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High Risk Behavior Case Study

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In liver transplant waiting list, patient with high-risk behavior should be given lower order

Over five hundred thousand United States patients have saved and improved their lives from an organ transplant. Long-term heavy drinking and drug usage leads to chronic liver disease to the patient here in United States and worldwide. The first human organ transplantation successfully was done on kidney in 1954 (UNOS, 2017). As of today, more than 118,000 qualified patients are waiting for this precious organ transplant. Out of those, over 14,400 qualified patients are waiting to receive a liver transplant. To overcome the long waiting period and the shortage of liver organ, keeping people with high-risk behavior on the waiting list is only fair. The patient needs to be responsible for their risky behavior, and they have the choice to minimize the risk exposure. …show more content…

The patients with pre-transplant substance use are at a greater risk for medication nonadherence than other patients, making them riskier candidates for organ transplantation. Possible liver transplants necessary due to common causes such as hepatitis C, often of IV drug use or risky sexual behavior or long-term alcohol abuse (NIDDK, 2012). Both of these are more manageable and preventable than genetically associated liver disease such as Wilson’s disease or hemochromatosis. Thirteen percent of alcoholic liver disease post-transplant patients number shows the increase of moderate to heavy drinking following transplant (Anderson-Shaw & Cotler, 2015). In other words, the patient with the high-risk behavior could start using alcohol and drug as a coping mechanism after the liver transplant. Risky behaviors have more ability to be controlled or modified than genetic diseases (Children’s Hospital of Pittsburgh, 2017). Alcoholic liver disease can

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