scholarly journals Organ donation after euthanasia starting at home in a patient with multiple system atrophy

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Najat Tajaâte ◽  
Nathalie van Dijk ◽  
Elien Pragt ◽  
David Shaw ◽  
A. Kempener-Deguelle ◽  
...  
Keyword(s):  
The Netherlands ◽  
Multiple System Atrophy ◽  
Organ Donation ◽  
Operating Room ◽  
Circulatory Arrest ◽  
Illustrative Case ◽  
Ethical Considerations ◽  
Case Presentation ◽  
Combined Procedure ◽  
At Home

Abstract Background A patient who fulfils the due diligence requirements for euthanasia, and is medically suitable, is able to donate his organs after euthanasia in Belgium, the Netherlands and Canada. Since 2012, more than 70 patients have undergone this combined procedure in the Netherlands. Even though all patients who undergo euthanasia are suffering hopelessly and unbearably, some of these patients are nevertheless willing to help others in need of an organ. Organ donation after euthanasia is a so-called donation after circulatory death (DCD), Maastricht category III procedure, which takes place following cardiac arrest, comparable to donation after withdrawal of life sustaining therapy in critically ill patients. To minimize the period of organ ischemia, the patient is transported to the operating room immediately after the legally mandated no-touch period of 5 min following circulatory arrest. This means that the organ donation procedure following euthanasia must take place in the hospital, which appears to be insurmountable to many patients who are willing to donate, since they already spent a lot of time in the hospital. Case presentation This article describes the procedure of organ donation after euthanasia starting at home (ODAEH) following anesthesia in a former health care professional suffering from multiple system atrophy. This case is unique for at least two reasons. He spent his last conscious hours surrounded by his family at home, after which he underwent general anaesthesia and was intubated, before being transported to the hospital for euthanasia and organ donation. In addition, the patient explicitly requested the euthanasia to be performed in the preparation room, next to the operating room, in order to limit the period of organ ischemia due to transport time from the intensive care unit to the operating room. The medical, legal and ethical considerations related to this illustrative case are subsequently discussed. Conclusions Organ donation after euthanasia is a pure act of altruism. This combined procedure can also be performed after the patient has been anesthetized at home and during transportation to the hospital.

Family perspectives on organ and tissue donation for transplantation: A principlist analysis

2017 ◽  
Vol 25 (8) ◽  
pp. 1041-1050
Author(s):  
Marcelo José dos Santos ◽  
Lydia Feito
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Sao Paulo ◽  
Tissue Donation ◽  
São Paulo ◽  
Ethical Considerations ◽  
Donation Process ◽  
The Family ◽  
Organ Procurement Organizations ◽  
Family Interview

Background: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. Objective: This study aims to analyze the family interview process with a focus on principlist bioethics. Method: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: “Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not.” For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. Participants: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. Ethical considerations: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. Results: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. Discussion: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. Conclusion: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

Private Trade and Elite Privilege. The Trial of Nicolaas Schaghen, Director of Bengal

Itinerario ◽  
1996 ◽  
Vol 20 (3) ◽  
pp. 69-86 ◽  
Author(s):  
Pamela McVay
Keyword(s):  
The Netherlands ◽  
Board Of Directors ◽  
East India Company ◽  
Dutch East India Company ◽  
High Court ◽  
East Indies ◽  
Hands On ◽  
Dutch East Indies ◽  
At Home

It is common wisdom among the historians of the Dutch East Indies that everyone in the Dutch East India Company engaged in private trade. That is, ‘everyone’ traded in goods supposedly monopolized by the Company and ‘everyone’ abused his or her position to squeeze graft from the Company's trade. It was, supposedly, to get their hands on the private trade and graft that people joined the Dutch East India Company (VOC: Vereenigde Oost-Indische Compagnie) in the first place. But back in the Netherlands the VOC's Board of Directors (the Heeren XVII) objected vociferously to private trade, which drained Company profits and shareholder revenue. To appease the Heeren XVII back at home, the various Governors-General and Councillors of the Indies (Raad van Indië), who represented the Heeren XVII in Asia, issued annual placards forbidding private trade while the High Court (Raad van Justitie) carried out infrequent desultory trials for private trade. But these prosecutions were inevitably doomed to failure, so the story goes, because everyone engaged in private trade would ‘cover’ for everyone else.

De windmolen

2020 ◽  
Vol 5 (1) ◽  
pp. 17-32
Author(s):  
JOS BAZELMANS
Keyword(s):  
The Netherlands ◽  
19Th Century ◽  
Turn Of The Century ◽  
The 19Th Century ◽  
First Time ◽  
At Home

The windmill. The origins of a Dutch icon The windmill is an icon of the Netherlands. But when did this instrument acquire this symbolic role at home and abroad? After all, mills are also common outside of the Netherlands. In this essay, it is argued that during the second half of the 19th century, foreigners systematically identified the Netherlands and the windmill for the first time. More than in other countries, there was a varied use of mills in the Netherlands, large and robust mills and clusters of industrial mills. Within the Netherlands itself, development towards an iconic position is only visible around the turn of the century when the mill turned out to be a plus in tourist recruitment abroad and when mills were slowly disappearing from the landscape.

scholarly journals Organ donation after medical assistance in dying at home

2018 ◽  
Vol 190 (44) ◽  
pp. E1305-E1306
Author(s):  
Johannes Mulder ◽  
Johan P.C. Sonneveld
Keyword(s):  
Organ Donation ◽  
Medical Assistance ◽  
Medical Assistance In Dying ◽  
Dying At Home ◽  
At Home

scholarly journals NAČRTOVAN POROD NA DOMU: PREGLEDNI ČLANEK

2016 ◽  
Vol 85 (3) ◽  
Author(s):  
Tamara Serdinšek ◽  
Iztok Takač
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Home Birth ◽  
The United States ◽  
Home Births ◽  
Mortality And Morbidity ◽  
Advantages And Disadvantages ◽  
Birth Attendants ◽  
Definition Of ◽  
At Home

Background: Home birth is as old as humanity, but still most middle- and high-income countries consider hospitals as the safest birth settings, as complications regarding birth are highly unpredictable. Despite this there are a few countries in which home birth in integrated into official healthcare system (the Netherlands, United Kingdom, Canada etc.). Home births can be divided into unplanned and planned, and the latter can be further categorized by the presence of the birth attendants. This review focuses on planned home births, which are differently represented throughout the world. In the United States 0.6-1.0% of all children are born at home, in the United Kingdom 2-3%, in Canada 1.6% and in the Netherlands 20-30%. For Slovenia, the number of planned home births is unknown; however, in 2010 0.1% of children were born outside medical facilities.Conclusions: The safety of home birth in still under the debate. While research confirms smaller number of obstetric interventions and some complications in mothers who give birth at home, the data regarding the neonatal and perinatal mortality and morbidity is still conflicting. This confirms the need for large multicentric trials in this field. Current home birth guidelines emphasize that women should be well informed regarding the possible advantages and disadvantages of home births. In addition, the emphasis is on definition of selection criteria for home birth, indications for intrapartal transfer to the hospital and appropriate education of birth attendants. 

Organ Donation After Euthanasia Starting at Home Is Feasible—Reply

JAMA Surgery ◽  
2021 ◽  
Author(s):  
Marjolein van Reeven ◽  
Jan N. M. IJzermans ◽  
Wojciech G. Polak
Keyword(s):  
Organ Donation ◽  
At Home

E-Health at Home

2011 ◽  
pp. 441-465
Author(s):  
Juan José Andrés Gutiérrez ◽  
Esteban Pérez-Castrejón ◽  
Ana Isabel Calvo-Alcalde ◽  
Jesús Vegas ◽  
Miguel Ángel González
Keyword(s):  
Present Situation ◽  
General Idea ◽  
Current Status ◽  
General Description ◽  
Ethical Considerations ◽  
Privacy And Security ◽  
Information Recovery ◽  
Digital Home ◽  
Legal Situation ◽  
At Home

Chapter 26 describes the present situation of E-Health at home taking into account legal, privacy and security aspects. As a first step, some background and a general description of E-Health activities at home are presented. In order to have a general idea of the current status of this field, we analyze the general legal situation in terms of ICT for E-Health and several related issues on data mining privacy and information recovery aspects. The topics covered include the taxonomy for secondary uses of clinical data and a description of the role that controlled vocabularies play. Concerning the provision of E-Health at home, the chapter revises the current situation in the digital home evolution including topics on sensors and sanitary devices. Furthermore the challenge of digital identity at home and the differences between the domestic environment and the professional one are considered. Finally some ethical considerations under the "InfoEthics" concept and future lines of work are addressed.

Organ Donation Registration and Decision-Making Among Current Blood Donors in the Netherlands

2017 ◽  
Vol 27 (3) ◽  
pp. 266-272 ◽  
Author(s):  
Eva-Maria Merz ◽  
Katja van den Hurk ◽  
Wim L.A.M. de Kort
Keyword(s):  
The Netherlands ◽  
Organ Donation ◽  
Cultural Context ◽  
Blood Donors ◽  
Research Question ◽  
Organ Donor ◽  
Information Provision ◽  
Personal Factors ◽  
Organ Donations ◽  
Donor Population

Introduction: In the Netherlands, there is a constant shortage in donor organs, resulting in long waiting lists. The decision to register as organ donor is associated with several demographic, cultural, and personal factors. Previous research on attitudes and motivations toward blood and organ donations provided similar results. Research Question: The current study investigated demographic, cultural, and personal determinants of organ donation registration among current Dutch blood donors. Design: We used data from Donor InSight (2012; N = 20 063), a cohort study among Dutch blood donors, to test whether age, gender, religious and political preferences, donor attitude, and altruism predicted organ donor registration among current blood donors. Results: Organ donors were more often represented in the blood donor population compared to the general Dutch population. Women showed a higher propensity to be registered as organ donor. Higher education as well as higher prosocial value orientation, prosocial behavior, that is, doing volunteer work, and awareness of need significantly associated with being registered as organ donor. Religious denomination negatively predicted organ donation registration across all faiths. Discussion: Results are discussed in light of cultural context, and possible implications for improving information provision and recruitment are mentioned.

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