The field of transplant ethics is a specialty within the practice of clinical ethics. The goals of transplant ethics are to promote the integrity of transplant medicine, and the welfare of living donors and organ recipients. Because organs are very scarce and a precious gift, transplant ethics aims for organ allocation to those with the capacity to benefit from it.
There are many ethical dilemmas and complex situations that can arise during transplant and organ donation. Examples of transplant dilemmas include the following:
Ethics assessment of fulminant patients;
Transplantation for those who are uninsured or underinsured;
Assessment of patients expressing ambivalence about pursuing transplant;
Assessment of patients with compliance problems;
Ethics assessments of living donor candidates;
Ethics assessments for candidates with mental health issues;
Policy matters such as organ tourism, solicitation of living donors, prisoners & parolees, and extended criteria organs (e.g., organs from older donors);
Assessment of patients considering permanent or bridge use of ventricular assist devices;
Assessment of hand and face transplant candidates & VCA living donor candidates
2015: BIOETHICS GRAND ROUNDS (sessions offered throughout the year in conjunction with Bond University Medical Program, Gold Coast University Hospital, and Pindara Private Hospital. Students, staff, and health care personnel (doctors, nurses, allied health, chaplains, etc) are welcome to attend. For details, see below.
May 5, 2015: "Psychosocial Implications of Gender Mismatch in Transplantation." University of Florence, Italy. May 20, 2015: A block of 3 VCA ethics lectures, St. Vincent's Hospital, Melbourne.
June 13, 2015: "The Narrative Experience of Vertigo." Critical Voices Conference. Tunbridge Wells [Kent], UK June 18, 2015: Bioethics Grand Rounds, Pindara Private Hospital, 2:15pm, "Environmental Care and the Patient Experience." https://www.youtube.com/watch?v=fY8ydle_wek
Aug 6, 2015: Bioethics Grand Rounds, Gold Coast University Hospital, 12:15pm, ""I Don't Want an ICD": When Refusal of Treatment Creates Moral Distress for the Medical Team."
Oct 20, 2015: Bioethics Grand Rounds, Pindara Private Hospital, 2:15pm, "Managing Requests for Futile Interventions."
Oct 30, 2015: "Ethically Optimizing Organ Donation via Pre-Mortem Interventions." 16th International Victor Chang Cardiac Symposium. Sydney, Australia.
Nov 21, 2015: "The Roles and Ethical Responsibilities of Medical Subspecialities in Organ Donation." Symposium on Ethical Challenges in Organ Donation. Doha, Qatar.
Nov 21, 2015: "Clinical Ethics Workshop: Understanding and Managing Ethical Issues at the End of Life." Symposium on Ethical Challenges in Organ Donation. Doha, Qatar.
Nov 25, 2015: "The Ethical Complexity of Regenerative Medicine: Growing and Sharing Livers." University of Zurich.
Nov 30, 2015: "Moving Facial Transplantation Forward." University of Zurich Hospital.
Asking for help:This web site is educational and intended to inform patients, donors, and families about some of the key issues in transplantation and living donation. If you are a patient, potential organ donor, someone who has donated, or a caregiver and you need ethics advice, please request an ethics consult from your hospital ethicist. If you have been a live donor or are a potential donor, you can also seek guidance from the Donor Advocate at your transplant center. In the USA, the availabilty of a Donor Advocate/Donor Advocate Team is a Federal requirement for all transplant centers.
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This is Professor Bramstedt's personal web site and the views expressed are her own. The site is not sponsored or supported by Bond University, Queensland Health, DonateLife, or any of her clients. The purpose of this web site is educational. Professor Bramstedt will NOT provide medical advice to anyone. You should consult a health care provider in all matters relating to your health, and particularly with respect to any symptoms that may require diagnosis or medical attention. Any action on your part in response to the information provided in this web site is at the reader's discretion. Readers should consult their own health care provider concerning the information on this web site. Polls on this website are opinion polls, NOT research studies.