Answered: - Living Donor Organ Transplantation IMA STUDENT INDIANA WESLEYAN

I have to find a topic to make a portfolio for my Health care Admin class. The attachment I posted is how the teacher wants it to be. I wanted to know if someone can help.

Living Donor Organ

 

Transplantation

 

IMA STUDENT

 

INDIANA WESLEYAN UNIVERSITY

 

 

What are the ethical considerations?

 

 

 

Ross?s Ethics

 

 

 

 

Rawls?s Theory of Justice

 

 

 

 

Duties of Beneficence: helping to

 

better the condition of others

 

 

 

 

Everyone has equal right to equal

 

basic liberties

 

 

 

 

Duties of Non-maleficence: avoiding

 

or preventing injury and harm to

 

others

 

 

 

 

Natural duty to help others in need or

 

in jeopardy

 

 

 

 

A person has the right to determine

 

what risks he is willing to take with

 

his own life and health

 

 

 

 

Voluntary consent required

 

 

 

 

 

 

We must learn the facts of the case

 

and explore the possible

 

consequences of our actions

 

We must guide our actions by what is

 

right, rather than by what is useful

 

 

(Munson, 2009, p. 876-885)

 

 

What are the moral responsibilities in

 

this situation?

 

 

 

Act for the benefit of others

 

 

 

 

Act in a way to bring about the greatest benefit and least

 

amount of harm

 

 

 

 

Our actions are the result of our own choices and decisions

 

based on our own moral values and beliefs

 

 

 

 

?Above all, do no harm?

 

 

(Munson, 2009, p. 891-904)

 

 

?

 

 

My command is this: Love each

 

other as I have loved you. Greater

 

love has no one than this, that he

 

lay down his life for his friends.

 

JOHN 15:12-13

 

 

It is an act of love to give an organ so that someone else

 

might live or experience an improvement in his life. Jesus

 

gave sacrificially and we should follow His example.

 

 

?

 

 

Patient Rights

 

Informed Consent:

 

 

Your Rights:

 

 

The informed consent process should

 

help you understand all aspects of

 

the donation process, including the

 

risks and benefits. Your consent to

 

become a donor is completely

 

voluntary. You should never feel

 

pressured to become a donor. You

 

have the right to delay or stop the

 

donation process at any time.

 

 

Living donation: Information you need to know (2014,

 

August 21). Retrieved from http://www.unos.org/doc/LivingDonation.pdf

 

 

 

 

You have the right to be informed about the

 

care you will receive

 

 

 

 

You have the right to make decisions about

 

your care

 

 

 

 

You have the right to give free and informed

 

consent to be an organ donor

 

 

 

 

You have the right to receive full disclosure of

 

the risks, alternatives, and outcomes

 

 

 

 

You have the right to be listened to

 

 

 

 

 

 

You have the moral and legal rights to privacy

 

 

Know your rights (2014, August 21) Retrieved from

 

http://www.jointcommission.org/assets/1/6/Know_Your_Right

 

s_brochure.pdf

 

 

Medical Research

 

 

 

 

 

A variety of strategies are being

 

researched and developed to

 

help the immune system accept

 

organ transplants

 

 

 

 

Researchers are exploring how to

 

grow new organs from stem cells

 

 

 

 

Clinical Trials for Extracorporeal

 

Liver Assist System (ELAD)

 

 

Drug researchers are trying ways

 

to block or deplete the genes

 

that attack donor organs

 

 

McClellan, M. (2003). Organ and tissue transplants: Medical miracles and challenges. Berkeley Heights, NJ:

 

Enslow

 

 

Advanced Directives

 

Advanced directives are written, legal instructions regarding your

 

preferences for medical care if you are unable to make decisions

 

for yourself. Advance directives guide choices for doctors and

 

caregivers if you are terminally ill, seriously injured, in a coma, or

 

near the end of life.

 

 

 

Do Not Resuscitate Order (DNR)

 

 

 

 

Living Will

 

 

 

 

Durable Healthcare Power of Attorney (DHCPOA)

 

 

?As iron sharpens iron, so one person

 

sharpens another? Prov 27:17 (NIV)

 

 

It is important to seek out godly people to consider your

 

decisions with. Others in the body of Christ may see

 

where we are blind.

 

 

Reproductive Decisions

 

 

 

Pregnancy in post-transplant patients is common

 

 

 

 

Increased risk for preeclampsia, hypertension, and renal

 

insufficiency

 

 

 

 

Increased risk for low birth weight

 

 

(Surti, Tan, & Saab, 2008)

 

 

Medical Technology

 

Adult

 

 

Stem Cell therapies

 

Tissue Regeneration

 

3-D printing of organs

 

(Sarfarti, 2014) (Wong, 2013) (?Miniature human liver,? 2013) (Akhter, Ali Aziz, & Al Ajlan,

 

2011)

 

 

End of Life Care

 

 

 

Palliative Care

 

 

 

 

Pain Control

 

 

 

 

Anxiety Control

 

 

 

 

Depression control

 

 

 

 

Withdrawal of nutrition and fluids

 

 

 

 

Advance Directives

 

 

(Kahn, Lazarus, & Owens, 2003) (Wright, Pape, Ross, Campbell, & Bowman, 2007) (Munson, 2012, p. 582-583)

 

 

Spiritual Care

 

?Death

 

 

has been swallowed up in victory.? ?Where, O death, is your

 

victory? Where, O death, is your sting?? The sting of death is sin,

 

and the power of sin is the law. But thanks be to God! He gives us

 

the victory through our Lord Jesus Christ? (1 Cor. 15:54-57)

 

 

 

What are your religious and spiritual needs?

 

 

 

 

Clergy involvement

 

 

 

 

We are made in God?s image; therefore all human life, irrespective of an individual?s

 

ability or gifts, is precious and holy.

 

 

(Engelhardt & Smith, 2005)

 

 

(Kahn, Lazarus, & Owens, 2003)

 

 

Duty To Treat

 

Four Pillars of the

 

Hippocratic Oath:

 

 

 

Beneficence

 

 

 

 

Non-Maleficence

 

 

 

 

Autonomy

 

 

 

 

Justice

 

 

(Voors, 2000, p. 642-643)

 

 

Individual Responsibility

 

 

 

 

Keep yourself as healthy as possible

 

 

 

 

Follow all pre-op and post-op instructions

 

 

 

 

Adhere to treatment plans

 

 

 

 

Take your medication as prescribed

 

 

 

 

Schedule and keep all follow up appointments

 

 

(Estelle-Brazzell Horton, 2014)

 

 

The United Network for Organ

 

Sharing

 

UNOS is responsible for transplant organ distribution in the U.S. UNOS

 

oversees the allocation of many different types of transplants, including

 

liver, kidney, pancreas, heart, lung, and cornea.

 

 

 

Receive data from hospitals and medical centers regarding adults and

 

children who need organ transplants

 

 

 

 

Criteria have been developed to ensure that all people on the waiting

 

list are judged fairly as to the severity of their illness and the urgency

 

of receiving a transplant

 

 

 

 

People in most urgent need are placed highest on waiting list and are

 

given first priority

 

 

(Liver Transplantation, n.d.)

 

 

?

 

 

From everyone who has been

 

given much, much will be

 

demanded; and from the one

 

who has been entrusted with

 

much, much more will be asked.

 

LUKE 12:48 (NEW INTERNATIONAL VERSION)

 

 

?

 

 

References

 

Akhter, J., Ali Aziz, A., & Al Ajlan, A. (2011). Stem cells and liver disease. Internet Journal of Medical Update, 6(2), p. 6975. Retrieved from http://ebscohost.com

 

Engelhardt H. T. , & Smith A. (2005). End-of-life: The traditional Christian view. Retrieved on September 14, 2014 from

 

http://www.asu.edu/clubs/bioethics/christian.pdf

 

Estelle-Brazzell Horton, S. (2014). What is personal health responsibility? ABNF Journal, 25(1), 5-9. Retrieved from

 

http://ebscohost.com

 

Freund, L. (2010). Creating a culture of accountability. Ethics is the key to sharing healthcare stewardship. Healthcare

 

Executive, 25(1), 30. Retrieved from http://ebscohost.com

 

Kahn, M., Lazarus, C., & Owens, D. (2003). Allowing patients to die: Practical, ethical, and religious concerns. Journal of

 

clinical Oncology: Official Journal of the American Society of Clinical Oncology, 21(15), 3000-3002. Retrieved from

 

http://ebscohost.com

 

Know your rights (2014, August 21) Retrieved from

 

http://www.jointcommission.org/assets/1/6/Know_Your_Rights_brochure.pdf

 

Liver transplant (n.d.). Retrieved from http://www.uchospitals.edu/online-library/content=P00677

 

Living donation: Information you need to know (2014, August 21). Retrieved from http://www.unos.org/doc/LivingDonation.pdf

 

 

McClellan, M. (2003). Organ and tissue transplants: Medical miracles and challenges. Berkeley Heights, NJ:

 

Enslow

 

Miniature human liver grown from stem cells: Tissue implanted in mice became functioning organ hope for

 

treatments to end reliance on donors (2013, July4). Guardian, p. 14. Retrieved from

 

http://galegroup.com.oak.indwes.edu

 

Munson, R. (2012). Intervention and reflection: Basic issues in Bioethics. Boston, MA: Wadsworth.

 

Sarfati, J. (2014, July 10). Stem cells and Genesis. Retrieved on August 29, 2014 from

 

http://creation.com/stem-cells-and-genesis

 

Surti, B., Tan, J., & Saab, S. (2008). Pregnancy and liver transplantation. Liver International, 28(9), 12001206. doi:10.1111/j.1478-3231.2008.01871.x

 

Voors, M. (2000). The duty to treat: Ethics and HIV/AIDS. Physiotherapy, 86(12), 640-644. Retrieved from

 

http://ebscohost.com

 

Wong, S. C. (2013). Stem cells news update: A personal perspective. Balkan Journal of Medical Genetics,

 

16(2), 7-15. doi:10.2478/bjmg-2013-0025

 

 



 

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