scholarly journals Research on MI in Equipoise: The Case of Living Organ Donation

2012 ◽  
Vol 1 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Allan Zuckoff ◽  
Mary Amanda Dew
Keyword(s):  
Organ Donation ◽  
Psychological Outcomes ◽  
Organ Donors ◽  
Ethical Practice ◽  
Live Organ Donation ◽  
Living Organ Donation ◽  
Do So

Residual ambivalence prior to live organ donation has been shown to predict worse physical and psychological outcomes for the donor following surgery. We are studying whether MI can help individuals who have agreed to become living organ donors to resolve residual ambivalence about their decision. In this situation, ethical practice demands that the counselor take up a stance of equipoise, equally welcoming of strengthened resolve to donate or a decision not to do so. This paper describes our adaptations of MI for this unique applicatio

scholarly journals Living Organ Donor Perspectives and Sources of Hesitancy about COVID-19 Vaccines

Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0002112021
Author(s):  
Meera N. Harhay ◽  
Ann C. Klassen ◽  
Hasan Zaidi ◽  
Michael Mittelman ◽  
Rebecca Bertha ◽  
...  
Keyword(s):  
Social Media ◽  
Organ Donation ◽  
Medical Information ◽  
Organ Donor ◽  
The United States ◽  
Survey Study ◽  
Organ Donors ◽  
Vaccine Acceptance ◽  
Personal Benefit ◽  
Living Organ Donation

Background: Living organ donation declined substantially in the United States during the COVID-19 pandemic due to concerns about donor and transplant candidate safety. COVID-19 vaccines might increase confidence in the safety of living organ donation during the pandemic. We assessed informational preferences and perspectives about COVID-19 vaccines among US living organ donors and prospective donors. Methods: We conducted a national survey study of organ donors and prospective donors on social media platforms between 12/28/2020-2/23/2021. Survey items included multiple choice, visual analog scale, and open-ended responses. We examined associations between information preferences, history of COVID-19 infection, influenza vaccination history and COVID-19 vaccine acceptance using multivariable logistic regression and performed a thematic analysis of open-ended responses. Results: Among 342 respondents from 47 US states and the District of Columbia, 35% were between 51-70 years old, 90% were non-Hispanic white, 87% were women; 82% were living donors (94% kidney) and 18% in evaluation to donate (75% kidney). The majority planned to or had received COVID-19 vaccination (77%), whereas 11% did not plan to receive a vaccine, and 12% were unsure. Adjusting for demographics and donor characteristics, respondents who receive yearly influenza vaccinations had higher COVID-19 vaccine acceptance than those who do not (adjusted Odds Ratio [aOR] 5.06, 95% Confidence Interval [CI] 2.68-9.53). Compared to respondents who prioritized medical information sources (e.g., personal physicians and transplant providers), those who prioritized news and social media had lower COVID-19 vaccine acceptance (aOR 0.34, 95% CI 0.15-0.73). Low perceived personal benefit from vaccination and uncertainty about long-term safety were common themes among those declining COVID-19 vaccines. Conclusions: Donor informational source preferences were strongly associated with the likelihood of accepting a COVID-19 vaccine. Vaccine guidance for organ donors who are unsure about COVID-19 vaccines could incorporate messaging about safety and benefits of vaccination for healthy people.

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.

Living Organ Donation and Minors: A Major Dilemma

2013 ◽  
Vol 20 (1) ◽  
pp. 41-62 ◽  
Author(s):  
Nils Broeckx
Keyword(s):  
Organ Donation ◽  
Health Professionals ◽  
Organ Donors ◽  
Parental Consent ◽  
Best Interest ◽  
Substantial Role ◽  
Living Organ Donation

Abstract In this article, the case of living organ donation by minors is discussed. A distinction can be made between minors who are in fact already competent and those who are not. Minors who are in fact competent, should be able to decide on organ donation under the same conditions as competent adults. Incompetent minors could be allowed to act as living organ donors under exceptional circumstances on the basis of a best interest test. Decisions on living organ donation by incompetent minors should be embedded into a procedural framework in which parental consent, the approval of an independent body of health professionals, and the minor’s wishes play a substantial role.

Living Organ Donation

1991 ◽  
Vol 151 (2) ◽  
pp. 234 ◽  
Author(s):  
Aaron Spital
Keyword(s):  
Organ Donation ◽  
Living Organ Donation

scholarly journals Ethical and Legal Implications of Elective Ventilation and Organ Transplantation: “Medicalization” of Dying versus Medical Mission

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Paola Frati ◽  
Vittorio Fineschi ◽  
Matteo Gulino ◽  
Gianluca Montanari Vergallo ◽  
Natale Mario Di Luca ◽  
...  
Keyword(s):  
Organ Donation ◽  
Organ Donor ◽  
Legal Framework ◽  
Organ Donors ◽  
Organ Perfusion ◽  
Medical Mission ◽  
Legal Implications ◽  
Legal Context ◽  
Successful Transplantation ◽  
Italian Context

A critical controversy surrounds the type of allowable interventions to be carried out in patients who are potential organ donors, in an attempt to improve organ perfusion and successful transplantation. The main goal is to transplant an organ in conditions as close as possible to its physiological live state. “Elective ventilation” (EV), that is, the use of ventilation for the sole purpose of retrieving the organs of patients close to death, is an option which offsets the shortage of organ donation. We have analyzed the legal context of the dying process of the organ donor and the feasibility of EV in the Italian context. There is no legal framework regulating the practice of EV, neither is any real information given to the general public. A public debate has yet to be initiated. In the Italian cultural and legislative scenario, we believe that, under some circumstances (i.e., the expressed wishes of the patient, even in the form of advance directives), the use of EV does not violate the principle of beneficence. We believe that the crux of the matter lies in the need to explore the real determination and will of the patient and his/her orientation towards the specific aim of organ donation.

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

Evaluation of Attitude toward Living Organ Donation among Adolescents in Southeast Spain

2012 ◽  
Vol 44 (6) ◽  
pp. 1489-1492 ◽  
Author(s):  
A. Ríos ◽  
B. Febrero ◽  
A. López-Navas ◽  
L. Martínez-Alarcón ◽  
J. Sánchez ◽  
...  
Keyword(s):  
Organ Donation ◽  
Living Organ Donation ◽  
Southeast Spain

Imminent Death Donation: Ethical and Practical Policy Considerations

2018 ◽  
Vol 46 (2) ◽  
pp. 524-537 ◽  
Author(s):  
Jordan Potter
Keyword(s):  
Organ Donation ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death ◽  
Live Organ Donation ◽  
Life Sustaining Treatment ◽  
Imminent Death

While the practice of organ donation after cardiac death has long been trending upwards in acceptance and use, it is still a highly controversial and practically inefficient method of organ procurement. One policy that has recently been proposed to try and alleviate some of the ethical and practical concerns with organ donation after cardiac death is the practice of imminent death organ donation. This type of live organ donation comes in patients at the end of their life who have decided to withdraw life-sustaining treatment, but still want to ensure that their organs are donated and not wasted, which isn't always the case with organ donation after cardiac death. This paper then gives some ethical and practical reflections and recommendations regarding the potential implementation of this controversial practice into regular transplant practice and policy.

Psychological Considerations of Living Organ Donation

2001 ◽  
pp. 59-70 ◽  
Author(s):  
James R. Rodrigue ◽  
Valerie Bonk ◽  
Shannon Jackson
Keyword(s):  
Organ Donation ◽  
Living Organ Donation
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