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Organ Donors (Approach to family (Sensitive, plain language, End-of -life…
Organ Donors
Approach to family
Sensitive, plain language
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Family decision making, not coerce, may change their mind
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Tissue donation
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Exclusion criteria more stringent, may require post mortem before donation
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Direct cardiac death
Donation after cessation of circulation (kidneys, livers, lungs, pancreas, NOT hearts)
Severely brain injured but not brain dead, ongoing treatment is not in patient's best interests
Ventilated patient from whom treatment is being withdrawn (severe irreversible brain injury, severe cardiac or resp failure, ventilator dependent quadriplegia)
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Warm ischaemia time
Time from treatment withdrawl to start of cold perfusion of donated organs, may preclude transplant so prepare family for this
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Guided by legislation
Organ donation must take place after death - brain death or circulatory death - DCD (irreversible cessation of function)
Donation must be an unconditional altruistic, non-commercial act (no profit or costs to donor)
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