Organ Donation/ Transplantation Lessons
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Transplant Immunology.Pdf
POLICY BRIEFING Transplant Immunology September 2017 The British Society of Immunology is the largest Introduction immunology society in Europe. Our mission is to promote excellence in immunological research, scholarship and Transplantation is the process of moving cells, tissues, or clinical practice in order to improve human and animal organs, from one site to another, either within the same health. We represent the interests of more than 3,000 person or between a donor and a recipient. If an organ immunologists working in academia, clinical medicine, system fails, or becomes damaged as a consequence of and industry. We have strong international links and disease or injury, it can be replaced with a healthy organ collaborate with our European, American and Asian or tissue from a donor. partner societies in order to achieve our aims. Organ transplantation is a major operation and is only Key points: offered when all other treatment options have failed. Consequently, it is often a life-saving intervention. In • Transplantation is the process of moving cells, 2015/16, 4,601 patient lives were saved or improved in i tissues or organs from one site to another for the the UK by an organ transplant. Kidney transplants are purpose of replacing or repairing damaged or the most common organ transplanted on the NHS in diseased organs and tissues. It saves thousands the UK (3,265 in 2015/16), followed by the liver (925), and i of lives each year. However, the immune system pancreas (230). In addition, a total of 383 combined heart poses a significant barrier to successful organ and lung transplants were performed, while in 2015/16. -
State Operations Manual Appendix X – Guidance to Surveyors: Organ Transplant Programs
State Operations Manual Appendix X – Guidance to Surveyors: Organ Transplant Programs Table of Contents (Rev. 200, Issued: 02-21-20) Transmittals for Appendix X Part I – The Standard Organ Transplant Program Survey Protocol I. Introduction II. Survey Protocol Tasks Task 1 - Pre-survey: off-site Preparation Task 2 - Entrance Activities Task 3 - Sample Selection Task 4 - Tracer for Selected Patients and Living Donors including Observations of Care, Interviews and Medical Record Review Task 5 – Administrative Review Task 6 – Personnel Record Review (If Indicated) Task 7 – Pre-exit Task 8 – Exit Conference Task 9 - Post Survey Activities III. Alternate Survey Protocol: Pediatric Heart Program Task 1 - Pre-survey: off-site Preparation Task 2 - Entrance Activities Task 3 - Sample Selection Task 4 – Review of Transplant Patient Medical Records Task 5 – Staff Interview Task 6 – Personnel Record Review Task 7 – Administrative Review Task 8 – Pre-exit Task 9 – Exit Conference Task 10 - Post Survey Activities Part II – Interpretive Guidelines for Organ Transplant Surveys 42 C.F.R. 482.72 OPTN Membership 42 C.F.R. 482.74 Notification to CMS 42 C.F.R. 482.76 Pediatric Transplants 42 C.F.R. 482.78 Emergency preparedness for Transplant Programs 42 C.F.R. 482.80 Data Submission, Clinical Experience and Outcome Requirements for Initial Approval 42 C.F.R. 482.82 Data Submission, Clinical Experience and Outcome Requirements Re-approval 42 C.F.R. 482.90 Patient and Living Donor Selection 42 C.F.R. 482.92 Organ Recovery and Receipt 42 C.F.R. 482.94 Patient and Living Donor Management 42 C.F.R. -
Partnering with Your Transplant Team the Patient’S Guide to Transplantation
Partnering With Your Transplant Team The Patient’s Guide to Transplantation U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration This booklet was prepared for the Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation by the United Network for Organ Sharing (UNOS). PARTNERING WITH YOUR TRANSPLANT TEAM THE PATIENT’S GUIDE TO TRANSPLANTATION U.S. Department of Health and Human Services Health Resources and Services Administration Public Domain Notice All material appearing in this document, with the exception of AHA’s The Patient Care Partnership: Understanding Expectations, Rights and Responsibilities, is in the public domain and may be reproduced without permission from HRSA. Citation of the source is appreciated. Recommended Citation U.S. Department of Health and Human Services (2008). Partnering With Your Transplant Team: The Patient’s Guide to Transplantation. Rockville, MD: Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation. DEDICATION This book is dedicated to organ donors and their families. Their decision to donate has given hundreds of thousands of patients a second chance at life. CONTENTS Page INTRODUCTION.........................................................................................................................1 THE TRANSPLANT EXPERIENCE .........................................................................................3 The Transplant Team .......................................................................................................................4 -
Intestine Transplant Manual
Intestine Transplant Manual Toronto Intestine Transplant Program TRANSPLANT MANUAL E INTESTIN This manual is dedicated to our donors, our patients and their families Acknowledgements Dr. Mark Cattral, MD, (FRCSC) Dr. Yaron Avitzur, MD Andrea Norgate, RN, BScN Sonali Pendharkar, BA (Hons), BSW, MSW, RSW Anna Richardson, RD We acknowledge the contribution of previous members of the team and to Cheryl Beriault (RN, BScN) for creating this manual. 2 TABLE OF CONTENTS Dedications and Acknowledgements 2 Welcome 5 Our Values and Philosophy of Care Our Expectations of You Your Transplant Team 6 The Function of the Liver and Intestines 9 Where are the abdominal organs located and what do they look like? What does your Stomach do? What does your Intestine do? What does your Liver do? What does your Pancreas do? When Does a Patient Need an Intestine Transplant? 12 Classification of Intestine Failure Am I Eligible for an Intestine Transplant? Advantages and Disadvantages of Intestine Transplant The Transplant Assessment 14 Investigations Consultations Active Listing for Intestine Transplantation (Placement on the List) 15 Preparing for the Intestine Transplant Trillium Drug Program Other Sources of Funding for Drug Coverage Financial Planning Insurance Issues Other Financial Considerations Related to the Hospital Stay Legal Considerations for Transplant Patients Advance Care Planning Waiting for the Intestine Transplant 25 Your Place on the Waiting List Maintaining Contact with the Transplant Team Coping with Stress Maintaining your Health While -
Organ Transplant Discrimination Against People with Disabilities Part of the Bioethics and Disability Series
Organ Transplant Discrimination Against People with Disabilities Part of the Bioethics and Disability Series National Council on Disability September 25, 2019 National Council on Disability (NCD) 1331 F Street NW, Suite 850 Washington, DC 20004 Organ Transplant Discrimination Against People with Disabilities: Part of the Bioethics and Disability Series National Council on Disability, September 25, 2019 This report is also available in alternative formats. Please visit the National Council on Disability (NCD) website (www.ncd.gov) or contact NCD to request an alternative format using the following information: [email protected] Email 202-272-2004 Voice 202-272-2022 Fax The views contained in this report do not necessarily represent those of the Administration, as this and all NCD documents are not subject to the A-19 Executive Branch review process. National Council on Disability An independent federal agency making recommendations to the President and Congress to enhance the quality of life for all Americans with disabilities and their families. Letter of Transmittal September 25, 2019 The President The White House Washington, DC 20500 Dear Mr. President, On behalf of the National Council on Disability (NCD), I am pleased to submit Organ Transplants and Discrimination Against People with Disabilities, part of a five-report series on the intersection of disability and bioethics. This report, and the others in the series, focuses on how the historical and continued devaluation of the lives of people with disabilities by the medical community, legislators, researchers, and even health economists, perpetuates unequal access to medical care, including life- saving care. Organ transplants save lives. But for far too long, people with disabilities have been denied organ transplants as a result of unfounded assumptions about their quality of life and misconceptions about their ability to comply with post-operative care. -
Organ Donation Opportunites for Action
http://www.nap.edu/catalog/11643.html We ship printed books within 1 business day; personal PDFs are available immediately. Organ Donation: Opportunities for Action Committee on Increasing Rates of Organ Donation, James F. Childress and Catharyn T. Liverman, Editors ISBN: 0-309-65733-4, 358 pages, 6 x 9, (2006) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/11643.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department toll- free at 888-624-8373, visit us online, or send an email to [email protected]. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying is strictly prohibited without written permission of the National Academies Press. Request reprint permission for this book. Organ Donation: Opportunities for Action http://www.nap.edu/catalog/11643.html ORGAN DONATION OPPORTUNITIES FOR ACTION Committee on Increasing Rates of Organ Donation Board on Health Sciences Policy James F. -
Organ and Tissue Donation
ORGAN AND TISSUE DONATION www.kidney.org If I needed a kidney or some other vital organ to live… would I be able to get one? Maybe. Some people who need organ transplants cannot get them because of a shortage of donations. The national waiting list for organ transplants grows longer every day. Thousands die each year while waiting for a transplant of a vital organ, such as a kidney, heart, or liver. How are organs and tissues for transplantation obtained? Organs can be donated by people at the time of death (deceased donors) or by living donors. A living donor may be a relative, friend, or possibly someone who does not know the recipient but wishes to be a donor for someone in need. This brochure provides information about organ and tissue donation at the time of death. For more information about living donation, visit www.kidney.org/livingdonors How are donated organs and tissues distributed? The federal government contracts with an independent organization, called 2 NATIONAL KIDNEY FOUNDATION the United Network for Organ Sharing (UNOS), to manage the distribution of organs donated by individuals at the time of death (deceased donors). Because of the shortage of donations, transplant candidates’ names are placed on a waiting list. Guidelines have been established to ensure that all patients on the waiting list have a fair chance at receiving the organ they need regardless of age, sex, race, lifestyle, or social status. Organs are also distributed based on needs and medical criteria. Donated tissues are distributed through a separate process, which is coordinated by various tissue banks. -
1 SAMPLE PERSUASIVE SPEECH Title: Organ Donation Specific
SAMPLE PERSUASIVE SPEECH Title: Organ Donation Specific Purpose: To persuade my audience to donate their organs and tissues when they die and to act upon their decision to donate. Thesis Statement: The need is constantly growing for organ donors and it is very simple to become an organ donor. INTRODUCTION I) How do you feel when you have to wait for something you really, really want? What if it was something you literally couldn’t live without? II) The need is constantly growing for organ donors and it is very simple to become an organ donor. III) Today I’d like to talk to you about the need for organ donors in our area, how organ donor recipients benefit from your donation, and how you can become an organ donor today. IV) I am credible to speak about this topic because I did a lot of research on organ donation and because I am an organ donor myself. (I’ll begin by telling you about the need for organ donors.) BODY I) People around the world and also right here in Minnesota, Wisconsin, Iowa, and Illinois, need organ transplants and they need our help. A) The problem is that there is a lack of organs and organ donors who make organ transplantation possible (Smith 35). B) According to Jane Green and Jim Lee, authors of “Organ Donations in Minnesota,” the number of organ donors in our area has diminished to a low 23% (Green and Lee 23). (Now that you see the great need for organ donors in our area, let’s look at what may happen if you choose to donate your organs.) II) Organ donation benefits both the donor’s family and the recipients. -
Our Mission: to Advance the Art and Science of Transplant Surgery Through Leadership, Advocacy, Education, and Training
Published for Members of the American Society of Transplant Surgeons Summer 2014 7th Annual Surgical Fellows Symposium: Elevating the Educational Experience Snowbird, Utah Our Mission: To advance the art and science of transplant surgery through leadership, advocacy, education, and training. ASTS.org Chimera Summer 2014 1 ASTS Council July 2014 – May 2015 Vol. XXIV, No. 3 Summer 2014 President Lloyd E. Ratner, MD, MPH (2015) Peter G. Stock, MD, PhD (2015) Columbia University University of California-San Francisco Department of Surgery Department of Surgery, 622 West 168th Street, New York, NY 10032 Division of Transplant 212-342-3539 [email protected] 505 Parnassus Avenue, Box 0780 San Francisco, CA 94143-0780 Douglas G. Farmer, MD (2016) 415-353-1551 [email protected] Ronald Reagan UCLA Medical Center Surgery-Liver & Pancreas Transplant President-Elect MC7054 Charles M. Miller, MD (2015) 757 Westwood Plaza, Suite 8501 Cleveland Clinic Foundation Los Angeles, CA 90095-9574 9500 Euclid Avenue, Mail Code A-110 310-267-9612 [email protected] Cleveland, OH 44195 216-445-2381 [email protected] James F. Markmann, MD, PhD (2016) Division of Transplantation 20 Immediate Past President 55 Fruit Street Alan N. Langnas, DO (2014) 503 White Building Editor’s Letter 3 University of Nebraska Medical Center Boston, MA 02114 PO Box 983280, 600 South 42nd Street 617-643-4533 [email protected] President’s Letter 4 Omaha, NE 68198 402-559-8390 [email protected] Mark D. Stegall, MD (2016) ASTS News 5 Mayo Clinic Past President 200 First Street, SW ASTS Fellowship Training 8 Kim M. -
Management of Donation After Brain Death (DBD) in The
Intensive Care Med (2019) 45:322–330 https://doi.org/10.1007/s00134-019-05574-5 REVIEW Management of donation after brain death (DBD) in the ICU: the potential donor is identifed, what’s next? Ignacio Martin‑Loeches1* , Alberto Sandiumenge2, Julien Charpentier3, John A. Kellum4, Alan M. Gafney5, Francesco Procaccio6 and Glauco A. Westphal7 © 2019 Springer‑Verlag GmbH Germany, part of Springer Nature Abstract The success of any donation process requires that potential brain‑dead donors (PBDD) are detected and referred early to professionals responsible for their evaluation and conversion to actual donors. The intensivist plays a crucial role in organ donation. However, identifcation and referral of PBDDs may be suboptimal in the critical care environ‑ ment. Factors infuencing lower rates of detection and referral include the lack of specifc training and the need to provide concomitant urgent care to other critically ill patients. Excellent communication between the ICU staf and the procurement organization is necessary to ensure the optimization of both the number and quality of organs transplanted. The organ donation process has been improved over the last two decades with the involvement and commitment of many healthcare professionals. Clinical protocols have been developed and implemented to better organize the multidisciplinary approach to organ donation. In this manuscript, we aim to highlight the main steps of organ donation, taking into account the following: early identifcation and evaluation of the PBDD with the use of checklists; -
C = Committee Chair I = Incoming Chair R = Representative L = Councilor Liaison S = Staff Liaison G=Guest
Mission: To advance the art and science of transplant surgery through leadership, advocacy, education, and training. 1 Vision: Saving and improving lives with transplantation. Strategic Plan Goals: Advocacy, Research, Training & Prof Development, Optimal Patient Care, & Organizational Excellence. Core Values: Integrity, Respect, Excellence, Diversity, Compassion, and Forward Focus. Council & Committee Chair Meeting Agenda April 29, 2017 Hyatt McCormick Place Hotel 2nd Floor, Regency Ballroom Time Agenda Items Presenter Tab Action Items Organizational Excellence 7:30 AM Call to Order • COI review • Meeting structure/strategic T. Pruett A plan • In memoriam 7:45 AM Financial Update L. Ratner – C K. Gifford – S 7:55 AM Foundation Report C. Miller – C B M. K-Bullock – S 8:10 AM Nominating Report • Election results T. Pruett – C • Committee appointments M. K-Bullock – S C • Recognition of outgoing cmte E. Proffitt – S chairs 8:20 AM Membership & Workforce Report 1. Request feedback on WF survey • Workforce survey manuscript manuscript • New member approval policy J. Rocca – C D-1 2. Request approval of update to the update K. Chavin – L D-2 new member approval policy • Collection of workforce N. Duan – S D-3 3. Request feedback on selected WF metrics metrics for systematic collection by ASTS 8:40 AM Bylaws Report • Bylaws amendment for vote at R. Pelletier – C E-1 business meeting K. Chavin – L E-2 • Non-clinical member L. Kulikosky – S E-3 participation policy 8:50 AM Historian Report T. Peters – C 4. Request approval for funding of F • Future Chimera Chronicles D. Mossholder – S future Chimera Chronicles N/A Written Reports Only • Communications – J. -
A Thesis Entitled Factors That Explain and Predict Organ Donation
A Thesis entitled Factors that Explain and Predict Organ Donation Registration: An Application of the Integrated Behavioral Model by Matthew Robert Jordan Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Masters of Science Degree in Health Outcomes and Socioeconomic Sciences ________________________________________ Dr. Sharrel L. Pinto, Committee Chair ________________________________________ Dr. Timothy R. Jordan, Committee Member ________________________________________ Dr. Cindy S. Puffer, Committee Member ________________________________________ Dr. Amanda Bryant-Friedrich, Dean College of Graduate Studies The University of Toledo August 2017 Copyright 2017, Matthew Robert Jordan This document is copyrighted material. Under copyright law, no parts of this document may be reproduced without the expressed permission of the author. An Abstract of Factors that Explain and Predict Organ Donation Registration: An Application of the Integrated Behavioral Model by Matthew Robert Jordan Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Masters of Science Degree in Health Outcomes and Socioeconomic Sciences The University of Toledo August 2017 Background: Organ transplantation became a new hope for those living with end-stage organ disease. However, the number of patients waiting for this procedure greatly exceeds the number of available donors. This separation leads to the death of almost 30 Americans per day who are waiting for this life changing procedure. Although Americans have shown a high level of support for organ donation, a large gap exists between the support and intention to register. As one of the most trusted and accessible healthcare professionals, pharmacist may have an opportunity to provide expanded services and education to the public and patients about organ donation.