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.
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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
Organ transplantation is a term that most people are familiar with. When a person develops the need for a new organ either due to an accident or disease, they receive a transplant, right? No, that 's not always right. When a person needs a new organ, they usually face a long term struggle that they may never see the end of, at least while they are alive. The demand for transplant organs is a challenging problem that many people are working to solve. Countries all over the world face the organ shortage epidemic, and they all have different laws regarding what can be done to solve it. However, no country has been able to create a successful plan without causing moral and ethical dilemmas.
It appears that PO was arrested due to positive UA for methamphetamine. PO admitted using methamphetamine on 01-13-16.
To further commend her argument, Satel analyzed the short term amd long term risks an organ donor faces and to a reasonably fact, “The truth is that a normal person can get along perfectly well with one kidney. The risk a donor runs is that his single functioning kidney will become deceased or injured and he’ll need a transplant himself—a highly unlikely event” (Satel 451).
I am passionate about scientific developments and how these advancements will help shape the future, with man-made organs being a specific area of interest. Having researched the damage suffered by the liver due to alcohol abuse, I was astonished at the fact that there presently aren’t any effective treatments as a solution to this widespread problem. The need for liver transplants are greater now than ever and to meet our society’s growing demand, researchers must
Today we are in great need of a solution to solve the problem of the shortage of human organs available for transplant. The website for Donate Life America estimates that in the United States over 100 people per day are added to the current list of over 100,000 men, women, and children that are waiting for life-saving transplants. Sadly enough, approximately 18 people a day on that list die just because they cannot outlive the wait for the organ that they so desperately need to survive. James Burdick, director of the Division of Transplantation for the U.S. Department of Health & Human Services confirms, “The need for organ transplants continues to grow and this demand continues to outpace the supply of transplantable organs”. The
In the article, As Drug Deaths Soar, a Silver Lining for Transplant Patients, addresses that the surge of deaths due to drug overdoses in the New England area has resulted in an increase in organ donations. It claims that these excessive deaths have been a blessing as a “unexpected lifeline” for those that have experienced a lengthy wait on the donor list. Just in this past year sixty-nine individuals that died due to drug overdose have saved the lives of two hundred and two others waiting for an organ. Although a drug users’ organs are considered high risk because they have a high potential in carrying diseases such as HIV and hepatitis C. The extensive screenings that are done to these organs make it feasible to donate the organ since the
In my paper, I will be writing about the historical context of Mary Rowlandson’s, “A Narrative on the Captivity and Restoration of Mrs. Mary Rowlandson.” I am going to look at the entire historical background of Rowlandson’s narrative. The way I am going to explore this is how the readers back then would have interpreted Roland’s reference to Biblical verses, and her questioning of God’s role during her captivity. I plan on using at least 2 sources for this assignment.
“The first thing Violand saw was a gun, then the gunman, ‘I quickly dove under a desk, ’he recalled, ‘that was the desk I chose to die under.’ “(Maraniss). While the U.S. constitution says Americans have the right to bear arms, firearms continue to threaten our schools, work and religious areas. Regardless of the danger that guns possess some states have passed a bill to allow campus carry, which grants professors and college students the choice to carry a firearm on college or university campuses. Although, we have seen the amount of influence that firearms have caused in the past a good amount of public still supports the claim that guns are a reasonable source of protection. However, while many in favor of campus carry view it as a safety precaution, campus carry should not be allowed because there is no evidence that proves campus carry will keep students safer and carrying a concealed weapon can distract from the learning environment.
Based on the Scientific Registry of Transplant Recipients (SRTR), the number of waitlisted older adults (> 65 years) for liver transplantation has significantly increased in the past decade from 9.9% (1,637) in 2001 to 16% (2,460) in 2011 (22). The demand for liver transplantation is expected to increase with high rates of Hepatitis C infection among individuals born between 1945- 1965 who are at risk for cirrhosis and hepatocellular carcinoma (HCC) (23). Given the increasing numbers
Innovative advances in the practice of medicine have increased the life span of the average American. This along with the growing population in the United States and has created a shortfall in the number of organs available for transplant today. The current system of allocation used to obtain organs for transplant faces difficulty because of two primary reasons according to Moon (2002). The two perceptions that stop potential organs donors are that the allocation criteria is unfair and favors certain members of society and/or that organs may be allocated to someone who has destroyed their organs by misuse (Moon, 2002). Many individuals decline to donate organs because anyone requiring an organ transplant is placed on a waiting list and it is possible that individuals who have destroyed their organs by their own actions or convicted criminals could receive donated organs before someone whose organs are failing through no fault of their own and positively contribute to society. When a celebrity or wealthy individual requires a transplant they are often viewed as "jumping" the waitlist but
A continuing problem exists in trying to close the gap between the supply and demand of procured organs in the United States. An increase in the amount of transplant operations performed has risen significantly over time. As a result, a new name is added to the national waiting list every 16 minutes (Duan, Gibbons, & Meltzer, 2000). It is estimated that about 100,000 individuals are on the national transplant waiting list at all times (Munson, 2012). Something needs to be done before these numbers get completely out of control. Despite the introduction of Gift of Life and many other educational efforts, the United
The need of human organs for transplantation increases every single day and every passing month. Thousands of people are on the waiting list hoping for a chance at a new life. Unfortunately, the supply of available organs through organ donations is not able to provide for the growing demand of organs. According to a research conducted by the Hasting Center, “there are close to 100,000 people on the waiting list for a kidney, heart, liver, lung, and intestines, the pressure to find ways to increase their supply is enormous (Capland, 2014, p. 214). The shortage of human organs is leading people to participate in unethical acts. The pressure of finding available organs has resulted in healthcare professional and
In the United States, there are currently 116,608 people in need of a lifesaving organ transplant, and 75,684 people that are currently active waiting list candidates (HRSA, 2017). Between January and September 2017, there have only been 12,211 organ donors (HRSA, 2017) which is far less that the current demand for lifesaving organs. The shortage of donors could lead to an individual looking for outside sources such as the black market to find their lifesaving organ. Offering incentives to persons who chose to donate their organs or those of a deceased loved one is important because it could stop the illegal selling of organs, save the life of someone in need of an organ transplant and benefit both the donor and recipient.
Recent medical advances have greatly enhanced the ability to successfully transplant organs and tissue. Forty-five years ago the first successful kidney transplant was performed in the United States, followed twenty years later by the first heart transplant. Statistics from the United Network for Organ Sharing (ONOS) indicate that in 1998 a total of 20,961 transplants were performed in the United States. Although the number of transplants has risen sharply in recent years, the demand for organs far outweighs the supply. To date, more than 65,000 people are on the national organ transplant waiting list and about 4,000 of them will die this year- about 11 every day- while waiting for a chance to extend their life through organ donation
The Nun’s Priest’s Tale is an allegory that uses animals with human characteristics in order to portray the moral of the story. The story centers on a rooster named Chanticleer, who possesses many human qualities, such as speaking, singing, and the ability to dream. Partlet, a hen, is described as “polite, discreet, debonair, and companionable” (153). These are characteristics not typically associated with animals, which strengthens the message that the animals are representative of humans. Furthermore, Chanticleer and the other animals display human emotions, such as Chanticleer’s fear of his dream, Partlet’s disgust of Chanticleer’s fear, and the love that Chanticleer and Partlet feel for one another. Furthermore, the fox, Sir Russell, also