Living Kidney Donation among Hispanics: A Qualitative Examination of Barriers and Opportunities

2008 ◽  
Vol 18 (4) ◽  
pp. 243-250 ◽  
Author(s):  
Eusebio M. Alvaro ◽  
Jason T. Siegel ◽  
Dana Turcotte ◽  
Nadra Lisha ◽  
William D. Crano ◽  
...  
Keyword(s):  
Organ Donation ◽  
Living Donor ◽  
Hispanic Americans ◽  
Spanish Language ◽  
Living Kidney Donation ◽  
Knowing That ◽  
Living Organ Donation ◽  
Donation Process ◽  
Barriers And Opportunities ◽  
Minimal Research

Context Despite their increasing need for kidneys and low nonliving donation rates, minimal research has been conducted to ascertain the perceptions of Hispanic Americans about living organ donation and the process of asking for such a donation. Objective To examine perceptions of Hispanics regarding barriers to and benefits of living donation as well as the process of asking someone to be a living donor. Design A qualitative study consisting of 10 focus groups conducted in 2 series. Participants Adult Spanish-language-dominant Hispanic members of the general population of Tucson, Arizona. Results The main barriers to living organ donation were a lack of knowledge or information and fear of the donation process. Knowing that one has helped save or improve another's life was the central benefit. Most participants reported being willing to ask a relative to be a living donor if they were ever in need. Two main responses typified these individuals: no concern about asking because of a strong desire to fight for one's health and for one's family, or asking despite difficulties and concerns about the process. A significant minority of participants indicated they would not ask for a donation, because of either a desire to avoid harming others or the expectation that a relative would initiate an offer.

scholarly journals Living Donation by Individuals with Life-Limiting Conditions

2019 ◽  
Vol 47 (1) ◽  
pp. 112-122 ◽  
Author(s):  
Lainie Friedman Ross ◽  
J. Richard Thistlethwaite
Keyword(s):  
Organ Donation ◽  
Living Donor ◽  
Ethical Issues ◽  
The Other ◽  
Living Donation ◽  
Living Organ Donation ◽  
Healthy Donors ◽  
Donation Process

The traditional living donor was very healthy. However, as the supply-demand gap continues to expand, transplant programs have become more accepting of less healthy donors. This paper focuses on the other extreme, asking whether and when individuals who have life-limiting conditions (LLC) should be considered for living organ donation. We discuss ethical issues raised by 1) donation by individuals with progressive severe debilitating disease for whom there is no ameliorative therapy; and 2) donation by individuals who are imminently dying or would die by the donation process itself.

scholarly journals Development of the National Living Donor Assistance Center: Reducing Financial Disincentives to Living Organ Donation

2014 ◽  
Vol 24 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Patricia H. Warren ◽  
Kimberly A. Gifford ◽  
Barry A. Hong ◽  
Robert M. Merion ◽  
Akinlolu O. Ojo
Keyword(s):  
Organ Donation ◽  
Living Donor ◽  
Living Organ Donation ◽  
Financial Disincentives

Double-Effect Donation Disputed

2021 ◽  
pp. 002436392110381
Author(s):  
Thomas A. Cavanaugh
Keyword(s):  
Organ Donation ◽  
Healthy Individual ◽  
Living Donor ◽  
Double Effect ◽  
Vital Organ ◽  
Dead Donor Rule ◽  
Knowing That ◽  
The Dead ◽  
Living Person ◽  
Do So

In “Double Effect Donation,” Camosy and Vukov argue that “there are circumstances in which it is morally permissible for a healthy individual to donate their organs even though their death is a foreseeable outcome”. They propose that a living donor could ethically donate an entire, singular, vital organ while knowing that this act would result in death. In reply, I argue that it is not ethical for a living person to donate an entire, singular, vital organ. Moreover, mutatis mutandis, it is not ethical for surgeons and others to perform such a deadly operation. For to do so is “intentionally to cause the death of the donor in disposing of his organs”. Such an act violates the dead donor rule which holds that an entire, singular, vital organ may be taken only from a corpse. Contrary to Camosy and Vukov’s claims, double-effect reasoning does not endorse such organ donation.

“Can You Spare an Organ?”: Exploring Hispanic Americans' Willingness to Discuss Living Organ Donation With Loved Ones

2011 ◽  
Vol 26 (8) ◽  
pp. 754-764 ◽  
Author(s):  
Jason T. Siegel ◽  
Eusebio M. Alvaro ◽  
Zachary P. Hohman ◽  
Deborah Maurer
Keyword(s):  
Organ Donation ◽  
Hispanic Americans ◽  
Living Organ Donation

Introduction

2021 ◽  
pp. 1-10
Author(s):  
Martha Gershun ◽  
John D. Lantos
Keyword(s):  
Organ Donation ◽  
Organ Transplantation ◽  
Kidney Transplant ◽  
Living Donor ◽  
Organ Donors ◽  
Current State ◽  
Living Organ Donation ◽  
Professional Study ◽  
Psychological Risks

This chapter presents two very different perspectives on living organ donation — one very specific and personal and one shaped by a lifetime of professional study and experience. The chapter aims to better understand the evolution and current state of organ transplantation, as well as consideration of practices and policies that could increase the willingness and ability of more people to donate. It tells the story of one kidney transplant from a living donor. The donor was unrelated to the recipient and, when she volunteered to donate, she did not even know the recipient. The chapter examines the importance of the story for two reasons: first, it might inspire some people to follow the donor's path and donate, the second reason is that it might goad transplant programs into rethinking their processes for cultivating, evaluating, and then stewarding organ donors. Ultimately, the chapter discusses why the criteria for who could donate expanded. With each expansion, new ethical questions arose about the motivations of donors, the prerogatives of surgeons, and the acceptable levels of physical and psychological risks for donors.

The Imminently Dying Donor

2021 ◽  
pp. 261-284
Author(s):  
Lainie Friedman ◽  
J. Richard Thistlethwaite, Jr
Keyword(s):  
Organ Donation ◽  
Living Donor ◽  
Organ Procurement ◽  
Extreme Case ◽  
Living Donation ◽  
Ethical Norm ◽  
Dead Donor Rule ◽  
Healthy Donors ◽  
Donation Process ◽  
The Individual

As the supply-demand gap for organs for transplantation grows, transplant programs are more accepting of less healthy donors. This chapter focuses on the extreme case: whether and when individuals who have life-limiting conditions (LLC) should be considered for living organ donation. Two types of cases are examined: living donation by individuals with advanced progressive severe debilitating disease for whom there is no ameliorative therapy; and pre-mortem living donation by individuals who are imminently dying or would die of the donation process itself. With appropriate safeguards, some donations by individuals with LLC could be ethical. Pre-mortem donations challenge the dead donor rule (DDR), an ethical norm that prohibits organ procurement until after the individual is dead. The chapter argues that attempts to circumvent the DDR fail to respect the living donor as a patient in his or her own right.

Transplant Coordinators in Germany – Function, Qualification and Options of Education and Certification (Sponsor: Novartis Pharma GmbH, Nürnberg)

2020 ◽  
Vol 08 (01) ◽  
pp. 16-19
Keyword(s):  
Organ Donation ◽  
Donation Process ◽  
Deutsche Stiftung Organtransplantation

AbstractTransplant coordinators play a central role in the coordination of the organ donation process and identification of potential donors in the hospital. Their responsibility is to identify potential donors, report them to the DSO (“Deutsche Stiftung Organtransplantation”).

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