Patient‐centered practices in organ donation. Issue 6 (13th November 2019)

• Record Type: Journal Article
• Authors: Michetti, Christopher P.
• Is Part Of: American journal of transplantation. Volume 20:Issue 6(2020)
• Page Start: 1503
• Page End: 1507
• Publication Date: 2019-11-13
• Subjects: critical care/intensive care management -- editorial/personal viewpoint -- education -- physician education; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.15649
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : The opportunity for a critically ill patient to be an organ donor depends on a complex interplay of factors (the Donation Process), one of which is the treating medical team's perspective of the importance and priority of donation during end‐of‐life care. Medical providers frequently are hesitant to administer treatments to preserve organ function in patients whose death is imminent for fear of invoking a conflict of interest. The basis of the perceived conflict is that organ donation is a process done for the sole benefit of organ transplant recipients and not for the donor, and therefore care directed toward donation prior to death is not for the donor patient's benefit. In this report, it is argued that the Donation Process is indeed a patient‐centered process for the potential organ donor and that organ donation serves the donor's best interests. In addition, key elements of the Donation Process are described. Abstract : Organ donation may be viewed as serving the deceased donor's best interests and therefore deserves attention from healthcare providers during critical illness, prior to death, to maintain this option for their patients.