scholarly journals Caring for a potential organ donor at an intensive care unit: the role of the nurse

2017 ◽  
Vol 11 (2) ◽  
pp. 35-39
Author(s):  
Sylwia Kosek ◽  
Anna Klimczyk
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donor ◽  
Loss Of Function ◽  
Potential Organ Donor ◽  
Difficult Conversations ◽  
The Family ◽  
The Individual

Brain death causes irreparable loss of function of the brain as whole and is tantamount to the individual death. According to the governing laws in Poland, a committee composed of three consultants, including a specialist in anaesthesiology and intensive care and a specialist in neurosurgery or neurology, states the individual death. Stating brain death has occurred discharges doctors from their obligation to continue therapy. In the event the organs can be harvested for transplant, after ruling out the objection of the deceased and medical counter indications, medical staff continues to care for the donor during the period of preliminary observation, diagnostics and establishing brain death, and later for the deceased, until the organs are harvested. It includes all activities, from monitoring to therapy, diagnostic and nursing activities. Nurses play an important role in the team providing care to a donor. The nurse should have extensive knowledge about brain death, its course and results, as they play an important role in proper diagnostic procedure and providing proper care until the organs are harvested. Strict nursing supervision of the donor allows the staff to detect deviations in the functioning of the organism early. The aim of this paper was to present the procedures concerning declaring brain death and portraying the role of a nurse in caring for a potential organ donor at an intensive care unit. Conclusions. Proper procedure is paramount in harvesting good quality organs for transplantation and assuring their proper functioning later. It is worthwhile to note the role of the nurse in contacts with the family, as cooperation with the donor’s family is an important aspect of the process, especially the ability to conduct difficult conversations.

Brain Death and Resuscitation of the Organ Donor

2017 ◽  
Author(s):  
Kasra Khatibi ◽  
Chitra Venkatasubramanian
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Brain Death ◽  
Organ Donor ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Potential Organ Donor ◽  
Brain Dead ◽  
Donor After Brain Death ◽  
Apnea Testing

When is a patient brain dead? Under what scenarios in the surgical intensive care unit is brain death a possibility? Who can declare brain death and how? What are the steps after brain death declaration? You will find answers to all of these and more in this review. We will walk you through the principles, prerequisites, and techniques of clinical brain death evaluation using checklists and videos. The role and interpretation of ancillary testing and pitfalls are also discussed. New in this section is a description of the techniques that can be adapted when a patient is on extracorporeal membrane oxygenation. In addition, we have included a section on how to communicate effectively (i.e., what phrases to use) with families while discussing brain death and thereby avoid conflicts. We conclude with a detailed section on the physiology and critical care of the potential organ donor after brain death. This review contains 2 videos, 8 figures, 3 tables and 21 references Key words: Brain death, Apnea testing, ECMO, Organ donation

scholarly journals Retrospective Analysis of Brain Death Cases

2021 ◽  
Author(s):  
Özlem Özkan Kuşcu ◽  
Meltem Aktay
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Death Time ◽  
The Family ◽  
The Mean ◽  
End Stage ◽  
Cadaveric Donors ◽  
Death Cases

Objective: Organ transplantation is important for patients with end-stage organ failure to survive. For this reason, detection of brain death cases and adequate number of donations are necessary. Methods: 31 cases diagnosed with brain death between 01.01.2018-01.01.2020 were evaluated retrospectively. Demographic characteristics, diagnoses causing brain death, time to detect brain death, additional tests applied for the diagnosis of brain death, time to diagnosis of brain death and cardiopulmonary arrest or donation, the proportion of families accepting organ donation, the proportion of donors, organ removed from donors the number and blood types of the cases were recorded Results: The number of cases diagnosed with brain death was 31, and the mean age of the cases was 46,71 (1-89) years. 71% (n=22) of the patients were admitted to the intensive care unit from the emergency department. The most common reason for admission to the intensive care unit 67.7% (n=21) was intracranial bleeding. While the family donation rate was 19% (n=5), three cases who accepted the donation could be donors. The mean age of the patients for whom organ donation was accepted was 35.80±11 years, while the mean age of the patients for whom organ donation was not accepted was 57.43±21.30 years (p=0.04). Conclusion: Due to the increasing number of end-stage organ failure patients awaiting transplantation, it is necessary to increase the number of cadaveric donors. Timely and sufficient detection of brain death cases, increasing the family donation rate and increasing the number of cadaveric donors will be contributed.

scholarly journals Kebutuhan Keluarga Pasien yang Dirawat di Intensive Care Unit (ICU): Literature Review

2019 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Alfi Rusdianti ◽  
Fitri Arofiati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Literature Review ◽  
Information Needs ◽  
Health Workers ◽  
Holistic Care ◽  
Family Needs ◽  
The Family ◽  
Long Time

Intensive care unit (ICU) is in principle not designed to accept the presence of a patient's visitor or family for a long time. One of the effects that arises is an increase in the patient's family anxiety. In general, nurses do not consider the patient's family as part of his holistic care. So, it takes the role of nurses to identify the patient's family needs, in order to realize holistic care. This review aims to identify the family needs of patients treated in the intensive care unit. Literature is obtained from the Ebsco database, ProQuest and Science Direct, using keywords: family needs, nursing strategy and intensive care unit. From 7 literature sources obtained about what is needed by the patient's family. This review produced 5 themes, namely family needs for information, closeness, support, involvement, and knowing the care received by patients. This review only focuses on the patient's family needs in general. The family is part of the patient. Identified family needs, namely information needs, closeness, support, involvement and knowledge of care received by patients. The participation of health workers is needed in identifying and encouraging the fulfillment of family needs. Keyword: family needs, nursing strategies, intensive care unit

scholarly journals Role of intensive care nurses on guiding patients’ families/relatives to organ donation

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Ahmet Karaman ◽  
Neriman Akyolcu
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Transplant ◽  
University Hospitals ◽  
Intensive Care Nurses ◽  
Creative Commons ◽  
The Family ◽  
Using Data

Objective: The aim was to determine the role of intensive care nurses on guiding the families/relatives of brain-death patients to organ donation. Methods: This research is a descriptive study. While the population of the study consisted of 1710 nurses working in the intensive care units of public, private and university hospitals in the city of Istanbul, the sample consisted of 353 intensive care nurses selected with stratified random sampling method from the probability sampling methods from this population. The data were collected by using “Data Collection Form”. Results: It was determined that 74.5% of the intensive care nurses carefully listened the family/relatives of the patient with possible brain death or suffering from brain death and supported them to express their emotion and thoughts clearly; when the family/relatives of the patients hospitalised in the intensive care unit wanted to get information about organ donation, 20.7% of the nurses made the preliminary explanation themselves and then guided the patient to an organ transplant coordinator for detailed information and 3.1% of the nurses generally gave this information themselves. Conclusions: It was determined that the knowledge of the intensive care nurses about brain death and organ donation was partially adequate and the function of guiding the families/relatives of brain-death patients to organ donation was mostly done by the physician. doi: https://doi.org/10.12669/pjms.35.4.1285 How to cite this:Karaman A, Akyolcu N. Role of intensive care nurses on guiding patients’ families/relatives to organ donation. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.1285 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Stressors in the nursing care delivered to potential organ donors

2009 ◽  
Vol 17 (6) ◽  
pp. 1023-1029 ◽  
Author(s):  
Laura de Azevedo Guido ◽  
Graciele Fernanda da Costa Linch ◽  
Rafaela Andolhe ◽  
Carmine Cony Conegatto ◽  
Carolina Codevila Tonini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Organ Donor ◽  
Physical Activities ◽  
Organ Donors ◽  
Tissue Donors ◽  
Adult Intensive Care Unit ◽  
Potential Organ Donor ◽  
Self Confidence

This study examines those situations that are typical to the work of the nursing team in the intensive care unit, especially those that nursing teams consider stressful and are common in intensive care units in the treatment of patients being considered as potential organ or tissue donors. It is an exploratory-descriptive study, established with a qualitative approach, conducted at an Adult Intensive Care Unit. The reports revealed the fact that organ donation leads to different situations and emotions. Regarding the perception of nursing care to the potential organ donor patient, the subjects reported they did not discriminate patients when delivering care, but recognize a certain lack of self-confidence and preparation dealing with brain death. They try to minimize the effects of stressors with physical activities, social support, spirituality, or attempt to separate work from personal life.

scholarly journals Anaesthetic management of ASA 6 patients

2016 ◽  
Vol 63 (2) ◽  
pp. 75-77 ◽  
Author(s):  
Marijana Zivkovic ◽  
Vanja Misic ◽  
Mirjana Lausevic ◽  
Miodrag Milenovic ◽  
Branislava Stefanovic
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donor ◽  
Serum Levels ◽  
Anaesthetic Management ◽  
Hemodynamic Stability ◽  
Potential Organ Donor ◽  
Brain Functions ◽  
Acid Base Status ◽  
The Stability

The criteria to determine brain death include circulatory-respiratory criteria-loss of circulation and respiration and neurological criteria - irreversible cessation of all brain functions. After brain death is proven, intensive care is directed from nonspecific neuroprotection to somatic organs protection. Access to the maintenance of the potential organ donor began achieving rapid hemodynamic stability with the monitoring and correction of serum levels of electrolytes, glucose and lactate, acid-base status, determining and maintaining body temperature-deceased patients with a beating heart are poikilothermic and their temperature depends of the surrounding temperature and analysis accompanying comorbidity and its possible impact, especially on the stability of the cardiovascular system. The result of intensive care and good maintenance of these patients are good quality organs for transplant.

scholarly journals Care With The Potential Organ Donor In The Intensive Care Unit

10.3823/2306 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Francisca Patrícia Barreto de Carvalho ◽  
Kênnia Stephanie Morais Oliveira ◽  
Glauber Weder Dos Santos Silva ◽  
Geórgia Nóbrega Melo ◽  
Thiago Enggle de Araújo Alves ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organ Donor ◽  
Qualitative Approach ◽  
Pertinent Literature ◽  
Potential Donor ◽  
Potential Organ Donor ◽  
Material Resources ◽  
Organ Harvesting ◽  
Specific Care

Introduction: Organ transplants have expanded throughout the country, being extremely significant for the population. Objective: To know the reality of organ harvesting and describe the care with the potential organ donor in an Intensive Care Unit (ICU) and compare it with the pertinent literature. Method: It is a research of exploratory and descriptive nature, with a qualitative approach. The data were analyzed through the content analysis idealized by Bardin. Results: The findings indicate that the resolution of care and procedures with the potential donor is essential to the success of transplants in our country. Conclusions: Several difficulties have been encountered, as the lack of human and material resources generating impasses in the specific care of the potential organ donor and the lack of provision of continuing education. Keywords: Organ donation; Intensive Care Unit; Nursing.

Role of family in the hospitalization of critical patients in the intensive care unit

MEDISAINS ◽  
2020 ◽  
Vol 18 (1) ◽  
pp. 4
Author(s):  
Fitri Arofiati ◽  
Miranti Primadani ◽  
Ruhyana Ruhyana
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Background ◽  
Data Retrieval ◽  
Phenomenological Approach ◽  
Group Discussions ◽  
Physical Support ◽  
The Family ◽  
Critical Patients

Background: Patients need help from others to meet their needs during hospitalization in the Intensive Care Unit (ICU). The role of the family is significant in the care of critical patients in the ICU because it helps fulfill the satisfaction and providing supportive care of patients related to their intimacy.Objectives: This study aims to explore the role of families in the hospitalization of critical patients in the ICU.Method: This study used a qualitative method with a phenomenological approach. Data retrieval is done through in-depth interviews, focused group discussions, and observations. The participant recruitment technique uses pur-posive sampling. The research participants were 24 people and were following with the inclusion criteria. Source triangulation is done to find out the validity of research data and the roles performed by the family. This qualitative data was analyzed using N-Vivo 12 plus methods.Results: There are five themes accompanied by 12 sub-themes in them, including developing emotional relationships with patients, providing physical support to patients, becoming information partners with health personnel, fami-lies, and patients, supporting patient facilities and infra-structure, families meeting patients' spiritual needs.Conclusion: Family members are involved in patient care because families are given the opportunity and sufficient time to visit patients. Suggestions for further research can consider the family background in the involvement of roles and factors that influence family roles during hospitalization of patients in the ICU.

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