalatingdemand. Remuneration for kidney donation is proscribedin Canada. Without an option of living-related transplantation(biological or emotional donors), patients often struggle with longwaiting lists for deceased donor transplantation. Accordingly, manypatients are now opting for more expedient avenues to obtaininga renal transplant. Through commercial organ retrieval programs,from living and deceased donors, patients are travelling outsideCanada to have the procedure performed.Methods: Between September 2001 and July 2007, 10 patients (7males, 3 females) underwent commercial renal transplantation outsideCanada. We describe the clinical outcomes of these patientsmanaged postoperatively at our single Canadian transplant centre.Results: Six living unrelated and 4 deceased donor renal transplantationswere performed on these 10 patients (mean age49.5 years). All procedures were performed in developing countriesand the postoperative complications were subsequently treatedat our centre. The mean post-transplant serum creatinine was142 mmol/L. The average follow-up time was 29.8 months (range:3 to 73 months). One patient required a transplant nephrectomysecondary to fungemia and subsequently died. One patient had afailed transplant and has currently resumed hemodialysis. Acuterejection was seen in 5 patients with 3 of these patients requiringre-initiation of hemodialysis. Only 1 patient had an uncomplicatedcourse after surgery.Discussion: Despite the kidney trade being a milieu of corruptionand commercialization, and the high risk of unconventionalcomplications, patients returning to Canada after commercial renaltransplantation are the new reality. Patients are often arriving withoutany documentation; therefore, timely, goal-directed therapy forsurgical and infectious complications is frequently delayed becauseof the time taken to establish an accurate diagnosis. Refuting theexistence of commercial renal transplantation may not be a practicalsolution; more consistent communication and documentationwith transplant teams may be more pragmatic. In the current climate,patients considering the option of overseas commercial renaltransplantation should be advised of the potential increased risks.

Social work interventions with living related liver donors: the implications for practice

2005 ◽  
Vol 15 (4) ◽  
pp. 353-362
Author(s):  
Kelli Schnurman ◽  
Felice Zilberfein ◽  
Antonia Augurt ◽  
Mary Brosnan ◽  
Yu Song
Keyword(s):  
Social Work ◽  
Living Related ◽  
Social Work Interventions ◽  
Liver Donors

Listening to the Voices of Individuals with Disabilities

1998 ◽  
Vol 79 (2) ◽  
pp. 188-196 ◽  
Author(s):  
Stephen French Gilson ◽  
John C. Bricout ◽  
Frank R. Baskind
Keyword(s):  
Social Work ◽  
Exploratory Study ◽  
Personal Experience ◽  
Work Practice ◽  
Social Work Practice ◽  
Fundamental Rights ◽  
Individuals With Disabilities ◽  
Research And Practice ◽  
The Social

Social work literature, research, and practice on disabilities has lagged behind other topical areas dealing with oppressed groups. The social work literature remains “expert focused” and generally fragmented into discussions of specific disabilities or subpopulations. A viable general model that deals with the personal experience of disability is not available. This exploratory study presents a social work literature search and analysis as well as interviews with six individuals with disabilities about their experiences with social workers. Individuals with disabilities assert that they were treated as though they had categorically fewer aspirations, abilities, and perhaps even fundamental rights than did nondisabled people. This study provides a base for follow-up research on models of consumer-focused social work practice in the area of disability.

Social Work and Follow up to Graduates at the Universidad Tecnica de Manabí

2017 ◽  
Vol 4 (3) ◽  
pp. 12
Author(s):  
Leila Álava Barreiro ◽  
Fabián Gustavo Menéndez Menéndez ◽  
Eva Alcívar Medranda ◽  
Karol Liceth Pico Sornoza
Keyword(s):  
Social Work ◽  
Clear Statement ◽  
Basic Content

A well-prepared abstract enables the reader to identify the basic content of a document quickly and accurately, to determine its relevance to their interests, and thus to decide whether to read the document in its entirety. The Abstract should be informative and completely self-explanatory, provide a clear statement of the problem, the proposed approach or solution, and point out major findings and conclusions...

scholarly journals Endovascular mechanical thrombectomy and stenting in a case of central vein thrombosis

2021 ◽  
Vol 14 (2) ◽  
pp. e236508
Author(s):  
Rajesh Vijayvergiya ◽  
Navjyot Kaur ◽  
Saroj K Sahoo ◽  
Ashish Sharma
Keyword(s):  
Mechanical Thrombectomy ◽  
Transluminal Angioplasty ◽  
Brachiocephalic Vein ◽  
Central Vein ◽  
Vein Thrombosis ◽  
Catheter Directed Thrombolysis ◽  
Stage Renal Disease ◽  
End Stage ◽  
Vein Stenosis

Central vein stenosis and thrombosis are frequent in patients on haemodialysis for end-stage renal disease. Its management includes anticoagulation, systemic or catheter-directed thrombolysis, mechanical thrombectomy and percutaneous transluminal angioplasty (PTA). Use of mechanical thrombectomy in central vein thrombosis has been scarcely reported. We hereby report a case of right brachiocephalic vein thrombosis with underlying stenosis, which was successfully treated by mechanical thrombectomy followed by PTA and stenting. The patient had a favourable 10 months of follow-up.

Coronary sinus catalase and ceruloplasmin levels predict all-cause mortality in patients with end-stage heart failure awaiting heart transplantation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
W Szczurek ◽  
M Gasior ◽  
M Skrzypek ◽  
G Kubiak ◽  
A Kuczaj ◽  
...  
Keyword(s):  
Heart Failure ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Public Institution ◽  
Funding Source ◽  
Organ Shortage ◽  
Number Of Patients ◽  
End Stage ◽  
Medical University

Abstract   Background, As a consequence of the worldwide increase in life expectancy and due to significant progress in the pharmacological and interventional treatment of heart failure (HF), the proportion of patients that reach an advanced phase of disease is steadily growing. Hence, more and more numerous group of patients is qualified to the heart transplantation (HT), whereas the number of potential heart donors has remained invariable since years. It contributes to deepening in disproportion between the demand for organs which can possibly be transplanted and number of patients awaiting on the HT list. Therefore, accurate identification of patients who are most likely to benefit from HT is imperative due to an organ shortage and perioperative complications. Purpose The aim of this study was to identify the factors associated with reduced survival during a 1.5-year follow-up in patients with end-stage HF awating HT. Method We propectively analysed 85 adult patients with end-stage HF, who were accepted for HT at our institution between 2015 and 2016. During right heart catheterization, 10 ml of coronary sinus blood was additionally collected to determine the panel of oxidative stress markers. Oxidative-antioxidant balance markers included glutathione reductase (GR), glutathione peroxidase (GPx), glutathione transferase (GST), superoxide dismutase (SOD) and its mitochondrial isoenzyme (MnSOD) and cytoplasmic (Cu/ZnSOD), catalase (CAT), malondialdehyde (MDA), hydroperoxides lipid (LPH), lipofuscin (LPS), sulfhydryl groups (SH-), ceruloplasmin (CR). The study protocol was approved by the ethics committee of the Medical University of Silesia in Katowice. The endpoint of the study was mortality from any cause during a 1.5 years follow-up. Results The median age of the patients was 53.0 (43.0–56.0) years and 90.6% of them were male. All included patients were treated optimally in accordance with the guidelines of the European Society of Cardiology. Mortality rate during the follow-up period was 40%. Multivariate logistic regression analysis showed that ceruloplasmin (odds ratio [OR] = 0.745 [0.565–0.981], p=0.0363), catalase (OR = 0.950 [0.915–0.98], p=0.0076), as well as high creatinine levels (OR = 1.071 [1.002–1.144], p=0.0422) were risk factors for death during 1.5 year follow-up. Conclusions Coronary sinus lower ceruloplasmin and catalase levels, as well as higher creatinine level are independently associated with death during 1.5 year follow-up. Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Medical University of SIlesia, Katowice, POland

scholarly journals Oncology social work intervention index (OSWii): An instrument to measure oncology social work interventions to advance research

2020 ◽  
pp. 1-12
Author(s):  
Julianne S. Oktay ◽  
Elizabeth A. Rohan ◽  
Karen Burruss ◽  
Christine Callahan ◽  
Tara J. Schapmire ◽  
...  
Keyword(s):  
Social Work ◽  
Oncology Social Work ◽  
Work Intervention ◽  
Advance Research ◽  
Social Work Interventions

scholarly journals Fertility and Pregnancy in End Stage Kidney Failure Patients and after Renal Transplantation: An Update

2021 ◽  
Vol 2 (2) ◽  
pp. 92-108
Author(s):  
Maurizio Salvadori ◽  
Aris Tsalouchos
Keyword(s):  
Renal Transplantation ◽  
Time Lapse ◽  
Sexual Life ◽  
End Stage Kidney Disease ◽  
Correct Evaluation ◽  
Functional Aspects ◽  
Long Term Follow Up ◽  
End Stage

Sexual life and fertility are compromised in end stage kidney disease both in men and in women. Successful renal transplantation may rapidly recover fertility in the vast majority of patients. Pregnancy modifies anatomical and functional aspects in the kidney and represents a risk of sensitization that may cause acute rejection. Independently from the risks for the graft, pregnancy in kidney transplant may cause preeclampsia, gestational diabetes, preterm delivery, and low birth weight. The nephrologist has a fundamental role in correct counseling, in a correct evaluation of the mother conditions, and in establishing a correct time lapse between transplantation and conception. Additionally, careful attention must be given to the antirejection therapy, avoiding drugs that could be dangerous to the newborn. Due to the possibility of medical complications during pregnancy, a correct follow-up should be exerted. Even if pregnancy in transplant is considered a high risk one, several data and studies document that in the majority of patients, the long-term follow-up and outcomes for the graft may be similar to that of non-pregnant women.

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