Bioethics and organ transplantation

Ortúzar, María Graciela de; Soratti, Carlos; Velez, Ivanisse Ortiz

doi:10.1016/s0041-1345(97)01147-0

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…The simple application of different principles of autonomy, beneficence, non-malevolence and justice to determine when a principle is justified to be prioritized over others does not help to clarify moral issues, such as the equal distribution of organs due to the low availability of donors, psychological and philosophical problems to identify donors, the definition of death and protection of donors' autonomy, in view of the informed consent form (particularly in the case of live donors) (16) .…”

Section: Tissue and Organ Donation And The Relationship With The Bodymentioning

confidence: 99%

Doação de órgãos e tecidos: relação com o corpo em nossa sociedade

Roza¹,

Garcı́a

Barbosa

et al. 2010

Acta paul. enferm.

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This is a study of literature review aimed to develop theoretical considerations on the donation of organs and tissues and on its relationship with the human body, in our society. Increasing donation rates depends on a perspective that goes beyond the technical issues of the process of donating organs and tissues. Several countries, with large time frame experience, working systematically in this process with an approach that incorporates social and ethical aspects, based on volunteers, and respecting the families right to autonomy of potential donors. Accompanying the body, after donation, usually requested by the family, represents the beginning of mourning for the death of a relative, which is part of the funeral ritual in the culture of our society. The actions to ensure an ethical-legal sequence, defined by the law of transplants, imply a commitment to quality and safety of the process of organ and tissue donation, which must be strictly followed by professionals working in this area. Thus, it is hoped that these attitudes can build a positive culture on the donation in the country, contributing in the long run to increase donation rates. Keywords: Directed tissue donation/ethics; Organ transplantation; Bioethics; Family RESUMO Este estudo, de revisão bibliográfica, objetivou tecer considerações teóricas sobre doação de órgãos e tecidos e sua relação com o corpo em nossa sociedade. O aumento da taxa de doação depende de um olhar ampliado além das questões técnicas do processo de doação de órgãos e tecidos. Vários países, com larga experiência temporal e, que trabalham sistematicamente nesse processo, incorporaram a abordagem social e a perspectiva ética, baseadas no voluntarismo das famílias e no respeito ao direito de autonomia dos potenciais doadores. O acompanhamento do corpo, pós-doação, solicitado pelas famílias, representa o início do luto pela morte de um parente, parte da prática de ritual fúnebre cultuada em nossa sociedade. As ações que asseguram uma sequência ético-legal, definida na legislação dos transplantes, pressupõem compromisso com a qualidade e segurança do processo de doação de órgãos e tecidos, que deve ser rigorosamente perseguida pelos profissionais que trabalham na área. Espera-se, assim, que essas atitudes construam uma cultura positiva sobre a doação no país, contribuindo, a longo prazo, para o aumento nas taxas de doação. Descritores: Doação dirigida de tecido/ética; Transplante de órgãos; Bioética; Família RESUMEN Se trata de un estudio de revisión de literatura dirigida a elaborar consideraciones teóricas sobre la donación de órganos y tejidos y su relación con el cuerpo en nuestra sociedad. El aumento de la tasa de donación depende de una visión que va más allá de las cuestiones técnicas en el proceso de la donación de órganos y tejidos. Varios países con gran tiempo de experiencia, trabajando sistemáticamente en este proceso con un enfoque que incorpora el punto de vista social y ético, basado en voluntarios y respetando en las familias el derecho a la autonomía de los...

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Section: Tissue and Organ Donation And The Relationship With The Bodymentioning

confidence: 99%

Doação de órgãos e tecidos: relação com o corpo em nossa sociedade

Roza¹,

Garcı́a

Barbosa

et al. 2010

Acta paul. enferm.

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“…Historically, living organ donation was limited to close family members who were more likely to be physiologically compatible with the transplant recipient. 3,4 Now, however, donation to an incompatible and sometimes unknown recipient may occur through the use of new donor protocols that employ plasmapheresis therapy 5 or paired and nondirected living donor protocols (Table 1).…”

Section: Influence Of Relationship Factors On Donor Decision Making Tmentioning

confidence: 99%

Living Kidney Donor Decision Making: State of the Science and Directions for Future Research

et al. 2004

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“…17 Still others have used principlism as a method to guide ethical decisions in living donation. De Ortuzar et al 18 contend that the principle of autonomy is what tips the balance in favor of allowing the potential donor to donate an organ. However, the authors also state that if the risk to the potential donor is too great, nonmaleficence will not allow taking the organ even if the potential donor wants it and it will benefit the patient.…”

Section: Ethical Frameworkmentioning

confidence: 99%

Ethical Dilemmas in Living Donor Organ Transplantation

Nolan

1999

Journal of Transplant Coordination

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Living related donors are an increasing source of organs for transplantation. Although the use of this type of donation is widespread in the United States, the practice of placing donors at risk for injury or illness without physical benefit can create ethical dilemmas for health professionals dedicated to healing and avoiding harm. It is important for transplantation professionals to be familiar with the risks and benefits associated with living donation within their own specialty area. Placing living donation within an ethical framework can allow for careful consideration and guide decision making in each individual case. Drawing upon the literature for examples from several of the transplantation specialty areas, this article reviews some of the risks and benefits associated with living donation and identifies the limits of the utilitarian and casuistic ethical frameworks in guiding decision making in living donation. An ethical framework of virtue-principlism is offered as one which is grounded in an understanding of what it is to be human and in the nature of the health professional–patient relationship.

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Bioethics and organ transplantation

Cited by 7 publications

References 6 publications

Doação de órgãos e tecidos: relação com o corpo em nossa sociedade

Doação de órgãos e tecidos: relação com o corpo em nossa sociedade

Living Kidney Donor Decision Making: State of the Science and Directions for Future Research

Ethical Dilemmas in Living Donor Organ Transplantation

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