organ transplant

1. Organ transplantation is often the only treatment for
end state organ failure, such as liver and heart failure.
Although end stage renal disease patients can be treated
through other renal replacement therapies, kidney
transplantation is generally accepted as the best
treatment both for quality of life and cost effectiveness.
Kidney transplantation is by far the most frequently
carried out transplantation globally.”

2. CONSENT ROLES FOR DONATION-
 Informed Decision to Informed Consent
 Does a family need to know what organs and tissues
can be donated?
 Do they need to know the size of the incision?
 Do they need to know how the body will look after
donation?
 Do they need to know about the various donor
suitability tests?

3. INCIDENCE:-
 500,000 people die because of non-availability of
organs.
 200,000 people die of liver disease.
 50,000 people die from heart disease.
 150,000 people await a kidney transplant but only
5,000 get one.
 1,000,000 lakh people suffer from corneal blindness
and await transplant

4. RELIGIOUS & CULTURAL ASPECTS
OR BELIEFS:ORGAN DONATION-
 Catholic church-
 Organ donation and transplants are acceptable.
 Orthodox church-
 Church discourages organ donation.
 Islam(Muslim) beliefs-
 Body parts may not be removed or donated for transplantation.Muslims require that
the donor have provided written consent in advance
 Jehovah’s witness-
 Organ transplantation may be accepted, but the organ must be cleansed with non-
blood solution before transplantation.
 Orthodox Judaism-
 All body parts removed during autopsy must be buried with the body because it is
believed that the entire body part must be returned to the earth, organ donation may not
considered by family members.
 Hinduism-
 Organ transplantation is accepted.

5. TYPES OF TRANSPLANTS-
 Auto graft
 Allograft
 Isograft
 Xenograft and Xenotransplantation
 Split transplants
 Domino transplants

6. MAJOR ORGANS AND TISSUES
TRANSPLANTED
 Solid transplantable organs-
 Thoracic organs
 Heart (Deceased-donor only)
 Lung(Deceased-donor and Living-Donor)
 En bloc Heart/Lung (Deceased-donor and Domino transplant)
B. Other organs-
 Kidney (Deceased-donor and Living-Donor)
 Liver (Deceased-donor and Living-Donor)
 Pancreas (Deceased-donor only)
 Tissues, cells, fluids
 Hand (Deceased-donor only
 Cornea (Deceased-donor only
 Skin graft including Face transplant (almost always autograft)
 Penis (Deceased-donor only)
 Islets of Langerhans (Pancreas Islet Cells) )
 Bone marrow/Adult stem cell (Living-Donor and Autograft)
 Blood transfusion/Blood Parts Transfusion
 Blood vessels
 Heart valve
 Bone

7. CONTRAINDICATIONS FOR ORGAN
DONORS
 Age.
 Malignant Neoplasm’s (except Primary brain tumors)
 Transmittable diseases (Sepsis, Meningitis, HIV, Acute
Hepatitis, TB)
 Current IV Drug abuse
 CNS Disease (Alzheimer’s, r/t Mad Cow Disease)
 Diseases of unknown etiologySickle Cell (only if in
crisis)

8. BENEFITS OF ORGAN DONATION-
 FOR TREATMENT OF DISEASES-
 FOR TRANSPLANT RECIPIENTS-
 FOR DONORS AND THEIR FAMILIES
 DEPENDING ON YOUR BELIEFS

9. IMPROVING 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. NURSES’ ROLE IN DONATION-
 Early identification.
 Referral of potential donors to OPO.
 Support the families’ right to donate.
 Assist in donor management.
 Comfort grieving familiesMaintain cardiac output.
 Maintain tissue perfusion.
 Maintain fluid and electrolyte balance.
 Ensure adequate ventilation and pulmonary stability.
 Prevent infection.
 Control diabetes Insipidus.
 Regulate body temperature.

11. THNKING
YOU
BY:- SUHAIL NAQVI NURSING TUTOR