an introduction to oo ga a d ssuergan and tissue donation · cornea donation •a cornea donation...

An Introduction to Organ and Tissue O ga a d ssue

DonationDonationClare Fletcher

Specialist Nurse – Organ DonationSpecialist Nurse Organ Donation

Specialist Nurses – Organ Donation

Donation in GeneralDonation in General

• Blood donation• Bone marrow donation

Ti D ti• Tissue Donation• Organ DonationOrgan Donation

Living (live-related or altruistic)Cadaveric


Robyn TaintyHouse of Lords July 2007

Specialist Nurses – Organ DonationHouse of Lords July 2007

“There is so much more I want to do with my life but I amThere is so much more I want to do with my life, but I am only too aware of the huge shortage of donors. However, I am trying my very hardest to stay positive and enjoy whatam trying my very hardest to stay positive and enjoy what is left of my life to the best of my ability, however limited it may be”may be


Specialist Nurses – Organ DonationHouse of Lords July 2007

“There is so much more I want to do with my life but I amThere is so much more I want to do with my life, but I am only too aware of the huge shortage of donors. However, I am trying my very hardest to stay positive and enjoy whatam trying my very hardest to stay positive and enjoy what is left of my life to the best of my ability, however limited it may be”may be


Specialist Nurses – Organ DonationHouse of Lords July 2007Died September 2007Died September 2007

Organs for TransplantsA report from the Organ Donation TaskforceJanuary 2008


403540

Deceased organ donor rates for Europe and the USA, 2006

2530

2025

1015

050 SPAIN

USA

LATVIA

FRANCE

ITALY

FINLAND

NETHERLANDSHUNGARYNORW

AY

GERMANYSW

EDEN

POLAND

UK SLOVAK

DENMARKSW

ITZERLANDGREECE


Number of deceased donors and transplants in the UK 1 April 2003 31 March 2013 and patients

9000

Number of deceased donors and transplants in the UK, 1 April 2003 - 31 March 2013, and patients on the active transplant lists at 31 March

6698

7219

76557877 7997

78007636

73327000

8000

5673

6142

6698

5000

6000

ber

DonorsTransplants

2552 2644 26952905

31113000

4000Num

b

Transplant list

770 751 764 793 809 899 959 1010 1088 1212

2396 2241 21962385 2381

2552 2644

1000

2000

770 751 764 793 809

0

1000

2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013

Year


Year

Source: Transplant activity in the UK, 2012-2013, NHS Blood and Transplant

Taskforce Report

• 2008• UK wide• 14 recommendations• 14 recommendations

• An increase in donation rates of 50% was proposed as a targetof 50% was proposed as a target


Recommendations

• 4 – CLOD’s and Committee’s• 9 – SN-OD’s• 12 - Recognition12 Recognition


Role of the SN - OD• Provide cover for regional On Call rota• Promote identification and referral• Support family and hospital staff through the pp y p g

donation process• Coordinate the donation processCoordinate the donation process• Audit for potential Organ Donors

Li i ith CLOD d C itt• Liaise with CLOD and Committee• Promote donation within the wider community


WE DID IT

50%50%IncreaseIncrease


Number of ACTUAL DONORS* per million population (pmp)Preliminary 2011/12 dataPopulation <=75 yearsPopulation <=75 years

* Actual donors meeting PDA criteria

Specialist Nurses – Organ DonationNational Organ Donation Committee, June 2012

BUTBUT………..


Family refusal rates, 201043

40

45y ,

31.529.9

30

35

%)

19.3 19.2 1920

25

sal r

ate

(%

8 710

15refu

s

8.77.1

5.84.7

5

10

0UK Italy Romania Rep Ireland Croatia Spain Poland Slovakia Hungary Czech

RepublicCountry


STRATEGY 2020STRATEGY 2020

• Bring the UK deceased donor rate up to 26 per million of the population (currently 19.1pmp)

• Improve consent rates to organ donation to above 80% (currently 57%) )

• Increase the number of patients receiving a transplant to 74 per million of the population (currently 49pmp)


Why do we do it ?

It gives life to both people and families inpeople and families in desperate need.

It gives comfortto the loved ones toto the loved ones to know that something good comes fromBrian ran a 10K race good comes from something terrible.

after receiving the heart from Teds daughter.


g

Tissue Donation A missed opportunity………

• Tissue donors represent just 1.2% of p jour deceased patients


Tissue Donation

•Always performed in a mortuary post-mortem room (funeral home/hospice)

•Aseptic procedures-gowning and draping.

•The donor is treated with respect.

•Reconstructed to normal anatomical appearance.


Which Tissues Can Be Donated?Which Tissues Can Be Donated?• Bone Bone from 1 donor

can help on up to 20 Skin from 1 donor can • Skin• Tendons

p ppatients

Skin from 1 donor can help 3 patients Tendons from 1 donor

can help 6 patientsTendons• Meniscus

H t l

can help 6 patientsMeniscus from 1 donor can help 2 patients

Heart valves from 1 • Heart valves • Blood vessels

patients donor can help 2 patientsBlood vessels

from 1 donor can• Eyes

from 1 donor can help 3 patients 1 eye donor can help 4

patients


Bone DonationBone DonationMorcellised bone for impaction graftingMorcellised bone for impaction grafting

Femoral struts forFemoral struts for splintingsplintingFemoral struts forFemoral struts for splintingsplinting


Skin Donation

• Used as a dressing to prepare the dermal bed

• Decreases painp• Decreases risk of infection• Can reduce scarringCan reduce scarring


All ft ki f bAll ft ki f bAllograft skin for burns Allograft skin for burns treatmenttreatmenttreatmenttreatment

Meshing of allograft skinDonated skin


Tendon GraftsTendon GraftsTendon GraftsTendon Grafts

Allograft Patella Allograft Patella and Achilles and Achilles

tendons tendons used in ACL/PCLused in ACL/PCL

arthroscopic arthroscopic reconstructionreconstruction


Pulmonary and aortic lvalves

Used to replace defective heart valves.

M t ft hild C it l d f t• Most often children - Congenital defects

• Adults - Disease damagedAdults Disease damaged

• No need for long term anticoagulation


Cornea DonationCornea Donation•A cornea donation may restore or greatly improve the sight of up

Cornea DonationCornea Donation

to two people.

•In order for the cornea to be donated for transplant the whole eye must be removed.

•The eye is carefully reconstructed to appear anatomically normal.

•Occasionally the sclera of the yeye is also used in orbital reconstruction surgery.


Remember andRemember and CelebrateCelebrate


Individually, we are one drop

Together, we are an ocean


What can I do?

• Join the Organ Donor Register• Tell your loved ones your donation

wisheswishes

And remember……


We only have one life

Love it and live it wellThen when the time comesThen when the time comes……..

Pass it onPass it on


Thank you


an introduction to oo ga a d ssuergan and tissue donation · cornea donation •a cornea donation...

Documents