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Donate Life: An Overview of Organ, Tissue and Eye Donation


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Donate Life: An Overview of Organ, Tissue and Eye Donation

  1. 1. Donate Life: An Overview of Organ, Tissue and Eye Donation UW Health Organ Procurement Organization
  2. 2. Why is Organ Donation So Important? <ul><li>There are nearly 102,000 people currently waiting for a transplant in the United States, more than 2,500 are children </li></ul><ul><li>Every 13 minutes – another name is added to the waiting list </li></ul><ul><li>Despite record numbers of transplants - the list is growing at the rate of more than 300 patients each month </li></ul>
  3. 3. Why is Organ Donation So Important? (cont.) <ul><li>6,500 adults and children died awaiting an organ transplant last year. </li></ul><ul><li>18 people a day die on the waiting list. </li></ul><ul><li>More than 90% of Americans approve of organ donation, yet less than half say “yes” when asked to make their decision legal </li></ul>
  4. 4. <ul><li>US Transplant Waiting List </li></ul><ul><li>Type of Transplant # of Patients Waiting </li></ul><ul><li>Kidney 79,642 </li></ul><ul><li>Liver 15,821 </li></ul><ul><li>Lung 1,935 </li></ul><ul><li>Heart 2,778 </li></ul><ul><li>Heart-lung 84 </li></ul><ul><li>Kidney-pancreas 2,235 </li></ul><ul><li>Pancreas 1,504 </li></ul><ul><li>Intestines 212 </li></ul><ul><li>Total patients 101,949 </li></ul><ul><li>Source: Organ Procurement and Transplant Network </li></ul><ul><li>Updated 5/3/2009 </li></ul>
  5. 5. <ul><li>Wisconsin Waiting List </li></ul><ul><li>Type of Transplant # of Patients Waiting </li></ul><ul><li>Kidney 1,079 </li></ul><ul><li>Liver 214 </li></ul><ul><li>Lung 66 </li></ul><ul><li>Heart 77 </li></ul><ul><li>Heart-lung 0 </li></ul><ul><li>Kidney-pancreas 55 </li></ul><ul><li>Pancreas 11 </li></ul><ul><li>Intestine 2 </li></ul><ul><li>Total patients 1,466 </li></ul><ul><li>Source: Organ Procurement and Transplant Network </li></ul><ul><li>Updated 5/3/2009 </li></ul>
  6. 6. <ul><li>Challenges: Donors, Transplants & Waiting Patients </li></ul>* Data based on snapshot of the waiting list on the last day of each year
  7. 7. What Can Be Donated?
  8. 8. Kidneys <ul><li>End Stage Renal Disease </li></ul><ul><li>Diabetes with Renal Disease </li></ul><ul><li>High Blood Pressure </li></ul><ul><li>Polycystic Kidney Disease </li></ul>
  9. 9. Heart <ul><li>Cardiomyopathy </li></ul><ul><li>Coronary Artery Disease </li></ul><ul><li>Congenital Heart Disease </li></ul><ul><li>Valvular Heart Diseases </li></ul>
  10. 10. Lungs <ul><li>Emphysema/COPD </li></ul><ul><li>Cystic Fibrosis </li></ul><ul><li>Pulmonary Fibrosis </li></ul><ul><li>Primary Pulmonary Hypertension </li></ul><ul><li>Congenital Defects </li></ul>
  11. 11. Liver <ul><li>Hepatitis </li></ul><ul><ul><li>A,B,C </li></ul></ul><ul><li>Cirrhosis </li></ul><ul><ul><li>Alcohol </li></ul></ul><ul><ul><li>Medications </li></ul></ul><ul><li>Biliary Disease </li></ul><ul><li>Metabolic </li></ul><ul><li>Neoplasms </li></ul>
  12. 12. Isolated Pancreas <ul><li>Diabetes Type I without Renal Disease </li></ul><ul><li>Hypoglycemic Unawareness </li></ul><ul><li>Pancreas after Kidney Transplant </li></ul>
  13. 13. Simultaneous Kidney-Pancreas <ul><li>Diabetes Type I with End Stage Renal Disease </li></ul>
  14. 14. Small Intestines <ul><li>Short Gut Syndrome </li></ul><ul><li>Severe Vascular Disease </li></ul><ul><li>Frequently in Children </li></ul>
  15. 15. What Can Be Donated? (cont.) <ul><li>Skin for burn victims </li></ul><ul><li>Bone </li></ul><ul><li>Connective Tissue </li></ul><ul><ul><li>Ligaments </li></ul></ul><ul><ul><li>Tendons </li></ul></ul><ul><li>Heart for valves/pericardium </li></ul><ul><li>Arteries and Veins </li></ul><ul><li>Eyes (corneas) </li></ul>Tissues and Eyes
  16. 16. What Can Be Donated? (cont.) <ul><li>The Differences…. </li></ul><ul><li>Organ Donation </li></ul><ul><li>The patient must be maintained by a mechanical ventilator </li></ul><ul><li>Organs must be properly preserved and transplanted quickly </li></ul><ul><li>Life-saving procedure </li></ul><ul><li>Tissue/Eye Donation </li></ul><ul><li>Occurs in the first 24 hours after the heart has stopped beating </li></ul><ul><li>The tissues can be preserved and used at a later date </li></ul><ul><li>Life-enhancing procedure </li></ul>
  17. 17. <ul><li>Current Criteria for Organ Donation </li></ul><ul><li>Patients who have been declared brain dead </li></ul><ul><li>OR </li></ul><ul><li>Patients with severe neurological injury and family and MD are discussing withdrawing ventilator support </li></ul><ul><li>Up to age 75 – flexible – there was a 96 y.o. donor this summer </li></ul><ul><li>HIV – (at this time) </li></ul><ul><li>No active malignancy </li></ul><ul><ul><li>Exception: Primary CNS tumors </li></ul></ul><ul><li>Note: Only the OPO can determine </li></ul><ul><li>donor suitability </li></ul>
  18. 18. Organ Preservation Time <ul><li>Heart: 4 to 6 hours </li></ul><ul><li>Lungs: 4 to 6 hours </li></ul><ul><li>Liver: 12 hours </li></ul><ul><li>Pancreas: 12 to 18 hours </li></ul><ul><li>Kidneys: 72 hrs. </li></ul><ul><li>Small Intestines: 4 to 6 hrs. </li></ul>
  19. 19. Common Questions in Regards to Donation ?
  20. 20. “ Will the doctors do everything they can to try and save me if they know my wishes to be a donor?” <ul><li>Absolutely </li></ul><ul><li>OPO is separate from the medical team treating the patient to ensure there is not conflict of interest </li></ul><ul><li>Donation is only considered after all efforts to save a patient’s life have been pursued by the medical team </li></ul>
  21. 21. “ How does religion relate to organ donation?” <ul><li>The majority of religions support organ donation </li></ul><ul><li>Most religions view organ and tissue donation as a charitable act </li></ul><ul><li>Talk to your religious leader about donation </li></ul>
  22. 22. “ Will donation disfigure the body ?” <ul><li>No </li></ul><ul><li>Organs are removed through surgical incisions </li></ul><ul><li>Areas for tissue donation are reconstructed and concealed by clothing </li></ul><ul><li>A family is able to have an open casket funeral </li></ul>
  23. 23. “ Does donation cost a family money?” <ul><li>No </li></ul><ul><li>Each recovering agency pays for all expenses associated with the recovery </li></ul><ul><li>Those costs are passed on to the recipients and their insurance companies </li></ul><ul><li>The family is responsible for the normal funeral expenses </li></ul>
  24. 24. “ Will donation cause any delays with funeral arrangements?” <ul><li>No </li></ul><ul><li>The recovering agency will make certain the body is released to the funeral home on time </li></ul><ul><li>No extra planning is required by families of organ and tissue donors </li></ul>
  25. 25. “ Can you pay to get an organ?” <ul><li>No </li></ul><ul><li>Allocation Criteria </li></ul><ul><li>Blood type </li></ul><ul><li>Medical urgency </li></ul><ul><li>Tissue match </li></ul><ul><li>Waiting time </li></ul><ul><li>Organ size </li></ul><ul><li>Immune status </li></ul><ul><li>Geographic distance </li></ul>
  26. 26. “ Will the organs be transplanted locally?” <ul><li>Yes, If…. </li></ul><ul><li>There are local recipients for the organ </li></ul><ul><li>There are no status one patients in our region (livers only) </li></ul><ul><li>There are no perfect tissue typing matched recipients in the U.S. (kidneys only) </li></ul><ul><li>Approximately 85-90% of all organs donated here are used for transplants here </li></ul>
  27. 27. “ Can the Donor Family and Recipients meet each other?” <ul><li>Yes </li></ul><ul><li>Initial contact is coordinated by the OPO because of federal privacy regulations </li></ul><ul><li>All recipients are encouraged to write to their donor families </li></ul><ul><li>Meetings can be arranged if both parties sign a consent and release of information form </li></ul>
  28. 28. The Two D’s <ul><li>Decide </li></ul><ul><li>Get a Donor Dot on and sign your Driver’s License or State ID card </li></ul><ul><li>2. Discuss </li></ul><ul><li>Talk to your family about your wishes </li></ul><ul><li>In Wisconsin – until you turn 18 years old we must have the consent of your family! </li></ul>
  29. 29. Legal Next of Kin <ul><li>Healthcare Agent </li></ul><ul><li>Spouse </li></ul><ul><li>Adult Children </li></ul><ul><li>Parents </li></ul><ul><li>Adult Siblings </li></ul><ul><li>Adult Grandchildren </li></ul><ul><li>Grandparents </li></ul><ul><li>An adult who exhibited special care & concern </li></ul><ul><li>Legal Guardian </li></ul><ul><li>Coroner or Medical Examiner </li></ul>
  30. 30. Through donation ... ...lives are changed forever