Hca 322 Health Care Ethics and Medical Law - Organ Donation
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RUNNING HEAD:ETHICS 1
ORGAN DONATION
SHANNON WALLACE
HCA 322 HEALTH CARE ETHICS AND MEDICAL LAW
GENNADIY DAYCH
MARCH 21,2012
ETHICS 2
Although the idea of organ transplantation is an old one, successful transplantation did not
occur until the Twentieth Century. When different blood types and their respective compatibility
or incompatibility, as well as a method of preserving blood, were discovered, blood transfusions
became an accepted medical procedure. Dr. Emmerich Ullmann experimented on dogs with
kidney transplants in the early 1900's. He found that the transplanted organ functioned longer, the
closer the donor and recipient were genetically related. In the early 1940's Dr. Peter Medawar and
his team experimented with rabbits. They began to understand the immune system which exists
in higher animals and human beings. Antigens, on the surface of cells, enable higher organisms
to recognize a foreign body. They stimulate the production of antibodies which are important in
fighting infection. The more similar the tissues' antigens, of donor and recipient, the less likely
they are to recognize each other as alien bodies. Tissue typing and matching is based on this.
Rejection remains one of the main causes of failure in organ transplantation because it is difficult
to find completely matching tissues. New drugs greatly ease the rejection problem. In the case of
a successful kidney transplant the costs related to the transplant and the required drugs are
cheaper than the alternative of renal dialysis. The quality of life of the recipient is also better.
Experiments continue to be done to try to improve the technology and possibilities regarding
transplantation. For example, research is being done regarding human cell cultures, transplants
from human fetuses, including brain tissue, and from animals to human beings. The latter
includes attempts to genetically design animals with organs that are less likely to be rejected by
human beings. Some animal products (e.g. insulin and pig heart valves) are already used
regularly. Research also continues to be done to improve artificial organs and other artificial aids
to human functioning. The ethical and legal issues related to organ and tissue procurement and
ETHICS 3
transplantation are often discussed in light of such principles as autonomy, benevolence, non-
maleficence, free and informed consent, respecting the dignity, integrity and equality of human
beings, fairness, and the common good. The various aspects, parts and functions of a human
person participate in this. In the donation and transplantation of human organs, respect is to be
given to the rights of the donor, the recipient and the common good of society.
In general it is seen as praiseworthy to will one's body or parts of one's body for the benefit of
others after one's death. Taking into consideration the important advances made in surgical
techniques and in the means to increase tolerance to transplants, this group holds that transplants
deserve the support of the medical profession, of the law, and of people in general. The donation
of organs should, in all circumstances, respect the last will of the donor, or the consent of the
family present. Such a donation can greatly benefit others and cannot harm the donor who is
dead. Not to offer such a donation can be a sign of indifference to the welfare of others. To
donate, however, is not considered obligatory. Transplantation is against some people's
consciences for religious or other reasons. Consideration for the sensibilities of the survivors may
also make some people hesitate to sign over their bodies. In any case proper respect should
always be shown human cadaver. Although they are by no means on par with a living human
body/person, they once bore the presence of a living person. The probably dying potential donor
should be provided the usual care that should be given to any critically ill or dying person.
Because of a potential conflict of interest, it is widely agreed that the transplant team should be
different from the team providing care for the potential donor, who is not to be deprived of life or
of
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