NEVER SAY DIE IN ORGAN TRANSPLANTATION

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. A43-A43
Keyword(s):  
Organ Transplantation ◽  
Organ Donor ◽  
Front Door ◽  
The Family

. . . The family of an organ donor arrived at the home of a recipient on the donor's birthday. They wanted to hold a small celebration in the proximity of their loved one's liver. In another incident a woman turned up at a heart recipient's front door with a stethoscope. For "just one last time" she begged to hear her husband's heartbeat.

scholarly journals Real-Time Healthcare Intelligence in Organ Transplantation

2018 ◽  
pp. 128-152
Author(s):  
Bruno Fernandes ◽  
Cecília Coimbra ◽  
António Abelha
Keyword(s):  
Decision Making ◽  
Organ Transplantation ◽  
Organ Donor ◽  
Decision Making Process ◽  
Organ Donors ◽  
Potential Organ Donor ◽  
Critical Areas ◽  
Deceased Donors ◽  
End Stage ◽  
Donor Criteria

Organ transplantation is the best and often the only treatment for patients with end-stage organ failure. However, the universal shortage of deceased donors results in a worrying situation that must be addressed. Brain dead donors constitute the largest share of organ donors, but identifying a patient that may progress to brain death can be a complex task. Therefore, the urgent need of intelligent solutions to support the decision-making process is crucial in critical areas as the organ transplantation is. This work aims at acquiring knowledge on the potential organ donor criteria for further detection and implementing a platform to assist the process of identification of potential organ donors at Centro Hospitalar do Porto – Hospital de Santo António. The developed system is currently implemented and displays a steady and competent behavior providing consequently a way to have more control of the information needed for the decision-making process

scholarly journals Knowledge and attitude of law, medicine, and mass-communication students towards deceased organ donation

2020 ◽  
Vol 8 (1) ◽  
pp. 22
Author(s):  
Pragya Paneru ◽  
Shyam S. Budhathoki ◽  
Samyog Uprety ◽  
Birendra K. Yadav ◽  
Rashmi Mulmi ◽  
...  
Keyword(s):  
Organ Donation ◽  
Organ Failure ◽  
Organ Transplantation ◽  
Mass Communication ◽  
Organ Donor ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Deceased Organ Donation ◽  
Knowledge And Attitude

Background: With the global increase in the incidence organ failure and subsequent advancement in the medical technology, organ transplantation is growing as the best choice of treatment among the patients with various kinds of organ failure. However, the rate of deceased organ donation is relatively low in South-East Asia regions, including Nepal. This has created a mismatch between the demand and supply of organs for transplantation. World Health Organization encourages organ transplantation from a deceased organ donor as there is no risk to the donor. Thus, this paper aimed to assess knowledge and attitude of literate group specifically towards deceased organ donation.Methods: This was a cross-sectional study conducted among 299 students selected conveniently from medicine, law, and mass communication streams from 9 different colleges (3 colleges from each stream) of Kathmandu. Data was collected through a self-administered questionnaire. Knowledge level was classified into three different categories based on obtained scores and attitude was analyzed based on five-point Likert scale.Results: Almost half (48.8%) of the respondents while only 7% had high level of knowledge on the organ donation and transplantation. Similarly, 95% of the people had positive attitude towards organ donation. However, there was a weak correlation between knowledge and attitude of the respondents. None of the respondents carried an organ donation card.Conclusions: There is a need to plan robust strategies to educate people on organ donation so that they can make pragmatic decisions to register their names for deceased organ donation.

Learning Through Make-Believe Play

2001 ◽  
Author(s):  
Laura E. Berk
Keyword(s):  
Child Care ◽  
Care Center ◽  
Child Care Center ◽  
Teddy Bear ◽  
Front Door ◽  
The Family ◽  
University Professor ◽  
Two Sides ◽  
Lying Down

Two days a week, Kevin leaves his office 45 minutes early to take charge of his 2-year-old daughter, Sophie, while her mother, a university professor, teaches a late class. One balmy spring afternoon, Kevin retrieved Sophie at her child-care center and drove the 15-minute route home. Invited to look in on Sophie’s play, I met the pair at the front door and nestled into a rocking chair from which to observe unobtrusively. After downing the last bite of her snack, Sophie grabbed Kevin’s hand and led him across the family room to a rug lined on two sides by shelves filled with books, stuffed animals, and other play props. Sophie moved a toy horse and cow inside a small, enclosed fence that she and Kevin had put together the day before. Then she turned the animals on their sides and moved them toward each other. “Why are horse and cow lying down?” Kevin asked. “’Cause they’re tired,” Sophie answered, pushing the two animals closer together. “Oh, yes,” Kevin affirmed. Then, building on Sophie’s theme, he placed a teddy bear on another part of the rug and offered, “I think Ted’s tired, too. I’m going to start a bed over here for some other animals.” Sophie turned toward the teddy bear, lifted his paw, and exclaimed, “She wants a lollipop to hold in her hand!” “A lollipop in her hand? We haven’t got any lollipops, have we?” answered Kevin. “Laura has!” declared Sophie, glancing at me. “Has Laura got a lollipop?” Kevin queried. “Yes! She’s got all of those, and a swing and a table, too!” Sophie remarked, referring to my chair, which rocked back and forth next to an end table. “Maybe this could be a make-believe lollipop,” suggested Kevin, placing a round piece on the end of a long TinkerToy stick and handing the structure to Sophie “That’s a lollipop,” agreed Sophie, placing it in the paw of the teddy bear. “Can she suck that while she’s going off to sleep?” asked Kevin. “Do you think that’s what she wants?” “It’s a pacifier,” explained Sophie, renaming the object.

scholarly journals Muslim transplant recipients’ family experiences following organ transplantation

2019 ◽  
Vol 24 (5) ◽  
pp. 291-302
Author(s):  
Zahra Sheikhalipour ◽  
Vahid Zamanzadeh ◽  
Leili Borimnejad ◽  
Sarah E Newton ◽  
Leila Valizadeh
Keyword(s):  
Transplant Recipient ◽  
Organ Transplantation ◽  
Family Relationships ◽  
Organ Transplant ◽  
Phenomenological Approach ◽  
Transplant Recipients ◽  
Structured Interviews ◽  
Family Experience ◽  
Family Experiences ◽  
The Family

Background Despite the importance of family and its relationship to positive transplant outcomes, little is known about family experiences following organ transplantation from the perspective of the transplant recipients. The literature is also devoid of information that describes the family experiences of Muslim transplant recipients. Aims The purpose of this study was to describe Muslim transplant recipients’ family experiences following organ transplantation. Methods A hermeneutical phenomenological approach was employed to determine the emergent themes present in the data. The sample was composed of 12 Muslim organ transplant recipients (heart, kidney and liver) living in Iran. Semi-structured interviews were conducted with each participant. Results The primary constitutive pattern that emerged from the interview data was ‘Altered Family Relationships’ and three themes: fear in relationships, abnormal relationships, and the family at the centre of organ transplant issues. Conclusions There are several important findings in this study, notably that Muslim transplant recipients describe their family experiences following organ transplantation as ‘altered’ and not as they were pre-transplant. More research is needed that focuses on the family experience post-transplant, and how Muslim transplant recipient families are impacted by the transplant experience.

Moral Agency and the Family: The Case of Living Related Organ Transplantation

1999 ◽  
Vol 8 (3) ◽  
pp. 275-287 ◽  
Author(s):  
ROBERT A. CROUCH ◽  
CARL ELLIOTT
Keyword(s):  
Organ Transplantation ◽  
Moral Agency ◽  
Healthy Donors ◽  
The Family ◽  
Conventional Models ◽  
Living Related

Living related organ transplantation is morally problematic for two reasons. First, it requires surgeons to perform nontherapeutic, even dangerous procedures on healthy donors—and in the case of children, without their consent. Second, the transplant donor and recipient are often intimately related to each other, as parent and child, or as siblings. These relationships challenge our conventional models of medical decisionmaking. Is there anything morally problematic about a parent allowing the interests of one child to be risked for the sake of another? What exactly are the interests of the prospective child donor whose sibling will die without an organ? Is the choice of a parent to take risks for the sake of her child truly free, or is the specter of coercion necessarily raised?

Organ Donor Care MAP: A Multidisciplinary Approach

1996 ◽  
Vol 6 (3) ◽  
pp. 101-104
Author(s):  
Mary Holmquist
Keyword(s):  
Family Support ◽  
Multidisciplinary Approach ◽  
Organ Procurement ◽  
Medical Center ◽  
Action Plan ◽  
Organ Donor ◽  
Time Frame ◽  
Organ Procurement Organization ◽  
Potential Organ Donor ◽  
The Family

A Care Multidisciplinary Action Plan was developed at a 300-bed rural medical center in 1994. Once a potential organ donor is identified and referred to the organ procurement organization and the family has consented to donation, the ICU nurse initiates the Care Multidisciplinary Action Plan, which is based on an 8-hour time frame for ICU care that may be adjusted as needed. The first hour includes prompts for coroner notification, billing changes, and completion of hospital-specific death notice forms. The remaining hours are spent administering tests and preparing the donor for organ retrieval. Collaborative issues such as donor family support also are addressed. ICU nurses who used the donor care Multidisciplinary Action Plan were interviewed to determine its effectiveness.

scholarly journals Family-Based Consent to Organ Transplantation: A Cross-Cultural Exploration

2019 ◽  
Vol 44 (5) ◽  
pp. 521-533
Author(s):  
Mark J Cherry ◽  
Ruiping Fan ◽  
Kelly Kate Evans
Keyword(s):  
Organ Transplantation ◽  
Organ Procurement ◽  
Cross Cultural ◽  
Care Practice ◽  
Human Flourishing ◽  
Health Care Practice ◽  
Individual Good ◽  
Medicine And Philosophy ◽  
The Family ◽  
Family Based

Abstract This special thematic issue of The Journal of Medicine and Philosophy brings together a cross-cultural set of scholars from Asia, Europe, and North America critically to explore foundational questions of familial authority and the implications of such findings for organ procurement policies designed to increase access to transplantation. The substantial disparity between the available supply of human organs and demand for organ transplantation creates significant pressure to manipulate public policy to increase organ procurement. As the articles in this issue explore, however, even if well intentioned, the desire to maximize organ procurement does not justify undermining foundational elements of human flourishing, such as the family. While defending at times quite different understandings of autonomy, informed consent, and familial authority, each author makes clear that a principled appreciation of the family is necessary. Otherwise, health care practice will treat the family in a cynical and instrumental fashion unlikely to support social or individual good.

Children, Youth, Elders. Re-linking the Generations

1990 ◽  
Vol 15 (2) ◽  
pp. 19-23
Author(s):  
Don Edgar
Keyword(s):  
Family Policy ◽  
Family Studies ◽  
Front Door ◽  
Australian Institute ◽  
Static Image ◽  
Parents And Children ◽  
The Family ◽  
Living Together ◽  
The One ◽  
Patterns Of Interaction

Since the Australian Institute of Family Studies was established in 1980, we have kept in mind two slogans about family links and supports: ‘Every individual has a family’; and ‘The family does not stop at the front door’. What we meant was that family policy cannot be based solely on a static image of parents and children living together under the one roof.Most families start off as a couple, then go through a stage of parents and children living in one household. But once the children have grown and gone, does the couple no longer have a family? If the parents separate or divorce, do the children not have any family? When a partner dies or the children are grown, the family still exists, though the patterns of interaction have changed. Thus family policy has to address the nature of these interactions, across households and across time.

scholarly journals A Gift of Generosity—An Explanation of Organ and Tissue Donation and Transplantation for Muslim Audiences

Religions ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 815
Author(s):  
Mohammad Abdus Sayek Khan
Keyword(s):  
Organ Donation ◽  
Life Support ◽  
Organ Donor ◽  
Tissue Donation ◽  
Loved One ◽  
Organ And Tissue Donation ◽  
Lack Of Information ◽  
The Family ◽  
End Stage

Diseased Organ and tissue donation and transplantation entails removing organ and tissues from someone (the donor) and transplanting them into another person (the recipient). Transplanting organs and tissues from one person hold the capacity to save or significantly improve the quality of life of multiple recipients. This is a rare opportunity for one to become an organ donor. In 2018, Australia had a population of 24.99 million. A total of 160,909 lives were lost that year; almost half of this death occurred in hospitals. However, a person may only be able to become a donor if their death occurs in a particular way and fulfils a defined set of special criteria—for example, while on the life support machine in an intensive care unit. Because of this, only 1211 people out of the large number of lives lost in 2018 were eligible to be potential organ donors. This is one of reasons we encourage everybody to consider the virtues of organ and tissue donation in any end-of-life discussion. Diseased organ donation occurs only when the clinician is certain that the person has died. The death is diagnosed by neurological criteria or by circulatory criteria which are discussed in detail in the article. This is an unconditional altruistic and non-commercial act. A large number of people are waiting on transplant list in Australia who are suffering from end stage organ failure; some of them will die waiting unless one receives an organ transplantation. Australians are known to be highly generous people. That is why 98% of Australian say ‘Yes’ to become an organ donor when they die. But in reality, only about 64% of families consent for organ donation on an average. There are widespread misconceptions and myths about this subject, mostly due to lack of information and knowledge. I have attempted to explain the steps of diseased organ donation in this article which, hopefully will be able to break some of those misconceptions. I have avoided to discuss living donation which is entirely a different subject. I have only touched on Islamic perspective of organ donation here as multiple Islamic scholars are going to shed lights here. We encourage everybody to ‘Discover’ the facts about organ and tissue donation, to make an informed ‘Decision’ and ‘Discuss’ this with the family. If the family knows the wishes of the loved one, it makes their decision-making process much easier during such a devastating and stressful time.

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