Non-Heart-Beating Organ Donation: A Reply to Campbell and Weber
| Autor: | Cheryl Graziano, Rade Vukmir, James V. Snyder, Michael A. DeVita |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Tissue and Organ Procurement
Patients media_common.quotation_subject Decision Making Dignity Social support Nursing Health care Cadaver Humans Medicine Family Organ donation Coma Third-Party Consent Resuscitation Orders media_common Social Responsibility Terminal Care Informed Consent Ventilators Mechanical business.industry Palliative Care General Medicine Reference Standards Euthanasia Passive Hospitals Organizational Policy Tissue Donors Death Life Support Care Pharmaceutical Preparations Withholding Treatment Life support Donation Mandate business Goals Social psychology Autonomy |
| Zdroj: | Kennedy Institute of Ethics Journal. 5:43-49 |
| ISSN: | 1086-3249 |
| DOI: | 10.1353/ken.0.0021 |
| Popis: | In the preceding commentary, Campbell and Weber raise two valid and important issues concerning non-heart-beating organ donation (NHBOD). First, because the procedure links withdrawal of life support and the potential for subsequent organ donation, the desire for organs may create a situation in which care of the dying individual has relatively less importance and the dying may receive suboptimal care. Second, even if concerns about care of the dying were dealt with adequately, there will not be enough non-heart-beating donors to significantly decrease the organ shortage that exists, making the procedure not worth the risk. We agree that attention to the important details of caring for the dying are, and must be, the primary concern of all health care workers caring for those individuals. Ensuring the patients' comfort, dignity, and autonomy, and providing for family and social support are the mainstays of this care. All policies for NHBOD should clearly support and mandate these concepts. Regarding the second concern, we agree that NHBOD is currently rare; however, evidence is increasing that this type of donation has great potential. Continued growth of the practice in this country will depend largely on public acceptance, which we believe will be directly influenced by whether the public perceives that care of the dying is not compromised by this procedure. |
| Databáze: | OpenAIRE |
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