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Dowling College
ASC 183 Spring 2000
Falguni Mistry
Presentation Write-Up on Organ
Donation
Historical Perspective
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Since the 1st successful kidney
transplant in 1954, over the year’s organs and tissues have become routine
and effective treatments for patients with range of genetic defects.
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Thanks to the medical and technological
breakthroughs have made it possible to transplant 25 different organs and
tissues, including the heart, kidneys, liver, lungs, pancreas, skin, bones,
blood vessels, bone marrow and corneas, and have improved survival rates
for organ transplant patients.
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Survival Rates The 3-year survival rate
for heart recipients is 75%
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The 3-year survival rate for kidney recipients
is 88%
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The following tables shows # of transplants
performed in 1998
Types of transplant |
Number |
Kidney – pancreas transplant. |
973 |
Kidney alone transplant |
12166 |
Pancreas alone transplant |
248 |
Liver transplant |
4487 |
Heart Transplant |
2345 |
Heart-Lung Transplant |
47 |
Lung Transplant |
862 |
Intestine Transplant |
69 |
Total |
21197 |
For more organ data please visit site:
http://www.unos.org/frame_Default.asp?Category=Data
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It can be seen from the above statistics
that people, who were facing death, had New Hope and good rate of survival
also.
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Organ Donation and Transplant Facts
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The donation of the organ is a unique
opportunity to save lives
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It is possible for the organ, tissue and
corneas of a single donor to save or help as many as 25 people.
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All potential recipients are listed on
the united networks for organ sharing. (UNOS)
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Organs are assigned, as they become available
considering the severity of a patient’s condition, medical requirements
(such as blood type, size and tissue mach), proximity to the available
organ and time on the waiting list.
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More organ donors are needed. Although
75-85% of us believes in & support organ donation. Only about 20% of
the potential donors actually have their organs donated.
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Organ donors are healthy people who have
died suddenly, usually through accident or head injury. They are brains
dead. The organs are kept alive through mechanical means.
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Organs for transplant must be made available
soon after death. Organ donation will not take place without the permission
of the next of kin. Therefore, the decision to donate should have been
discussed earlier and the next of kin should understand and be prepared
to carry out their loved one’s wishes. This is the heart of DONOR AWARNESS.
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Organ donation is a true gift. In general,
the donor family will never know the recipients. They do know that out
of their tragic loss, they have given others life and health.
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According to the UNOS, there are more
than 50,000 names are on an organ transplant waiting list.
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Each month more than 2000 names were added
to the list, and the list continues to grow rapidly, while the number of
donors does not.
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8 to 9 people die every day while waiting
for a vital organ.
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10000 to 14000 people die each year and
meet the criteria for organ donation.
The Myths about Organ Donation
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Wealthy people and celebrates are moved
to the top of the list faster than "regular" people.
Fact: The time it takes to receive
a transplant depends on blood type, how long you are on the waiting list,
severity of illness, and other medical criteria. Race, gender, income,
or celebrity status is never considered when determining who receives an
organ. All organs Donation done in this country goes through local OPO’s
and is strictly regulated. No one can "Buy" or "Sell" organs or obtain
"VIP" privileges on a waiting list.
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I am not the right age for donation.
Fact: Organs may be donated from newborns
on up. The general age limit for tissue donation is 70. At the time of
death, appropriate medical professional will determine whether organs are
useable.
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I don’t need to tell my family that I
want to be a donor because I have written in my will.
Facts: By the time your will is read
it will be too late to recover your organs. Telling your family now that
you want to be an organ and tissue donor is the best way to ensure that
your wishes are carried out after your death.
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My religion does not support donation.
Facts: All mainstream organized religion
approves of organ and tissue donation and considers it an act of charity.
5. If I am in an accident and the hospital
knows that I want to be a donor, the doctors will not try to save my life.
Facts: Organ and tissue recovery take
place only after all efforts have been exhausted to save your life and
death has been legally declared. The medical team treating you is completely
separate from the transplant team. The OPO does not notify the transplant
team until your family has consented to donation.
Possible solution to the shortage
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The major roadblock to procuring organs
for transplantation is allows rate of family consent. Why? Because of the
above mentioned Myths. The best way to increase organ donation is through
public awareness and education.
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Increase funding of transplant organization
to educate the public via radio, televisions, newspaper, magazines and
sings in prominent public places. Also using celebrities and selected speaker’s
from transplant organization. These organization also actively educating
physicians and other health care organization.
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Education through government agencies
including DMV and encouraging people to sign back of their driver’s license
for organ donation
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Legislation favorable to organ donation
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Uniform anatomical gift acts, which contains
the directive that the family of the declared donor may not revoke the
donor’s wish to donate their organs and requires hospital personal to Enquirer
routinely about organ donation on admission.
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Proxy law – which allows for a designated
person to make decision of organ donation if the donor unable to do so.
Example if he is in vegetative state
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Omnibus budget reconciliation act, which
require hospitals to systematically and routinely offer next of kin the
opportunity to donate their deceased relative’s organs.
Other Proposed Solution
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Compensation for donation including decent
burial for deceased donor, discounts on insurance rate for future organ
donor
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Law of presumed consent – which would
presume there is no objection for organ donation unless directed otherwise
by donor or family
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Use of organs or parts of organs from
living donor
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Use of death raw inmates as organ donors
What can we do?
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Become a donor
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Sign a pledge card
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Sign the back of your driver’s license
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Inform spouse or next of kin of your decision
to become an organ donor
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Sign a proxy
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Inform your health care team
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Educate other people about organ donation
Summary of the Feedback on the Oral
Presentation
From reading all the feedback overall consensus of
the presentation was good. There were two comments made. One was that I
was very nervous. No doubt I was very nervous. I am not used to presenting.
Although I had practiced several times at home in front of the mirror,
when it came to facing the reality I got nervous. I guess the only way
I can improve is to keep presenting in front of an audience and then it
should become easier.
The second comment from one of the fellow student
was that the statistic (tables) were not so clear. I am not so sure what
the person meant. I had made an effort to enlarge the tables as much as
I can. As far as the content of the tables, in my opinion were quite straightforward.
If I have a chance to speak to that person I will ask him to elaborate.
In addition I had not had enough time to each line on the table.