The role of the independent donor advocacy team in the case of a declined living donor candidate

Tiane Jennings, Danielle Grauer, Dianne Rudow

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Many controversies arise when living donor candidates present themselves for consideration as donors for urgent liver transplants. Nonparent living donors for urgent pediatric transplant recipients are a unique donor candidate population with specific considerations that need to be acknowledged and addressed by the independent donor advocacy team. Such a team educates about donation, identifies potential contraindications, examines the distant relationships between donor and recipient, and considers ethical issues about the ability to make an informed decision in an urgent situation. A center for living donation dealt with such ethical issues when a donor candidate with a distant relationship was evaluated for living donation. Multiple relative contraindications were identified, and the donor candidate was declined. Careful management by the independent donor advocacy team is necessary to ensure the psychosocial safety and to provide needed psychosocial support and intervention for donor candidates with psychological contraindications to donation. Standard follow-up protocols need to be developed for declined donor candidates.

Original languageEnglish
Pages (from-to)132-136
Number of pages5
JournalProgress in Transplantation
Volume23
Issue number2
DOIs
StatePublished - 1 Jun 2013

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