Giving Life


Book Description

Offers a collection of stories of how organ transplantation has affected living donors, family members of deceased donors, and transplant recipients, recounting the motivations that led to the transplant decision.




Organ Donation


Book Description

Rates of organ donation lag far behind the increasing need. At the start of 2006, more than 90,000 people were waiting to receive a solid organ (kidney, liver, lung, pancreas, heart, or intestine). Organ Donation examines a wide range of proposals to increase organ donation, including policies that presume consent for donation as well as the use of financial incentives such as direct payments, coverage of funeral expenses, and charitable contributions. This book urges federal agencies, nonprofit groups, and others to boost opportunities for people to record their decisions to donate, strengthen efforts to educate the public about the benefits of organ donation, and continue to improve donation systems. Organ Donation also supports initiatives to increase donations from people whose deaths are the result of irreversible cardiac failure. This book emphasizes that all members of society have a stake in an adequate supply of organs for patients in need, because each individual is a potential recipient as well as a potential donor.




Because of Organ Donation


Book Description

A collection of stories by individuals whom have given or received an organ, or donated the organs of a loved one.




Non-Heart-Beating Organ Transplantation


Book Description

In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest. Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed. The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.




The Gift of Life


Book Description

"Organ transplants are a very controversial and unique area of medicine. Those of us who work as Transplant Coordinators were frequently referred to by hospital staff as 'organ vultures' behind our backs, but also many times within earshot. I felt this reference to extremely ugly birds was unfair and short sighted. I did say once in a while to a difficult staff person, 'if your kid needed a transplant wouldn't you hope that someone was out there being as ethically aggressive about finding an organ as they can?' That usually shut them up quickly." -- from the Foreword One of the miracles of modern medicine is the ability of surgeons to transplant organs. Often, it's the only way to save the life of a person whose own kidneys, lungs, liver or heart are failing. But with barely 2 percent of critically ill patients suitable for organ donation, the demand far exceeds the number of organs that become available. The Gift of Life is about the remarkable world of organ transplant coordinators, profiles of the men and women who locate and arrange for the donation of organs from those who are dying and wish to live on in others' bodies through this selfless gift. Traci Graf tells the riveting story of this unique and demanding branch of medicine. Transplant coordinators review the medical files and charts on all patients whose condition is so severe that they are not expected to live. Their task is to convince the patient (or the patient's family) to allow organs to be donated immediately upon death. The transplant coordinator works to saves lives by finding and obtaining consent for as many organ donations as possible. In The Gift of Life, transplant coordinator Traci Graf recounts the stress, drama and joy of working long hours dealing with emotionally distraught family members and overworked medical staff, and the emotional toll of a job that means the difference between life and death for the recipients. Packed with riveting first person narrative, The Gift of Life will appeal to anyone interested in modern medical practice and the lives and challenges faced by nurses and doctors who work to offer critically ill patients the gift of life thanks to donors' foresight and generosity.




Marginal Donors


Book Description

In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD. This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.







Organ Donation and Transplantation


Book Description

One of the most interesting and at the same time most challenging fields of medicine and surgery has been that of organ donation and transplantation. It is a field that has made tremendous strides during the last few decades through the combined input and efforts of scientists from various specialties. What started as a dream of pioneers has become a reality for the thousands of our patients whose lives can now be saved and improved. However, at the same time, the challenges remain significant and so do the expectations. This book will be a collection of chapters describing these same challenges involved including the ethical, legal, and medical issues in organ donation and the technical and immunological problems the experts are facing involved in the care of these patients.The authors of this book represent a team of true global experts on the topic. In addition to the knowledge shared, the authors provide their personal clinical experience on a variety of different aspects of organ donation and transplantation.




Living Donor Transplantation


Book Description

Edited by leaders at one of the acclaimed transplant institutions in the United States, this reference covers all aspects of living donor solid organ and cellular transplantation in current clinical practice, including the kidney, liver, pancreas, lung, small bowel, islet, and hematopoietic stem cell transplantation. Detailed, engaging, and organ-




The Organ Shortage Crisis in America


Book Description

Nearly 120,000 people are in need of healthy organs in the United States.. Every ten minutes a new name is added to this list, while each day eight people die waiting for an organ to become available. Worse, the gap between those in need of an organ and the number of available donors is growing: our traditional reliance on cadaveric organ donation is insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates suggest a market solution and legalizing the sale of organs, Andrew Michael Flescher objects to this approach, citing concerns about social justice, commodification, and patient safety. Given that, what is the most efficacious means of attracting prospective living kidney donors? Flescher, drawing on scores of interviews with donors and patients, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than purely financial incentives. He encourages individuals to spend time with patients on dialysis, advocating donor "chains" in order to facilitate relationships between donors and recipients, and creating sacred spaces in hospitals such as a "wall of heroes" to recognize those who sacrifice their body parts for others.