The field of transplant ethics is a specialty within the practice of clinical ethics. The goals of transplant ethics are to promote the integrity of transplant medicine, and the welfare of living donors and organ recipients. Because organs are very scarce and a precious gift, transplant ethics aims for organ allocation to those with the capacity to benefit from it.
There are many ethical dilemmas and complex situations that can arise during transplant and organ donation. Examples of transplant dilemmas include the following:
--Ethics assessment of fulminant patients; --Transplantation for those who are uninsured or underinsured; --Assessment of patients expressing ambivalence about pursuing transplant; --Assessment of patients with compliance problems; --Assuring that living donations are without coercion and conflict of interest; --Assessments of those who are non-residents/foreign nationals or those with mental health issues, or those presented for re-transplantation; --Policy matters such as organ tourism (issues relating to treating patients who have obtained organs in foreign countries), internet solicitation of living donors, and extended criteria organs (e.g., organs from older donors).
Additionally, the ethicist can work wtih cardiac teams and patients who are considering permanent or bridge use of ventricular assist devices.
April 9, 2013: Joint Congress of the International Transplant Nurses Society (ITNS) and the Italian Society for Safety and Quality in Transplantation (SISQT), Florence, Italy. [K. Bramstedt presents "Good Samaritan living donation in Australia"]. For details go to: http://www.itns.org/uploads/files/itns_sisqt_program.pdf
April 15, 2013: University of Florence Department of Specialty Surgical Sciences (Italy), [K. Bramstedt presents "Living donation: the USA experience"]
April 16, 2013: University of Florence Department of Psychology (Italy), [K. Bramstedt presents "Decision-making capacity assessment by clinical professionals: Key components and confounders"]
Asking for help:This web site is educational and intended to inform patients, donors, and families about some of the key issues in transplantation and living donation. If you are a patient, potential organ donor, someone who has donated, or a caregiver and you need ethics advice, please request an ethics consult from your hospital ethicist. If you have been a live donor or are a potential donor, you can also seek guidance from the Donor Advocate at your transplant center. In the USA, the availabilty of a Donor Advocate/Donor Advocate Team is a Federal requirement for all transplant centers.
Click on the card to register to be a donor in Australia
Celebrate Organ Donation & Transplantation
Organs for Strangers
This is Dr. Bramstedt's personal web site and the views expressed are her own. The site is not sponsored or supported by Bond University, Queensland Health, DonateLife, or any of her clients. The purpose of this web site is educational. Dr. Bramstedt will NOT provide medical advice to anyone. You should consult a health care provider in all matters relating to your health, and particularly with respect to any symptoms that may require diagnosis or medical attention. Any action on your part in response to the information provided in this web site is at the reader's discretion. Readers should consult their own health care provider concerning the information on this web site.