non-directed organ donation - "policing the process"
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Non-Traditional Living Donation…Non-Traditional Living Donation…Policing the ProcessPolicing the Process
Christina Bryant, RN, PTC
Alabama Organ Center
My journey began nineteen My journey began nineteen years ago…years ago…
KayLynn JensenKayLynn JensenDecember 24, 1958 – August 1, 1989December 24, 1958 – August 1, 1989
Facing the obstacles…Facing the obstacles…
Overcoming protocols…Overcoming protocols…
Establishing the relationship…Establishing the relationship…
Transplant success…Transplant success…January 15January 15thth, 2007, 2007
Waiting List Registrations 1998-2007Waiting List Registrations 1998-2007U.S.U.S.
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007Year of Snapshot
Kidney Liver
Kidney - Active Liver - Active
Nu
mb
er
of
Re
gis
tra
tio
ns
Solutions???Solutions???
DialysisDialysis
Deceased DonorsDeceased Donors
Traditional DonorsTraditional Donors
Non-traditional DonorsNon-traditional Donors
Dangers Dangers ofof
Dialysis… Dialysis…
Oxidative Stress & Oxidative Stress & Chronic inflammationChronic inflammationAnemiaAnemiaHypertensionHypertensionFluid Volume OverloadFluid Volume OverloadHyperlipidemiaHyperlipidemiaNeuropathyNeuropathyInfectionInfectionPericarditisPericarditisHEART FAILUREHEART FAILURE
From: Johnnie Sent: Wed 6/25/2008 4:58 PMTo: Christina BryantSubject: Re:
Jody had a heart attack last Wednesday night. It's been called an episode, an event, and even a lethal arrhythmia...but I just call it a heart attack. He coded in the ER after walking in with slight chest pains. They used the paddles three times to revive him and told him if it had happened at home he wouldn't be with us. On Friday morning he received two new stints. Yesterday, he got a new defibrillator pace maker and today we came home. I guess I'm still in shock or just have angels assigned to round the clock duty for Jody but we weathered the storm. And my ever-positive guy is just excited that the shocks delivered put his heart rate back in normal rhythm. Glass half full! God is good. You can call him and he'll tell you his story. I'm just glad he can. Dr. said his heart is just weak from all the dialysis and there's not much we can do but hope we've covered our bases now. Say a prayer and I promise to take the best care of him that I can.
Love,Johnnie
HAPPILY EVER AFTER???HAPPILY EVER AFTER???
Deceased Donors…Deceased Donors…
There were 8,087 deceased There were 8,087 deceased donors in 2007. (approximately donors in 2007. (approximately 16,174 potential kidneys for 16,174 potential kidneys for transplant)transplant)
Of the 16,174 potential kidneys, Of the 16,174 potential kidneys, 10,587 were utilized for transplant. 10,587 were utilized for transplant. (65%) (65%)
Deceased Donor Transplants Deceased Donor Transplants 2005 - 20072005 - 2007
4691466
6227
862
10587
197
2210
300
2000
4000
6000
8000
10000
12000
HL HR IN KI KP LI LU PA
# o
f T
ran
spla
nts
2005 2006 2007
10,587
Traditional Donor Programs…Traditional Donor Programs…
Living relatedLiving related
Living non-biological Living non-biological relatedrelated
Close FriendsClose Friends
Living Donor TransplantsLiving Donor Transplants1998 - 20071998 - 2007
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Nu
mb
er o
f T
ran
spla
nts
Kidney Liver Lung
Pancreas Kidney-Pancreas Intestine
6,039
Non-Traditional Donor ProgramsNon-Traditional Donor Programs
Non-directed donorsNon-directed donors
Paired donorsPaired donors
UNOS’ voluntary generic UNOS’ voluntary generic allocation to intended allocation to intended candidatescandidates
Waiting List Additions 1998-2007Waiting List Additions 1998-2007U.S.U.S.
0
10,000
20,000
30,000
40,000
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
Kidney Liver
Nu
mb
er
of
Re
gis
tra
tio
ns
32,453
Doing the math…Doing the math…
There were 10,587 deceased donor kidney transplants in 2007.There were 10,587 deceased donor kidney transplants in 2007.
There were 6,039 live donor kidney transplants.There were 6,039 live donor kidney transplants.
In 2007, there were 32,453 recipients added to the waiting list.In 2007, there were 32,453 recipients added to the waiting list.
We transplanted 51% (16,626) of the We transplanted 51% (16,626) of the NUMBER ADDEDNUMBER ADDED to the list in to the list in 2007, this percentage excludes more than 70,000 patients already 2007, this percentage excludes more than 70,000 patients already registered to the list at the end of 2006.registered to the list at the end of 2006.
The dogmas of the quiet past are The dogmas of the quiet past are inadequate to the stormy present. The inadequate to the stormy present. The
occasion is piled high with difficulty, and we occasion is piled high with difficulty, and we must rise with the occasion. As our case is must rise with the occasion. As our case is new, so we must think anew and act anew.new, so we must think anew and act anew.
~ Abraham Lincoln ~ Abraham Lincoln
OPEN THE DOOR…OPEN THE DOOR…
EMBRACE THE POSSIBILITIESEMBRACE THE POSSIBILITIES……
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