Medical ethics final ppt.

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ORGAN DONATION Medical Ethics class project 2011 By Megan Lewis, Charity Lloyd, Andrea Lishen, Daniel Lockwood and Ian Marquis

Transcript of Medical ethics final ppt.

Page 1: Medical ethics final ppt.

ORGAN DONATION

Medical Ethics class project 2011By Megan Lewis, Charity Lloyd, Andrea Lishen, Daniel Lockwood and Ian Marquis

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DEFINITION

Organ donation is the process of removal and transplantation of viable organs from donor to recipient. (“What is organ,” 2004)

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HISTORY OF ORGAN DONATION

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HISTORY OF ORGAN DONATION

1954 1966

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CONTINUED HISTORY…

1968 1983

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HISTORY . . .

1990 1998

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HISTORY . . .

1998 2010

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THE ORGAN DONATION PROCESS

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HOW ORGAN DONATION WORKS

The List Notification Surgery

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THE DONOR

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THE IMPORTANCE OF ORGAN DONATION

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THE DEMAND

112,541

1:8

18

12,000

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MEETING THE DEMAND

Increased Decreased

Tissue Donation Family/next of kin

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Before and after a transplant

WHAT TO EXPECT

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WHAT TO EXPECT BEFORE A TRANSPLANT

Prior to Surgery you will be informed

The risks

Informed Consent

-

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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.

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WHAT TO EXPECT BEFORE AND AFTER A TRANSPLANT

Life long commitment

Immunosuppressants

Constant Care

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LIVE VS. CADAVER DONATION

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LIVE VS. CADAVER DONATION

Cadaver Donation Live Donation

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LIVE VS. CADAVER DONATION

http://www.youtube.com/watch?v=CTt1UBx_HRI

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LIVE DONATION

Preferred method of donation Higher success rate

Limited number of donors Limited number of organs available

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CADAVER DONATION

Most common form of donation Provides the most opportunities for

donation

Higher rejection outcomes

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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%

·

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COMMON MISCONCEPTIONS

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“IF I DECIDE TO DONATE MY ORGANS I WILL NOT RECEIVE THE SAME AMOUNT OF LIFESAVING RESUSCITATION AS SOMEONE WHO IS NOT DONATING.”

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“Organ donation is against my religion.”

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“I WANT AN OPEN CASKET FUNERAL BUT I WON’T BE ABLE TO IF I DONATE MY ORGANS.”

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“I’M TOO OLD TO DONATE.”

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“I don’t agree with organ donation because the rich and famous get to the top of the list first.”

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“WHAT IF I’M NOT REALLY DEAD WHEN THEY DECLARE ME DEAD?!”

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Organ Donation

ETHICAL ISSUES

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ETHICAL ISSUES

Common ethical issues in organ donation

Opt- in VS. Opt-out

Legalizing organ sales

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ETHICAL ISSUES CONT.

Viewing organs as a national resource?

Who should get organs first?

Other ethical issues

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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/

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BECOMING A DONOR

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ORGAN DONATION CENTERS

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OPTN VS. UNOS

Organ Procurement and Transplantation Network (OPTN)

Organ/ Tissue banks

United Network for Organ Sharing (UNOS)

Managing the data

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DONATION CENTERS

58 organ procurement organizations in the US

United Network for Organ Sharing (UNOS)

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DONATION CENTERS IN VERMONT

Center for Donation and Transplant New England Organ Bank