Edvaldo Leal de Moraes

Recusa de doação de órgãos e tecidos para transplante relatados por familiares de potenciais doadores

RESUMO RESUMEN Reasons for the family members’ refusal to donate organ and tissue for transplant* 132 Acta Paul Enferm 2009;22(2):131-5. 133 Acta Paul Enferm 2009;22(2):131-5. 134 Acta Paul Enferm 2009;22(2):131-5. 135 Acta Paul Enferm 2009;22(2):131-5.Objective: To understand the perception of family members of potential donors in regard to their reasons for refusal to donate organ and tissue for transplant. Methods: A qualitative phenomenological approach was used to conduct this study. A sample of eight family members who refused to donate organ and tissue for transplant participated in the study. Results: Participants reported ten reasons for refusal to donate organ and tissue for transplant. Final considerations: Reasons for the family members’ refusal to donate organ and tissue was interconnected to their beliefs and values system, and the inadequate information received during the interview to consent for the donation

The profile of potential organ and tissue donors

This study aimed to characterize donors according to gender, age group, cause of brain death; quantify donors with hypernatremia, hyperpotassemia and hypopotassemia; and get to know which organs were the most used in transplantations. This quantitative, descriptive, exploratory and retrospective study was performed at the Organ Procurement Organization of the University of Sao Paulo Medical School Hospital das Clinicas. Data from the medical records of 187 potential donors were analyzed. Cerebrovascular accidents represented 53.48% of all brain death causes, sodium and potassium disorders occurred in 82.36% of cases and 45.46% of the potential donors were between 41 and 60 years old. The results evidenced that natural death causes exceeded traumatic deaths, and that most donors presented sodium and potassium alterations, likely associated to inappropriate maintenance.This study aimed to characterize donors according to gender, age group, cause of brain death; quantify donors with hypernatremia, hyperpotassemia and hypopotassemia; and get to know which organs were the most used in transplantations. This quantitative, descriptive, exploratory and retrospective study was performed at the Organ Procurement Organization of the University of São Paulo Medical School Hospital das Clínicas. Data from the medical records of 187 potential donors were analyzed. Cerebrovascular accidents represented 53.48% of all brain death causes, sodium and potassium disorders occurred in 82.36% of cases and 45.46% of the potential donors were between 41 and 60 years old. The results evidenced that natural death causes exceeded traumatic deaths, and that most donors presented sodium and potassium alterations, likely associated to inappropriate maintenance.

Reasons for the family members' refusal to donate organ and tissue for transplant

RESUMO RESUMEN Reasons for the family members’ refusal to donate organ and tissue for transplant* 132 Acta Paul Enferm 2009;22(2):131-5. 133 Acta Paul Enferm 2009;22(2):131-5. 134 Acta Paul Enferm 2009;22(2):131-5. 135 Acta Paul Enferm 2009;22(2):131-5.Objective: To understand the perception of family members of potential donors in regard to their reasons for refusal to donate organ and tissue for transplant. Methods: A qualitative phenomenological approach was used to conduct this study. A sample of eight family members who refused to donate organ and tissue for transplant participated in the study. Results: Participants reported ten reasons for refusal to donate organ and tissue for transplant. Final considerations: Reasons for the family members’ refusal to donate organ and tissue was interconnected to their beliefs and values system, and the inadequate information received during the interview to consent for the donation

Comunicação de más notícias: dilemas éticos frente à situação de morte encefálica

Communicating the diagnosis of encephalic death is a difficult task and must precede the request for organ and tissue donation for transplant. This situation may arouse ethical dilemmas permeated by religious, spiritual, cultural, economic and / or social factors. This paper aims to explain the reader about the historical and epidemiological aspects of encephalic death and to present some ethical dilemmas faced by families of potential donors after the announcement of that bad news.

O perfil de potenciais doadores de órgãos e tecidos

This study aimed to characterize donors according to gender, age group, cause of brain death; quantify donors with hypernatremia, hyperpotassemia and hypopotassemia; and get to know which organs were the most used in transplantations. This quantitative, descriptive, exploratory and retrospective study was performed at the Organ Procurement Organization of the University of Sao Paulo Medical School Hospital das Clinicas. Data from the medical records of 187 potential donors were analyzed. Cerebrovascular accidents represented 53.48% of all brain death causes, sodium and potassium disorders occurred in 82.36% of cases and 45.46% of the potential donors were between 41 and 60 years old. The results evidenced that natural death causes exceeded traumatic deaths, and that most donors presented sodium and potassium alterations, likely associated to inappropriate maintenance.This study aimed to characterize donors according to gender, age group, cause of brain death; quantify donors with hypernatremia, hyperpotassemia and hypopotassemia; and get to know which organs were the most used in transplantations. This quantitative, descriptive, exploratory and retrospective study was performed at the Organ Procurement Organization of the University of São Paulo Medical School Hospital das Clínicas. Data from the medical records of 187 potential donors were analyzed. Cerebrovascular accidents represented 53.48% of all brain death causes, sodium and potassium disorders occurred in 82.36% of cases and 45.46% of the potential donors were between 41 and 60 years old. The results evidenced that natural death causes exceeded traumatic deaths, and that most donors presented sodium and potassium alterations, likely associated to inappropriate maintenance.

Experience of nurses in the process of donation of organs and tissues for transplant

Objective to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation. Method this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo. Results the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation process, and interventions performed. The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives. Final considerations knowledge of the experience of the nurses in this process is important for healthcare professionals who work in different realities, indicating strategies to optimize the procurement of organs and tissues for transplantation.

Experiências e expectativas de enfermeiros no cuidado ao doador de órgãos e à sua família

Objetivo Comprender las experiencias y expectativas delas enfermeras de las unidades de cuidados intensivos en la atencion al donante de organos para trasplante y su familia. Metodo : Investigacion cualitativa, con el enfoque dela Fenomenologia Social que ocurrio en 2013, con 20 enfermeras. Resultados Las experiencias delos enfermeros conlas familias de losdonantesestuvieron representadas porcategorias: obstaculos experimentados y intervenciones en la atencion a las familias de los donantes. Las expectativas de estos profesionales en la asistencia a las familias y a los donantes de organos fueron descriptas en la categoria: cuidar para salvar vidas. Conclusion El estudio mostro quela rutina diaria delos enfermeros de cuidados intensivos en relacion a la atencion de las familias y los donantes de organos esta permeado por los obstaculos que interfieren con el proceso de donacion. Ante este escenario, la expectativa primordial es ofrecer asistencia intensiva a los donantes fallecidos y atencion humanizadaa las familias, con la intencion de posibilitarla aceptacion dela donacion de organos por parte de familiares y hacer factible la potencian de los organos para trasplantes.

Experiences and expectations of nurses in caring for organ donors and their families

Objetivo Comprender las experiencias y expectativas delas enfermeras de las unidades de cuidados intensivos en la atencion al donante de organos para trasplante y su familia. Metodo : Investigacion cualitativa, con el enfoque dela Fenomenologia Social que ocurrio en 2013, con 20 enfermeras. Resultados Las experiencias delos enfermeros conlas familias de losdonantesestuvieron representadas porcategorias: obstaculos experimentados y intervenciones en la atencion a las familias de los donantes. Las expectativas de estos profesionales en la asistencia a las familias y a los donantes de organos fueron descriptas en la categoria: cuidar para salvar vidas. Conclusion El estudio mostro quela rutina diaria delos enfermeros de cuidados intensivos en relacion a la atencion de las familias y los donantes de organos esta permeado por los obstaculos que interfieren con el proceso de donacion. Ante este escenario, la expectativa primordial es ofrecer asistencia intensiva a los donantes fallecidos y atencion humanizadaa las familias, con la intencion de posibilitarla aceptacion dela donacion de organos por parte de familiares y hacer factible la potencian de los organos para trasplantes.

Experiencias y expectativas de las enfermeras en la atención de los donantes de órganos y sus famílias

Objetivo Comprender las experiencias y expectativas delas enfermeras de las unidades de cuidados intensivos en la atencion al donante de organos para trasplante y su familia. Metodo : Investigacion cualitativa, con el enfoque dela Fenomenologia Social que ocurrio en 2013, con 20 enfermeras. Resultados Las experiencias delos enfermeros conlas familias de losdonantesestuvieron representadas porcategorias: obstaculos experimentados y intervenciones en la atencion a las familias de los donantes. Las expectativas de estos profesionales en la asistencia a las familias y a los donantes de organos fueron descriptas en la categoria: cuidar para salvar vidas. Conclusion El estudio mostro quela rutina diaria delos enfermeros de cuidados intensivos en relacion a la atencion de las familias y los donantes de organos esta permeado por los obstaculos que interfieren con el proceso de donacion. Ante este escenario, la expectativa primordial es ofrecer asistencia intensiva a los donantes fallecidos y atencion humanizadaa las familias, con la intencion de posibilitarla aceptacion dela donacion de organos por parte de familiares y hacer factible la potencian de los organos para trasplantes.

Vivencia de enfermeros en el proceso de donación de órganos y tejidos para trasplante

Objective to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation. Method this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo. Results the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation process, and interventions performed. The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives. Final considerations knowledge of the experience of the nurses in this process is important for healthcare professionals who work in different realities, indicating strategies to optimize the procurement of organs and tissues for transplantation.