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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.
Despite starting slowly with some academic jargon about altruism and people's motivations to donate organs, the book quickly takes a right turn and gets interesting. The authors sprinkle little informative tidbits along the way-Asian-Americans constituted only 3.4% of U.S. donors-and bring their points alive through little vignettes when examining the origins of altruism. The authors would make brilliant sales reps: they put forth a convincing argument about what a great humanitarian effort living donation is then patiently explain the evaluation process to reassure readers of the minimal costs. The few downsides are reviewed and discussed-for example, how to deal with family members who do not support the decision to donate or the devastation donors might experience when a recipient dies. Resources, bibliography, and index occupy a full 36 pages, yet for the most part this book escapes the drudgery of a research-laden study and instead reads as a fascinating story about a very human issue. (c) Copyright PWxyz, LLC. All rights reserved.
"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.
This book provides a comprehensive yet accessible look at organ donation and transplantation, including coverage of scientific, medical, social, legal, and ethical issues. Readers will also discover how new technologies and medical advances are shaping the future of organ donation. Donated organs and tissues have improved or saved the lives of hundreds of thousands of individuals. But these life-changing procedures raise many logistical and ethical questions. How can organs be effectively allocated to those in need? Should individuals be allowed to purchase organs from living donors? What role does religion and culture play in someone's decision to donate or accept an organ? Will new technologies like bioprinting change the future of organ donation? Part of Greenwood’s Health and Medical Issues Today series, Organ Donation is divided into three sections. Part I explores different aspects of the donation and transplantation process, including which tissues and organs can be donated, living versus deceased donation, religious and cultural perceptions, and cutting-edge alternatives to traditional organ transplants. Part II delves deep into a variety of issues and controversies related to the subject, offering thorough and balanced coverage of such hot-button topics as opt-in versus opt-out systems, organ trafficking, and transplant tourism. Part III provides a variety of useful materials, including case studies, a glossary, and a directory of resources.
More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual—often anonymous—may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers. Last Best Gifts offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow Kieran Healy to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, he shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, Healy suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor’s altruism or the size of a financial incentive.
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.
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.
In Kidney to Share, Martha Gershun tells the story of her decision to donate a kidney to a stranger. She takes readers through the complex process by which such donors are vetted to ensure that they are physically and psychologically fit to take the risk of a major operation. John D. Lantos, a physician and bioethicist, places Gershun's story in the larger context of the history of kidney transplantation and the ethical controversies that surround living donors. Together, they help readers understand the discoveries that made transplantation relatively safe and effective as well as the legal, ethical, and economic policies that make it feasible. Gershun and Lantos explore the steps involved in recovering and allocating organs. They analyze the differences that arise depending on whether the organ comes from a living donor or one who has died. They observe the expertise—and the shortcomings—of doctors, nurses, and other professionals and describe the burdens that we place on people who are willing to donate. In this raw and vivid book, Gershun and Lantos ask us to consider just how far society should go in using one person's healthy body parts in order to save another person. Kidney to Share provides an account of organ donation that is both personal and analytical. The combination of perspectives leads to a profound and compelling exploration of a largely opaque practice. Gershun and Lantos pull back the curtain to offer readers a more transparent view of the fascinating world of organ donation.
A collection of stories by individuals whom have given or received an organ, or donated the organs of a loved one.
This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.