RESUMO
The involvement of primary-care physicians is integral to the success of organ and tissue donation and transplantation. Primary-care physicians have a vital role to play in educating patients and encouraging family discussion about organ and tissue donation. A study to determine the practice of Connecticut primary-care physicians relative to providing donation information to patients during routine care was conducted in three phases: 1) validation of current practice of primary-care physicians regarding educating patients about donation, 2) development and distribution of educational materials requested by primary-care physicians, 3) evaluation of primary-care physician practice and educational materials. Most (69% N = 310) responding primary-care physicians never discuss organ/tissue donation with patients during routine care and only 5% (N = 24) had donation information available. When provided with donation materials, most primary-care physicians left these materials in the waiting room and did not personally discuss donation with the patient. Collaboration between primary-care physicians and organ procurement staff needs to be increased so that primary-care physician's more readily discuss donation with their patients and encourage patients to discuss donation decisions with family members.
Assuntos
Educação de Pacientes como Assunto , Papel do Médico , Médicos de Família , Doadores de Tecidos , Connecticut , Humanos , Relações Médico-Paciente , Doadores de Tecidos/legislação & jurisprudência , Obtenção de Tecidos e ÓrgãosRESUMO
Until recently, the families of patients who have given the gift of life have been the invisible group in the transplant circle. They donated the organs and tissues of their loved ones to unknown transplant recipients and then were to grieve alone. As transplantation has matured and become the treatment of choice for end stage organ failure and for other life-enhancing procedures, the importance of the donor and the donor family is being recognised and their needs and expectations identified.
Assuntos
Adaptação Psicológica , Família/psicologia , Transplante de Rim , Doadores de Tecidos , Idoso , Feminino , Pesar , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Metodológica em Enfermagem , Relações Profissional-Família , Inquéritos e QuestionáriosRESUMO
Every year, 200 to 250 patients suffer the sudden death of a loved one in the emergency department at Hartford Hospital. Many families are not prepared for the grief they will experience and are left to grieve their loss alone. Recognizing the needs of these families led to the development of the Trauma Support After Care Program, which is described in this article.
Assuntos
Assistência ao Convalescente/organização & administração , Luto , Morte Súbita , Família/psicologia , Humanos , Modelos de Enfermagem , Registros de Enfermagem , Apoio SocialRESUMO
The authors report the results of a March 1992 survey of 650 baccalaureate nursing education programs concerning the education that they provide in the area of death, dying, and bereavement. The survey inquired about death education content in the curriculum, theoretic models, and whether organ/tissue donation is addressed. Results indicate that many schools are using outdated models. The authors suggest ways to address these issues more adequately.
Assuntos
Luto , Currículo , Morte , Bacharelado em Enfermagem , Coleta de Dados , Humanos , Modelos de Enfermagem , Estados UnidosRESUMO
As health care professionals, critical care nurses have a responsibility to assist families through the bereavement process. This article discusses how the critical care nurse can offer support to families facing the sudden death of a loved one.
Assuntos
Cuidados Críticos/psicologia , Morte Súbita , Família/psicologia , Pesar , Cuidados de Enfermagem/psicologia , Adaptação Psicológica , Criança , Feminino , Humanos , Apoio SocialRESUMO
This article explores how the critical care nurse can support donor families. Some of the many programs currently available to assist families after the death of a loved one and after the donation of organs and tissues are described.
Assuntos
Família/psicologia , Pesar , Grupos de Autoajuda/organização & administração , Apoio Social , Doadores de Tecidos , Cuidados Críticos , Humanos , Cuidados de EnfermagemRESUMO
This article examines the intellectual foundations for policies and practices concerning contacts between organ and tissue donor families and transplant recipients. Should there be contacts between donor families and transplant recipients? What might be an example of the form such contacts could or should take? These questions are explored, with the goal of stimulating open discussion and rationalizing the theoretical foundations behind policies and practices in this field.