THE GIFT OF LIFE
The debate regarding the ethical issues about organ donation and transplantation has been present for many years. This is primarily due to the unique exchange that must occur. No other treatment so intimately involves the public. People must donate their organs or tissues to make the treatment possible. The question that remains is why are people not donating their organs? One of the main reasons people do not donate organs is distrust of the medical profession. People are afraid that physicians will declare the patient's death prematurely for the sole purpose of retrieving their organs. This may be due to the lack of knowledge regarding the procedure used to protect potential donors. Many individuals do not understand that a physician must declare the patient brain dead before the organs can be retrieved. Declaring a patient brain dead is not an easy process. Know
Before the transplantation process may begin, proper consent must be obtained. Clinical examination of the patient reveals the absence of cerebral function (speaking, facial interaction), no spontaneous movements (except those originating from the spinal cord), no response to stimulation, no brain stem reflexes (pupil reaction to light, blink response, gag or cough reflex, swallowing), and apnea (lack of spontaneous respiration). The following criteria for the decision of brain death must be met:1. Their vital signs, oxygen level in the blood, fluid intake and hourly urine output are monitored continuously. Several procedures must be done to ensure the proper environment for the organs. Proper ventilator settings must be maintained to ensure adequate oxygen. 8 F), drug intoxication or metabolic imbalances. With all of these measures taken to ensure the proper functioning of organs, it is impossible for a patient to receive poor care. Consent can be obtained first, by the signature on a donor card, living will or a driver's license. for the purpose of retrieving organs. Because the hypothalamus of a brain dead patient no longer regulates body temperature, it must be maintained artificially through the use of warming blankets, warming lights, warmed IV fluids and keeping the room temperature at 70-80 degrees F. If cardiac arrest should occur, all measures of full resuscitation are taken.
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