Info

stated that they had some mental health personnel associated with the program to help with psychosocial evaluations: psychiatrists, psychologists, social workers or psychiatric nurses.

As mentioned, active substance abuse and major psychiatric disorders such as schizophrenia and dementia may be absolute contraindications. Other strong relative contraindications include active suicidal ideation, unstable bipolar disorder, gross noncompliance with prior treatment, antisocial personality disorder and no social support. Even the risk of some of these contraindications can be acceptable if there is evidence of long-term stability or a good chance for recovery. For example, a schizophrenic patient who has been stable over a number of years may do perfectly fine with the whole procedure. Approximately one of five people with alcoholic cirrhosis may not fit the criteria for alcohol dependence as will be discussed later. These individuals may have been chronic heavy drinkers who present to transplant centers with cirrhosis being the first major stigmata of their drinking pattern. Individuals who have led stable lives and have good family collaboration may be reasonable risks for transplant without long observational periods. The transplant team itself often functions in crucial roles in psychosocial recovery. For example, an isolated, unemployed man may use the transplant team as a major support system. More difficult to resolve may be the relative contraindications to transplant such as less serious noncompliance, poor social support, problematic personality disorders and the vast array of mood disorders. In addition, you find individuals who aren't clinically depressed, but seem to have given up the will to live. These patients can be particularly difficult to deal with post-transplant, when effort and rapid participation in rehabilitation is needed to prevent complications. The general goal is short inpatient stays to prevent hospital complications.

Donor Evaluations

Increasingly, transplant programs are exploring the new ways to use live human donors when possible. Obviously this has been a practice with renal transplants for some time due to the fact that most individuals do reasonably well with one remaining kidney. The first successful kidney transplant was done in 1954 when an identical twin brother was used as the source of the kidney. Currently, in addition to kidneys, transplant surgeons now use portions of the liver, lung, heart, and pancreas from living donors.

Several different types of living organ donors have been identified, which include genetically related donors, emotionally related donors, "Good Samaritan donors," and donors-at-large. Genetically related donors can include first-degree relatives or more distant relatives, while emotionally related donors include spouses, partners, and friends. "Good Samaritan donors" generally refer to people that have no relationship or a distant relationship to the recipient. Finally, donors-at-large have been identified as those who wish to donate an organ in the absence of any direct or indirect relationship to the recipient. The number of living donations in recent years has increased due to increasing numbers of individuals needing transplantation and an inadequate supply of cadaver organs. In many Asian cultures,

Beat The Battle With The Bottle

Beat The Battle With The Bottle

Alcoholism is something that can't be formed in easy terms. Alcoholism as a whole refers to the circumstance whereby there's an obsession in man to keep ingesting beverages with alcohol content which is injurious to health. The circumstance of alcoholism doesn't let the person addicted have any command over ingestion despite being cognizant of the damaging consequences ensuing from it.

Get My Free Ebook


Post a comment