Non-Heart-Beating Organ Donation: A Reply to Campbell and Weber
DeVita, Michael A.
Snyder, James V.
Kennedy Institute of Ethics Journal. 1995 Mar; 5(1): 43-49.
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.
Accountability; Allowing to Die; Autonomy; Cadavers; Cardiac Death; Caring; Coma; Consent; Death; Donors; Drugs; Family Members; Goals; Health; Health Care; Hospitals; Informed Consent; Institutional Policies; Life; Organ Donation; Palliative Care; Patients; Prolongation of Life; Resuscitation; Resuscitation Orders; Risk; Scarcity; Standards; Terminal Care; Third Party Consent; Tissue Donation; Ventilators; Withholding Treatment;
Showing items related by title, author, creator and subject.
DeVita, Michael A.; Vukmir, Rade; Snyder, James V.; Graziano, Cheryl (1993-12)Organ transplantation is an accepted therapy for major organ failure, but it depends on the availability of viable organs. Most organs transplanted in the U.S. come from either "brain-dead" or living related donors. ...