Heart Transplant: An Ethical Dilemma

The medical practice of organ transplantation has grown by leaps and bounds over the last 50 years. Each year the medical profession takes more risk with decisions regarding transplants, how to allocate for organs, and most recently conducting transplants on children with adult organs. “An organ transplantation is a surgical operation where a failing or damaged organ in the human body is removed and replaced with a new one” (Caplan, 2009). Not all organs can be transplanted. The term “organ transplant” typically refers to transplants of solid organs: heart, kidneys, liver, pancreas, and intestines. There are two ways of receiving an organ transplant: from a living human or an organ from a

One of the most agonizing decisions a medical professional can make comes when viable internal organs become available for transplant, because the current system of transplant lists often necessitates a time-sensitive evaluation of several candidates to determine who should receive the desperately needed operation. The ethical dilemma presented by the activity You Decide, in which three individuals coming from vastly different circumstances are eligible to receive a heart transplant, represents an all too common situation within the medical profession, and despite the intense emotional stakes involved, the most effective and efficient decision making process is one based on careful consideration of the ethical ramifications involved. Due to the enormous pressure involved in the transplantation of vital organs, a process which must be undertaken with immediacy, medical professionals often rely on the predetermined structural boundaries of respected philosophical tenets. The utilitarian ethical philosophy advanced by the work of Jeremy Bentham and John Stuart Mill, each of whom argued that deciding the most morally acceptable course of action required the clinical application of logical reasoning, is epitomized by Bentham's famous axiom that "it is the greatest happiness of the greatest number that is the measure of right and wrong" (1776). By applying the fundamental precepts of Bentham and Mill's concept of utilitarianism to this morally sensitive medical dilemma, it is

This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.

In 1983 Dr H Barry Jacobs, a physician from Virginia, whose medical license had been revoked after a conviction for Medicare mail-fraud, founded International Kidney Exchange, Ltd. He sent a brochure to 7,500 American hospitals offering to broker contracts between patients with end-stage-renal-disease and persons willing to sell one kidney. His enterprise never got off the ground, but Dr Jacobs did spark an ethical debate that resulted in hearings before a congressional committee headed by Albert Gore, Jr., then a representative from the state of Tennessee. The offensive proposal for kidney sales led to the National Organ Transplant Act to become law in

In this paper I will be using the normative theory of utilitarianism as the best defensible approach to increase organ donations. Utilitarianism is a theory that seeks to increase the greatest good for the greatest amount of people (Pense2007, 61). The utilitarian theory is the best approach because it maximizes adult organ donations (which are the greater good) so that the number of lives saved would increase along with the quality of life, and also saves money and time.

There are a lot of different things that are going on in this world today that keep people from doing right by God. People need to know that the selling of the organs can make things worst in the country that can cause lots of problem for people who do not have the money to pay the price for organs. It comes a time that if someone needs an organ real bad to help save their life and do not have the money to pay for the organ, what will happen then. There would be people who would like for people to be able to just donate organs so they can help save lives in our country without looking for something in return. People can make a lot of different in our children life if they see that we as adults are doing something positive in the world makes them want to follow in our footsteps and love and care for everyone knows matter what the situation is looking like. People feel that if the selling of the organs would become legal to do, the only people who would be able to afford to buy organs would be the ones who has lots of money and want miss a dime when buying organs. “Being able to pay for an organ, would give an unfair disadvantage to those who may need the transplant more urgently but don’t have the money to offer. Being that there is limited number of organs from dying patients, and limited organs that can be donated from living patients.” (https://answers.yahoo.com/question/index?qid)

With the state funding health care for prisoners and the Supreme Court’s ruling, this does however cause a problem for physicians who are ethically bound to help all patients. “[It also causes frustration among physicians because budget cuts are knocking arguably more deserving donor recipients off the transplant list, and allowing prisoners like Reyes-Camarena to receive priority]” (Robinson).

Available became controversial. While the question of the dialysis machine is still controversial, the health system was caught in another ethical dilemma regarding organ transplantation. Organ transplantation is closely linked to the issue of cleanliness because patients with kidney failure can get an organ transplant as an alternative to hemodialysis. The issue is complicated by the fact Medicare is financed by organ transplant, and there are those who believe that the distribution of rare transplant is not right. There are thousands of terminal patients whose lives can be saved by organ transplantation, but there are no formulas of work that can be used to determine which of the thousands of patients will be given priority. It is left to the discretion of medical officers to decide who is worth saving. The ability to keep someone alive by replacing one or more of their major organs is a splendid achievement of medicine of the 20th century.

Heart transplantations prolong the lives of those living with a diseased heart. They are performed when a person can no longer sustain life due to end-stage heart failure. Heart transplant is necessary when all other surgical and medical options have been exhausted. It has been recognized as an effective treatment option, however, heart transplants are limited due to non-availability of donors. In order to be considered for a heart transplant, the provider and surgeon must be sure the patient is appropriate to receive one. Compatibility, lab work, comorbidities and compliance must be all be considered before a decision to perform a transplant can be made. This paper will discuss the importance of this life saving procedure by outlining the reasons for transplantation, exploring the nursing management and utilizing current research on the topic. Through proper diagnosis, medical intervention, quality nursing care and post-surgical therapy, those that face the challenge of

Every day, 20 people die because they are unable to receive a vital organ transplant that they need to survive. Some of these people are on organ donation lists and some of them are not. The poor and minorities are disproportionately represented among those who do not receive the organs they need. In the United States alone, nearly 116,000 people are on waiting lists for vital organ transplants. Another name is added to this list every 10 minutes. This paper will argue that organ donation should not be optional. Every person who dies, or enters an irreversible vegetative state with little or no brain function, should have his or her organs-more specifically, those among the organs that are suitable for donation-harvested. A single healthy donor who has died can save up to eight lives (American Transplant Foundation).

Throughout history physicians have faced numerous ethical dilemmas and as medical knowledge and technology have increased so has the number of these dilemmas. Organ transplants are a subject that many individuals do not think about until they or a family member face the possibility of requiring one. Within clinical ethics the subject of organ transplants and the extent to which an individual should go to obtain one remains highly contentious. Should individuals be allowed to advertise or pay for organs? Society today allows those who can afford to pay for services the ability to obtain whatever they need or want while those who cannot afford to pay do without. By allowing individuals to shop for organs the medical profession’s ethical

A heart transplant is surgery to remove a damaged or diseased heart and replace it with a healthy donor heart. Finding a donor heart can be difficult. The heart must be donated by someone who is brain-dead but is still on life support. The donor heart must be matched as closely as possible to your tissue type to reduce the chance that your body will reject it. You are put into a deep sleep with general anesthesia, and a cut is made through the breastbone

Since the mid 19th century, heart transplants have been been the best option for patients with heart problems. According to Hajar, there are about 5 million people experiencing heart failure resulting with more than 280 deaths a year. With the advancement of technology, the Total Artificial Heart was created to replace a damaged heart if a transplant were unavailable. Although many people see this as an alternate solution, there is debate over whether this is an ethical choice for the patient. When considering the ethics of a Total Artificial Heart, many factors come into play including the extraneous cost of the device, how it will affect the quality of the patient’s life, and the overall success of the device to last.

As technology continues to progress the feasibility of organ transplantation becomes a commonplace. It is very common for organs to be donated after one passes if it is the wishes of the deceased. As the supply of organs from the deceased is greatly outnumbered by the number of patients on waitlists living donors becomes an issue. Many times a relative or close friend is willing to give up an organ to help save a life. The question is: Is it ethical to accept a monetary payment in exchange for an organ to save a life?

In February 2003, 17-year-old Jesica Santillan received a heart-lung transplant at Duke University Hospital that went badly awry because, by mistake, doctors used donor organs from a patient with a different blood type. The botched operation and subsequent unsuccessful retransplant opened a discussion in the media, in internet chat rooms, and in ethicists' circles regarding how we, in the United States, allocate the scarce commodity of organs for transplant. How do we go about allocating a future for people who will die without a transplant? How do we go about denying it? When so many are waiting for their shot at a life worth living, is it fair to grant multiple organs or multiple