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ORGAN DONATION
Medical Ethics class project 2011By Megan Lewis, Charity Lloyd, Andrea Lishen, Daniel Lockwood and Ian Marquis
DEFINITION
Organ donation is the process of removal and transplantation of viable organs from donor to recipient. (“What is organ,” 2004)
HISTORY OF ORGAN DONATION
HISTORY OF ORGAN DONATION
1954 1966
CONTINUED HISTORY…
1968 1983
HISTORY . . .
1990 1998
HISTORY . . .
1998 2010
THE ORGAN DONATION PROCESS
HOW ORGAN DONATION WORKS
The List Notification Surgery
THE DONOR
THE IMPORTANCE OF ORGAN DONATION
THE DEMAND
112,541
1:8
18
12,000
MEETING THE DEMAND
Increased Decreased
Tissue Donation Family/next of kin
Before and after a transplant
WHAT TO EXPECT
WHAT TO EXPECT BEFORE A TRANSPLANT
Prior to Surgery you will be informed
The risks
Informed Consent
-
WHAT TO EXPECT BEFORE AND AFTER A TRANSPLANT-After the surgery there will be a period of time of recuperation and recovery that will be needed, how much time that you will need will depend on the surgery that was performed.
-Also most likely your recovery period will be followed by physical therapy so that you can gradually return to full strength and functionality.
WHAT TO EXPECT BEFORE AND AFTER A TRANSPLANT
Life long commitment
Immunosuppressants
Constant Care
LIVE VS. CADAVER DONATION
LIVE VS. CADAVER DONATION
Cadaver Donation Live Donation
LIVE VS. CADAVER DONATION
http://www.youtube.com/watch?v=CTt1UBx_HRI
LIVE DONATION
Preferred method of donation Higher success rate
Limited number of donors Limited number of organs available
CADAVER DONATION
Most common form of donation Provides the most opportunities for
donation
Higher rejection outcomes
LIVE VS. CADAVER Organ Patient
Survival RateGraftSurvival Rate
Kidney (cadaveric)Kidney (live donor)Liver
94.4%97.9%90.1%
89.0%95.1%82.0%
·
COMMON MISCONCEPTIONS
“IF I DECIDE TO DONATE MY ORGANS I WILL NOT RECEIVE THE SAME AMOUNT OF LIFESAVING RESUSCITATION AS SOMEONE WHO IS NOT DONATING.”
“Organ donation is against my religion.”
“I WANT AN OPEN CASKET FUNERAL BUT I WON’T BE ABLE TO IF I DONATE MY ORGANS.”
“I’M TOO OLD TO DONATE.”
“I don’t agree with organ donation because the rich and famous get to the top of the list first.”
“WHAT IF I’M NOT REALLY DEAD WHEN THEY DECLARE ME DEAD?!”
Organ Donation
ETHICAL ISSUES
ETHICAL ISSUES
Common ethical issues in organ donation
Opt- in VS. Opt-out
Legalizing organ sales
ETHICAL ISSUES CONT.
Viewing organs as a national resource?
Who should get organs first?
Other ethical issues
U.S. ORGAN DONATION STATISTICS:
-The number of patients awaiting an organ transplant exceeded 75,000 in 2001; while the available supply of organs was fewer than 25,000.
-Currently more than 100,000 people are awaiting life-saving organ transplants.
-Every 10 minutes another name is added to the national organ transplant waiting list.
-From 1995 to 2005, the number of patients placed on the waiting list for organ transplants grew at an annualized rate of 4 percent per year.
-More than 10 percent of those awaiting transplants die each year due to the shortage of human organs available.
http://donatelife.net/understanding-donation/statistics/
BECOMING A DONOR
ORGAN DONATION CENTERS
OPTN VS. UNOS
Organ Procurement and Transplantation Network (OPTN)
Organ/ Tissue banks
United Network for Organ Sharing (UNOS)
Managing the data
DONATION CENTERS
58 organ procurement organizations in the US
United Network for Organ Sharing (UNOS)
DONATION CENTERS IN VERMONT
Center for Donation and Transplant New England Organ Bank