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organ donation
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organ donation

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  • 1. ORGAN DONATION DR.R. RAJKUMAR M.D., D.M. CONSULTANT MEDICAL ONCOLOGIST MADURAI MEDICAL COLLEGE & GOVT RAJAJI HOSPITAL
  • 2. INSTRUCTIONS This is our request to all of you that 1. Your mental presence is very much required 2. Please put your mobile off. 3. No conversation during the presentation. 4. Your questions will be answered after the presentation.
  • 3. ORGAN DONATION What is Organ donation Organ donation is the process of removing tissues or organs from a live, or recently dead, person to be used in another. The former is the donor and the latter is the recipient. People of all ages can become donors.
  • 4. ORGAN DONATION Type of donors Some organs can be donated by a living person Almost all organs can be donated by someone dead but this has to reach the recipient within a few hours after the donor's death. In case of live donation the donor should give his consent . In case of cadaver donation, relatives need to provide consent.
  • 5. ORGAN DONATION Voluntary Donation Almost everywhere organ donation is voluntary Two voluntary systems include 1.Opt In - Where the donor gives consent 2.Opt Out - Where anyone who has not refused is considered as a donor In India we have the Opt in system, while many western countries practice the opt out system
  • 6. ORGAN DONATION Organs for Donation Some of the organs that are commonly donated - • Eyes (cornea) • Heart • Lungs • Liver • Pancreas • Kidneys • Skin
  • 7. ORGAN DONATION Organ shortage - reasons Family consent, and negative attitude contribute towards organ shortage. This could be due to the following reasons - • Religion • Fear, ignorance and misunderstanding • Legal aspects • Media reports on scandals involving organ rackets
  • 8. ORGAN DONATION Improving Organ Donation Currently organ donation can be termed as a "crisis with a cure." The following are some ways to improve organ donation- • Improved patient care to facilitate easier approach for organ donation, in case of patient death • Trained transplant co-ordinators and grief counsellors • Improved hospital infrastructure • Qualified Intensivists and Surgeons
  • 9. ORGAN DONATION Improving Organ Donation Currently organ donation can be termed as a "crisis with a cure." The following are some ways to improve organ donation- • Increased HLA typing and cross matching facilities • Improved facilities in packing,transport and retrieval of organs • Supporting organization for networking and registry maintenance • Effective use of technology to facilitate organ donation
  • 10. ORGAN DONATION Role of society Society plays a crucial role in transplant programme especially in case of cadaver transplants. There is a urgent need for increased public awareness regarding organ donation and greater effort must be taken to dispel public concerns regarding the same. Organ donation can give a new twist to tragedy. Remember "organs wasted are lives lost".
  • 11. ORGAN DONATION A GIFT OF LIFE
  • 12. The Organ Shortage • Each day, about 60 people around the world receive an organ transplant, while another 13 die due to non- availability of organs. • Organ shortage — the main limitation to saving lives of critically ill patients — is due to individuals and their families not considering organ donation out of fear, ignorance or misunderstanding.
  • 13. HISTORICAL ASPECTS – CADAVER TRANSPLANTATION - INDIA 1967 - First succeesful cadaver Kidney Transplant in India at KEM Hospital, Bombay 1994 - First successful heart transplant done at AIIMS, N.Delhi 1995 - First successful multi-organ transplant done at Apollo Hospital, Chennai 1998 – First Successful Lung transplant, Madras Medical Mission Hospital, Chennai 1999 – First Pancreas Transplant, Ahembdabad
  • 14. THE TRANSPLANTATION OF HUMAN ORGANS ACT, 1994 Legalised Brain Death and removal of organs for therapeutic purposes. Banned commercial trading of organs from living unrelated donors.
  • 15. TYPES OF DONORS Living Donors Cadaver Donors
  • 16. TYPES OF DEATH Brain Death Cardiac Death
  • 17. Lethal Head Injury Brain Hemorrhage Brain death is Irreversible Loss of Consciousness Absence of Respiration Flat EEG Loss of Brain Stem Reflexes
  • 18. Potential of Cadaver Organs per year from Accident Victims in Mumbai 0 100 200 300 400 500 600 Accident Deaths Brain Deaths Kidneys Other Organs (Each) • Accident Deaths • Brain Deaths • Kidneys • Other Organs (Each) 600 150 300 100
  • 19. How Can We Increase The Donors ? Spreading awareness about Cadaver Organ Donation by initiating One to One and / or Group talks with .. • Schools • Colleges • Social Organisations like LIONS, ROTARY, Etc. • Hospital Staff
  • 20. ALL RELIGIONS SUPPORT ORGAN DONATION
  • 21. RELIGION AND ORGAN DONATION Common thread that binds all religions of the world – – Saving of life overrides all objections – There is no religions that is against organ donation – What holds back is cultural reservations, • Ignorance of the process of organ donation, • Fear of mutilation, • Lack of emotional support at time of tragedy, • Fear that organs will be sold or used only by the rich • Mistrust of hospitals and health professionals • Myths.
  • 22. ADVANTAGES OF CADAVER ORGAN DONOR TRANSPLANT Offers Hope when Living Related Donor Not Suitable. Recipient avoids psycho-social burden of living Donor. Only chance of Life for Heart, Lungs, Liver, etc Patients. Donor Families find Meaning in their Loss.
  • 23. How Does One Become A Donor ?
  • 24. Share Your Life… Share Your Decision… …Sign a Donor Card

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