ANALIZE MEDICALE DE LABORATOR
Aici gasiti analizele medicale grupate pe categorii precum si detalii generale si specifice pentru categoriile respective.
Selectati o categorie din lista de mai jos:
Solutie antistress!
Construieste poduri :)
Prinde pisica neagra :)
Relatives Who Decline Organ Donations Face Conflict And Guilt And Don't Always Follow The Wishes Of The Deceased
Family members are sometimes unable to carry out their relative's wish to
donate organs when they die, because of conflicting feelings between making
a gift of life and protecting the body of the deceased, according to research in
the latest Journal of Advanced Nursing.
Researchers from the University of Southampton, UK, spoke to 26 people
who had decided not to let their relatives' bodies be used for organ donations
about their views and experiences. The 23 relatives who died ranged from a
five-week old baby, who had died of a lung condition, to an 82 year-old man,
who died following a stroke.
"Family members who spoke to us were recruited using advertisements in 12
local newspapers, four national newspapers and four hospital intensive care
units," explains lead researcher Dr Magi Sque from the School of Nursing and
Midwifery at the University.
"Face-to-face interviews were carried out with eight parents, ten spouses or
partners, two sons, five daughters and one sister."
An unexpected finding of the study was how many of the study participants
and deceased relatives held pro-donation views.
"Despite this, the decision to not donate was still taken," says Dr Sque.
Twelve family members said they were normally positive about organ
donation and nine reported that their relative had indicated that they wanted to
be an organ donor. Five said they had mixed feelings about organ donation or
knew that their deceased relative didn't want to be a donor.
In six cases, both the relative and the person who died shared the same
positive view about donation, yet it still didn't take place.
The most commonly reported reason for declining organ donations was
because the family member felt the need to protect the body of the deceased.
Fifteen participants told the researchers that they didn't want to relinquish
guardianship of the body - they wanted to keep it intact and didn't want it to be
interfered with.
Some also expressed concern that if organs were donated, and then found to
be unsuitable, the whole process would have been unnecessary. Others felt
their relative should be left in peace.
Other factors included:
- Circumstances at the time of death - people needed time to come to
terms with the death of their relative, especially if their death was
sudden or their body looked normal.
- Lack of knowledge - some people said they did not have enough
information about what organ donation involved.
- The donation discussion - issues were raised around the timing and
sensitivity of discussions between relatives and healthcare
professionals.
- Witnessing the observable ending of life - some people said they
needed to be present when their relative's heartbeat stopped. That
could not always happen if their relative was a donor.
"Many family members who talked to us said they felt guilty and selfish about
their decision not to donate, particularly if their relative had said they wanted
to be a donor," says Dr Sque. "They were also relieved to discover they were
not the only ones who had declined donation.
"One even said that seeing our newspaper advertisement for the study made
her feel less guilty because she realised that she wasn't alone in her decision.
"Most countries that support organ donation have high refusal rates and we
hope that this study will provide some insight into why people don't allow
donations to go ahead."
The researchers conclude that rather than seeing donation as a 'gift of life'
many relatives see it as a 'sacrifice' - that in allowing the donation to take
place they are sacrificing their relative's intact body for an operation that might
not benefit anyone.
"Describing donation as a 'gift of life' is over-simplistic and does not reflect the
depth and complexity of the process," says Dr Sque.
"Healthcare professionals need to take these perceptions of 'gift of life' and
'sacrifice' into account when discussing the issue with the families of potential
donors. Exploring and understanding their views may help lead to better
management of this delicate process and could potentially increase donation
rates."
Notes
- Why relatives do not donate organs for transplants: 'sacrifice' or 'gift of life'.
Sque et al. Journal of Advanced Nursing. 61(2) pp 134-144.
- Journal of Advanced Nursing is read by experienced nurses, midwives,
health visitors and advanced nursing students in over 80 countries. It informs,
educates, explores, debates and challenges the foundations of nursing health
care knowledge and practice worldwide. Edited by Professor Alison Tierney, it
is published 24 times a year by Blackwell Publishing Ltd, part of the
international Blackwell Publishing group. http://www.blackwell-synergy.com/loi/jan
- About Wiley-Blackwell. Wiley-Blackwell was formed in February 2007 as a
result of the acquisition of Blackwell Publishing Ltd. by John Wiley & Sons,
Inc., and its merger with Wiley's Scientific, Technical, and Medical business.
Together, the companies have created a global publishing business with deep
strength in every major academic and professional field. Wiley-Blackwell
publishes approximately 1,400 scholarly peer-reviewed journals and an
extensive collection of books with global appeal. For more information on
Wiley-Blackwell, please visit http://www.blackwellpublishing.com or
http://interscience.wiley.com
University of Southampton
Rude care Decline organe Donatii Fata de conflict ºi vinovãþia ºi nu întotdeauna dorinþele celor decedaþi - Relatives Who Decline Organ Donations Face Conflict And Guilt And Don't Always Follow The Wishes Of The Deceased - articole medicale engleza - startsanatate