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The importance of organ donation
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Importance of organ donation
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Life and death – simple in appearance, these two words carry much more meaning than they seem to look like. It is a challenge to this day to find a universal definition of the two words. Depending on your culture, education, and beliefs, the meaning of life and death can vary in so many different ways that it would be impossible to encompass all of them into one general definition. Lesley Sharp’s ethnography Strange Harvest helps us understand how life and death can have different cultural meanings across various groups. Strange Harvest examines the complicated implications of life and death through the world of organ transfer, and its effect on the people involved.
Life to the average person may begin from the moment they breathe their first breath, and continues on until the moment they take their last, come death. But in the world of organ transfer, it cannot be so easily defined. There are many ongoing debates over the medical definitions of death versus the social definitions of death. In the US, brain death is legally sanctioned as true death in medical terms. Within the medical framework, it is understood that the mind and “self” is located at the brain, which is what defines someone as a person, gives an individual personality. In this sense, when a brain ceases to function, the “self” disappears and the body is nothing but an empty shell. Therefore, the label of death is applied even though an artificially ventilated donor-patient remains warm to the touch, appears to breathe, and has a heart that continues to beat within its own chest (Sharp 2006: 44).
However brain death criteria still lead to a lot of questions, such as the exact definition of brain death. How much, or what part of the brain should be damaged in ord...
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...gan donation. They offer the messages saying that donors can live on in others, granting new or “second” lives to transplant recipients who, in turn, frequently describe their own surgeries as “rebirths” (2006: 83). Through this definition, death begets life.
Just within the context of organ transfer, there are so many meanings of life and death across the different types of associated groups. Sharp succeeds in emphasizing how cultural, emotional, and medical factors play an important role in how people define life and death. While brain death criteria may still be unsettling in some aspects, we have to realize that the assertion that brain death is “true death” is a consequence of embracing organ transfer as an act of great social worth (2006: 99). Therefore, organ donation certainly provides unique ways to experience and perceive life and death in America.
As of February 2000 there were in the United States 67,340 people waiting for organ transplants.8 In 1998, 4,855 Americans on that list died waiting.8 Against this backdrop of critical need, physicians in Wisconsin are using a controversial drug, Regitine, to preserve organs from patients on life support who still have brain activity, but who are not expected to survive their injury or illness.4 These donors, who typically die of cardiac arrest following the removal of life-sustaining technologies, are called non-heart-beating donors (NHBDs) and differ from traditional "brain-dead" donors in that the cessation of heart beat is sufficient to declare death and begin organ removal.3
Organ donations can result from either living or deceased patients. Living transplants are often from one family member to another, and include kidney, parts of lungs and livers, small bowel and some tissue donations (“Organ Transplant-Overview”, n.d.). Donations from deceased patients occur after the donor has been classified as neurologically dead, and thus the organs are available for transplant to patients on the donor list. Neurological death is the accumulation of blood or fluid in the brain cavity, increasing inter cranial pressure and limiting the flow of oxygen to the brain (Olson, 2002). Once the brain has lost its supply of oxygen, it dies. Unlike other organs, such as the heart, the brain cannot...
There has been a lot of debate concerning brain death within organ donations. This means whether the person is actually alive or dead when the doctors decide to harvest the organs. Some people and even organizations argue why it is they believe an individual is alive during the process while others argue why the donor isn’t alive. This essay shows the different positions of people and organizations regarding brain death.
Life and death represent a dyad; their definitions inherently depend on one another. Simply defined, death is the cessation of life. Similarly, life can be defined as not death; however, not everything not alive is dead. Boniolo and Di Fiore explain this dyadic relationship well, and other authors have cited this interdependency to better define life and death.1-6 The academic literature contains multiple definitions for both terms depending on which discipline or interest group attempts the definition. Nair-Collins provides a thorough discourse on this diversity in terms of death, differentiating between “biological death, death of the person, death of the moral agent, death of the moral patient, legal death, and the commonsense notion of death.”2(p.667,668,675) Through the dyadic relationship, similar groupings could be arrived at for defining life. Whether or not one accepts Nair-Collins’ categories, at least some differentiation of this type is necessary given the complexity of these concepts. I propose a simplified categorization of the definitions of life and death: (1)scientific/biological, (2)medic...
vital functions: the end of life. When people are faced with the reality of their ultimate demise, they
Unfortunately, the life-saving potential of transplantation is limited by the shortage of organs available for donation. In general, several suitable organs from deceased individuals are not harvested for donation (for reasons that will be discussed later) and this largely contributes to the shortage1. In 1968, the Uniform Anatomical Gift Act gave individuals the right to donate organs and tissue in the United States1. Donors can either be living or deceased. Living donors are individuals who choose to donate portions of vital organs or a single kidney. Their donations can be directed to a specific recipient or can be an indirect altruistic donation; however, altruistic donations are very rare. Majority of donations come from deceased donors2. Deceased donors are individuals who have been medically declared dead, and who have previously registered as organ donors or whose legal representatives (usually their family members) have authorized organ donation on their behalf. One deceased donor can make up to eight donations from different organs, and therefore, can save up to eight lives4. Candidates for donation are chosen based on their blood-type (it must match the donated organ) and their medical need for a donation (the most critically ill patients are more likely to receive donations). The organs that are currently approved for transplantation are the kidney, heart, lung, and liver. Although living donations are a significant proportion of donations in the United States, this paper will focus on increasing the number of deceased
Throughout this essay I will discuss and define what is a ‘good death’ and who it is good for, using case studies as evidence. Defining the difference on difference and diversity and why it is important to outline the relation to difference and diversity for a ‘good death’.
The concept of brain death is not something that can be easily determined at just a glance. It is an intricate course of tests and time to determine if the process of brain function is evident. An important series of questions to ask yourself is, “what constitutes brain death,” “how is it defined, “and “what happens afterwards?” Brain death is not to be confused with a coma because they are entirely different. Organ donation is the most common outcome of someone who is diagnosed brain dead. If this occurs first hand to you or your family member, would you go out of your way to determine if the doctors were correct? This essay will explain the tests that are performed on the body that is thought to be brain dead, the difference between brain death and a coma, and how families could possibly handle the results of a person being determined brain dead.
The up-to-date medical advancement has come a long way, including making it possible for donating one’s major organs, blood, and tissues to desperate individuals needing them to sustain life. Organ donation still has problems even with the modern technology and breakthroughs. The majority of individuals need to comprehend to have a successful organ transplant it is essential to have active individuals that are willing to donate their organs. Typically, most individuals or family that consent to donate their precious organ 's desire life to continue. Their intentions are when one life is gone there is hope for another life to continue. Health care is experiencing a shortage in organ donation and the people that desperately need these organs
The concept between life and death cannot simply exist without one another, where the topic is widely discussed throughout “When Breath Becomes Air” by Paul Kalanithi. This memoir explores Paul’s definition of death as he passes through the distinct “stages” of his life. As Paul progresses through each stage, he views death differently as he transformed from a student to a neurosurgeon, neurosurgeon to a patient, and eventually becoming a father, where he needed to take full responsibility as an adult.
The confusion as what exactly constitutes as brain death arises because brain death can be defined in more than one way. For instance, brain death can be classified as either the brain as a whole or the brain-stem. However, the Uniform Determination of Death Act states that, “an individual that has sustained irreversible cessation of all functions of the entire brain, including the brain-stem, is dead” (Manara, Murphy & O’Callaghan, 2011). The brain-stem is the part of the brain between the spinal chord and diencephalon and consists of thr...
Life then death, life after death, or life and death, and so on. These phrases represent the varying understandings throughout the world’s cultures of the relationship between life and death and its relationship to living creatures. Throughout, it is understood that all organisms spend time on earth in a specific form and after some time that form will wear away and the physical form of that being will die--the body will no longer function and can return to the earth and nutrients from which it came. However, the disagreement lies in whether or not there is a literal end to that organism’s existence, or its being, its spirit. Both a culture’s understanding of this relationship and historic influences, cause variations of cultural attitudes toward life and death.
Current definitions of life and death have been categorized into two different cases: neurological and cardiorespiratory. Each category has a definite list of qualifications in order for death to be determined. Just the same, each category has contradictions and odd cases in which cardiorespiratory or neurological function are restored. 4 These contradictions leave room for opposition to the new definition of death. Many people and religious groups are not satisfied with the two categories of death. Scholars urge all to consider life as a social construct. We may not be able to determine death positively, but we can consider a patient’s quality of life, level of personhood, interaction with their external environment, and ability to maintain vital signs organically. These considerations may be a step toward the most modern definitions of life and death.
As was discussed, death is defined as the irreversible cessation of cardiopulmonary or brain function, yet there are still critics who argue against cardiopulmonary death parameters (the two minute rule), and question the possibility of resuscitation and how that can be considered death. Furthermore, critics argued against the complete loss of brain function as a definitive characteristic of death while rebuttals revealed personhood as too ambiguous to define death. Aside from death, there was no definition of life, but controversies between philosophical, theological, and scientific viewpoints on when life begins and when moral status can be given to a being were explored.