<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%>Newsletter JULY 04

ONLINE CONTINUING ED CHRONICLE
Online Continuing Ed for Case Managers, Rehab Nurses
Managed Care Nurses, Social Workers and Life Care Planners

JULY 2004
TRANSPLANTATION - PART 1
NEXT MONTH: TRANSPLANTATION - PART 2

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TRANSPLANTATION
PART 1

Included in this issue:

  • Overview
  • Facts and Stats
  • Heart Transplants and Heart-Lung Transplants
  • Kidney Transplantation
  • Liver Transplantation
  • Intestine Transplantation
  • Bone Marrow and Stem Cell Transplants
  • Pancreatic Islet and Kidney-Pancreas
  • Transplants
OVERVIEW

Transplant Primer: Introduction to Transplantation

Required Reading

Frequently Asked Questions

Required Reading

Organ/Tissue Donation and Transplantation

 

The number of persons in need of an organ transplant has increased more than 100% since 1990, while the number of available organ donors has remained essentially unchanged.

  • Brain Death
  • Non-heartbeating donors
  • Organ commerce
  • Prisoners as organ donors or recipients
  • Allocation concerns
  • Issues concerning consent


Organ Donation and Transplantation Trends in the United States, 2002

While the demand for kidney and pancreas transplants continues to increase, the number of patients awaiting liver transplantation decreased in 2002 for the first time in over a decade.

During 2002, more than 24,000 organs were transplanted in the United States — nearly 18,000 from deceased donors and 6,600 from living donors.

During the same period, more than 6,000 patients were reported to have died while waiting for a transplant.

Preparing for your Transplant

• Choose your Transplant Team
• Check your Finances
• Use Support Groups
• Pay Attention to Your Emotions
• Take Control of Being Informed
• Secure Blood Donors
• Consider Pain Management
• Discuss Concerns with Your Transplant Team
• Arrange for Your Return Home
• Prepare a Living Will
• Pack for Comfort

About Organ Allocation – Matching Organs
Within UNet, every organ sharing institution is electronically linked in a secure, real-time environment over the Internet so that donated organs can be placed as quickly as possible. While UNet utilizes the Internet for common access to UNOS members, it employs secure password access to protect confidential medical data.

The Five Steps of the Matching Process

1. An organ is donated. When the organ becomes available, the OPO managing the donor sends information to UNOS. The OPO procurement team reports medical and genetic information, including organ size, and condition, blood type and tissue type.

2. UNOS generates a list of potential recipients. The UNOS computer generates a list of potential transplant candidates who have medical and biologic profiles compatible with the donor.

The computer ranks candidates by this biologic information, as well as clinical characteristics and time spent on the waiting list.

3. The transplant center is notified of an available organ. Organ placement specialists at the OPO or the UNOS Organ Center contact the centers whose patients appear on the local list.

4. The transplant team considers the organ for the patient. When the team is offered an organ, it bases its acceptance or refusal of the organ upon established medical criteria, organ condition, candidate condition, staff and patient availability and organ transportation. By policy, the transplant team has only one hour to make its decision.

5. The organ is accepted or declined. If the organ is not accepted, the OPO continues to offer it for patients at other centers until it is placed.

Top 10 Myths About Donation & Transplantation
Myth #2
"Rich and famous people get moved to the top of the waiting list, while 'regular' people have to wait a long time for a transplant."

Organ Donation and Transplantation
Each day, 63 people receive an organ transplant, but another 16 people on the waiting list die because organs aren't available.

What organs and tissues can I donate?


  • Kidney
  • Heart
  • Liver
  • Lung
  • Pancreas

  • Intestine
  • Cornea
  • Skin
  • Bone
  • Bone marrow

Organ transplantation: Coping with the wait

After the Transplant

Organ and Tissue Procurement System: A Novel Intervention to Increase Organ Donation Rates in Venezuela

Case Studies

Getting on the List




Believe it or Not !

BRAIN TRANSPLANTATION - The wave of the future?

BrainTrans, Inc
located in Asian Region

Quotes from the BrainTrans website --

"Frankenstein is not our ideal, but at some point he was very innovative. This is what we do. We take your old body with your soul inside of brain. We removing your brain as a container for your identity and we transplanting your brain into the new human body. Sounds simple, but in reality it is a lot of work to do. "

" When you car too old to fix it, you are buying a new car. Would it be wonderful if you will be able to change you human body as easy as you can change a car. Let say that your identity is a driver, and your body is a car. Moving your identity into a new, younger human body will make you young again! Brain Transplantation made it possible. We can preserve your identity by moving you brain into new body. See what we can do for you. . ."

"Before the actual procedure of brain transplantation will take place you can select a human body into which you brain will be moved in order to preserve your identity. We have a large selection of human bodies different age and ethnical background."



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ADVISORY BOARD
Toni Cesta, PhD, RN, FAAN
Elaine Cohen, EdD, RN, FAAN
Tim Field, PhD
Vivian Campagna, Dir Case Management
St. Clare's Hospital & Health Center,
New York, NY
Interested in being part of our Advisory Board? Contact us - 1-866-543-2273

FACTS and STATS

FAST FACTS
Fast Facts presents a snapshot of transplantation in the United States between July 1, 2002 and June 30, 2003. It provides concise information on the number of people who needed transplants and received transplants during that time period. The table provides six statistics on each of the following organs: kidney, liver, pancreas, kidney-pancreas, heart, lung, heart-lung, and intestine.

  • Data highlights and extensive reference tables at a national level regarding end –stage organ failure
  • Center specific Reports: shows profiles of transplant programs
  • Organ Procurement Organization (OPO) Reports: show profiles of these organizations
  • National Reports: show profiles of transplantation of each solid organ summarized for the nation as a whole.
  • Data Accuracy: shows a comparison of post-transplant outcomes
  • Report Timeline: shows the anticipated timeline for the next set of center-specific and OPO-specific reports to be published on www.ustransplant.org

Additional Links - Heart & Heart/Lung Transplants

Required Reading

Facts About Heart & Heart-Lung Transplantation

Heart Transplantation - Additional Links
http://www.health.uab.edu/show.asp?durki=64300
http://www.medceu.com/course-no-test.cfm?CID=914

Your Heart Transplant - Every Step of the Way
(Pre-Transplant)


A Healthy Heart Transplant – The Next Steps
(Post-Transplant)


Standard Diagnostic Tests to Determine Heart Transplant Candidacy

Heart Transplant Updates

Eligibility Criteria for Heart Transplantation


Additional Links - Kidney Transplants

Kidney Transplants
Facts about Kidney Transplants

Organ Facts – Kidney

Kidney Transplant Matching: What it Means

Kidney Failure Glossary

Your Kidney Transplant – Every Step of the Way
(Pre-Transplant)

A Healthy Kidney Transplant – The Next Steps
(Post-Transplant)

Pediatric Kidney Transplantation: Growth, Development, and Nursing Implications


Additional Links - Liver Transplants

Required Reading

Transplant Primer: Guide to Liver Transplantation

A Guide to Liver Transplantation

Your Liver Transplant – Every Step of the Way (Pre-Transplant)

A Healthy Liver Transplant – The Next Steps (Post-Transplant)

The Liver: Anatomy and Functions

Liver Transplant Surgery

Liver Transplantation in a Patient at Psychosocial Risk

What I need to know about Liver Transplantation

Getting a New Liver: Facts about Liver Transplantation

Complications Following Split-Liver Transplantation: A Pediatric Case Study

Liver Transplantation in Children


Additional Links - Intestine Transplants

http://www.medscape.com/viewarticle/436543_5

Intestinal Transplantation

Intestinal Transplant Centers

Medicare covers Intestine Transplant

Radiation Could Reduce a Small Intestine Transplant Rejection

Bone Marrow and Stem Cell Transplantation

Allogeneic Transplant

Stem Cells and Stem Cell Transplantation

The Basics on Bone Marrow and blood Stem Cell Transplants

Bone Marrow Transplants

Required Reading

Bone Marrow Transplantation and Peripheral Blood Stem Cell Transplantation: Questions and Answers

Understanding Blood Stem Cell Transplants

National Marrow Donor Program – Transplant Center Participation Criteria

Stem Cells for Brain Diseases – New Life & Targeted Death

Common Indications for Bone Marrow Transplantation (BMT)

Diseases Treatable by Stem Cell Transplant

  • Acute Leukemias
  • Chronic Leukemias
  • Myelodysplastic Syndromes Basic
  • Stem Cell Disorders
  • Myeloproliferative Disorders
  • Lymphoproliferative Disorders
  • Phagocyte Disorders
  • Inherited Metabolic Disorders
  • Histiocytic Disorders
  • Inherited Erythrocyte Abnormalities
  • Inherited Immune System Disorders Basic
  • Other Inherited Disorders
  • Inherited Platelet Abnormalities
  • Plasma Cell Disorders
  • Other Malignancies

Graft-Versus-Host Disease: Prevention and Engraftment
http://www.bone-marrow-transplant.org/allogeneic/engraftment.html
http://www.medicalistes.org/gvhd/docs/what_is_gvhd.html

(What is Graft-versus-Host Disease?)

Pediatric Bone Marrow Transplant Handbook

Bone Marrow Transplant Resource Metmarks

Stem Cells and Stem Cell Transplantation

Brain cell implants

Pancreatic Islet transplantation and Kidney-Pancreas Transplants

Islet cell transplantation: The diabetes treatment frontier

Islet-Cell Transplantation

Islet Centers in the U.S.

Organ Facts: Kidney-Pancreas

Indications for Simultaneous Kidney-Pancreas Transplants

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