Organ Donation Dr Peter Bishop Clinical Lead for Organ Donation.
Donate Life: An Overview of Organ, Tissue and Eye Donation
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Transcript of Donate Life: An Overview of Organ, Tissue and Eye Donation
Donate Life: An Overview Of Organ, Tissue And Eye Donation
For Driver’s Education Classes
Updated September 2015
Why is organ, tissue and eye
donation so important?
Kelly Nachreiner LawWisconsin Act 124
Organ donor on January 4, 2000 Saved 3 lives!
Kelly registered as a donor at the DMV when she was 16
She died 4 weeks after receiving her driver’s license
Governor Tommy Thompson signed the law on May 5, 2000
The law is an educational mandate providing 30 minutes of instruction on organ, tissue and eye donation in driver’s education classes
The first law of its kind in the U.S; now 17 states have similar mandates
The number of registered teens in Wisconsin increased 20% since the law was enacted!
Why Is Organ Donation A Driver’s Education Topic?
The National Need for Organ Transplants Is Real!
123,000 people waiting
on average
2,000 are children
17 or younger
22 people on the waiting list die
each day
Every 10 minutes someone is
added to the list
The National Organ Transplant Waiting List Type of Transplant
KidneyLiverHeartKidney/PancreasLungPancreasIntestineHeart/Lung
Total Patients Waiting
In the U.S.
101,199 15,108 4,200 1,950 1,534 1,045 257 46
122,466*
* Totals are less than the sums due to patients included in multiple categories. For the most up-to-date numbers visit: http://optn.transplant.hrsa.gov/Source: Organ Procurement and Transplant Network Data: 9/11/2015
In Wisconsin
1,906 319 89 42 24 14 1 0
2,324*
The National Organ Transplant Waiting ListPeople waiting for an organ transplant are listed by their transplant center on the national organ transplant waiting list maintained by the United Network for Organ Sharing (UNOS)The national United Network for Organ Sharing (UNOS) waiting list is monitored by the federal government
The UNOS waiting list is updated minute-by-minute—with new names added and the names of those transplanted or deceased removed
Organs are given to the patients who are highest on the list and meet the requirements for successful transplant: blood type tissue type body size other criteria
Understand that organ donation is considered only after all efforts to save a patient’s life have been exhausted by the hospital medical team
There are individuals of all ages, genders, and ethnicities on the UNOS waiting list
The National Organ Transplant Challenge
Based upon OPTN 2014 year-end data provided on 08/20/2015.
In 2015 – the waiting list averages 123,000
National Average Waiting Time By Organ*Heart: 3.8 months or 113 days
Lungs: 4.7 months or 141 days
Liver: 1 year or 361 days
Kidney: 3 years, 3 months or 1,219 days
Pancreas: 8.6 months or 260 days
Small Intestines: 5.3 months or 159 days
*U.S. Department of Health & Human Services, 2012
Why Is It Important To Register As A Donor?Fewer than 5% of people die in a
hospital on a mechanical ventilator in a manner that allows for the potential of
organ donation
As a result, there are not enough donors for those on the national organ
transplant waiting list
A registered donor provides a first person legal authorization for organ,
tissue and eye donation for transplant, research and education
All Types Of Donors Are Needed
Organ and tissue transplants are needed by all ethnic groups from every area of our nation
The need for transplants in some ethnic groups, however, is disproportionately high, due to a higher incidence of health conditions that can lead to the need for a kidney
transplant
African Americans, Hispanics/Latinos, Asians, Pacific Islanders and Native Americans are 3 times more likely than Caucasians to suffer from kidney
disease and failure, as well as liver diseases
All those waiting for an organ transplant have a better chance of receiving a transplant when there is a large number of donors from their racial/ethnic background
Together, we can save people like these who are thankful organ
recipients!
. . . and can save and enhance more than 50 lives through the lifesaving and
healing gifts of tissue donation
Which Organs and Tissues Can Be Donated?Eight Organs
• Heart• Lungs (2)• Liver• Kidneys (2)• Small Intestines• Pancreas
Tissues• Corneas• Tendons & Ligaments• Heart Valves• Veins• Skin• Bones
Donor Alliance Infographic
Tissue and Eye (Cornea) Donations
Each year, more than 1 million
lifesaving and life-improving tissue
and corneal transplants are
performed in the U.S.!
Differences Between Organ Donation and Tissue and Eye Donation
Organ Donation• Organs may only be
recovered if a patient dies in a hospital while on a mechanical ventilator (which occurs in fewer than 5% of all deaths)
• Organs must be properly preserved and quickly transplanted
• Organ transplantation is a life-saving procedure.
Tissue and Eye Donation
• Recovery occurs within the first 24 hours after the heart stops beating
• Immediate transplantation is not necessary – tissues can be preserved for use at a later date
• Tissue donation is mainly a life-improving procedure. It can allow people to live pain free with increased mobility or gain sight.
Wisconsin Donor Registry: YesIWillWisconsin.comLaunched on March 29, 2010—all those who received their donor dot on a driver’s license or state I.D. after this date are registered. Please inform your parent’s or guardian about the online registry if they received or renewed their license prior to March 2010
Provides a secure, online portal for Wisconsin residents aged 15½ years and older to legally register their donation decision
The only legal (first person) organ, tissue and eye donation authorization for those 18 and older that family is unable to overrule
Minors under 18 years of age may still have their registration online overruled by their family
The registry saves lives! People document their donation decision and donation professionals have real-time access to those decisions, which saves valuable time.
Wisconsin Donor Registry State “Yes” Percentages
There are still opportunities to encourage your family and friends to register!
57%
43%
YesNo
How Can Registering As A Donor Affect Me?First, each of us can become ill or injured at any time and a transplanted organ or tissue would be part of the treatment.
Second, consider if you had a family member or friend who suffered with one of these …• end stage organ failure• severe burns over a large percentage of their body• bone cancer and limb amputation was discussed• cornea damage and is legally blind
Wouldn’t you want the “gift of hope” with an organ, tissue or corneal transplant to be available for those in need?
Facts for Common Donation Questions
Who can be a donor?
• Anyone can register
• Age is not a barrier
• Donation professionals review a patient’s medical record & social history to determine eligibility
Will doctors try to save me?
• Doctors and medical teams will do all they can to save your life
• Donation only occurs after a patient is declared dead
Who decides if I become a donor?
• You legally authorize first person consent when you register on your state’s online registry, the national registry, or at the DMV
• When your decision isn’t documented in a state or national online registry your next-of-kin decides
Facts for Common Donation Questions
Does donation disfigure the body?
• Open casket funerals can occur following donation
• Organs are removed during a surgical procedure in an operating room
• Areas where tissue donation occur are reconstructed and concealed by clothing
Does donation delay a funeral?
• The act of donation does not cause untimely delays for the funeral
• The recovering agency ensures that the donor’s body is released to the funeral home on time
Is there a cost for donation to the donor or their family?
• If you’re a donor your family does not pay any bills or costs related to donation
• Your family does pay the cost of funeral expenses
Facts for Common Donation Questions
If I have a previous medical condition may I still donate?
• Yes, you may still be able to donate
• Transplant professionals evaluate the condition of your organs at the time of death, determining if they are suitable for organ donation
Are organs transplanted locally?
• Yes, when there are local or regional recipients who match the organ
• Approximately 85% - 90% of all organs donated in Wisconsin are used for transplant in Wisconsin
Do the wealthy orcelebrities get priority for a transplant?
• The national system ensures that a donor is matched with the best possible recipient with the most medical need who has been waiting longer.
• Race, gender, age, financial or celebrity status are not factors in determining recipients
Donation Facts for Common Questions
Can you legally pay someone to donate an organ in the U.S?
• Federal law prohibits the purchase and sale of organs for transplantation in the U.S.
• The national system matching donor organs to recipients is regulated by the Federal Government
Are the donor family and recipients able to meet?
• Initial contacts are coordinated by the recovery organization to protect the confidentiality of the donor, donor family and recipients
• Meetings can be arranged if both parties sign a consent form to release their contact information
What is the success rate for organ and tissue donation?
• The success rate for transplanted organs is 80 – 90% depending upon the type of organ and the type of donor (living or deceased)
• Cornea transplant procedures experience a 95% success rate
What Can I Do Now?. . . The Three D’s
It’s important to discuss your wishes with your family and friends. When you support donation and register as an organ donor you want to be sure that they’re aware of your decision.
DECIDE DOCUMENT DISCUSSRegister at the DMV
or online @ yesiwillwisconsin.com
ensuring that your decision is legally recorded on Wisconsin’s
Donor Registry
Talk to your family about your decision to be a donor
—until you turn 18 your family can overrule your
donation decision
Get the facts, get your questions answered and make an informed decision.
What registered donors do makes a difference…
…and lives are changed forever!