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Ethics and the Kidney

Ethics and the Kidney PDF Author: Norman George Levinsky
Publisher:
ISBN:
Category : Chronic renal failure
Languages : en
Pages : 296

Book Description
This book provides a comprehensive review of ethical issues in clinical nephrology. With the advent of dialysis and kidney transplantation midway through the 20 Century, clinical nephrology was one of the first areas of medicine to deal with complex ethical issues such as rationing of healthcare and discontinuation of life-sustaining therapy. In the first section of the book this historical perspective is reviewed, followed by a consideration of legal issues. Specific ethical issues in nephrology are discussed in detail in the next section. These include problems in the allocation ofchronic dialysis and in termination of that treatment. Also reviewed are issues in kidney transplantation, such as proposals for enhanced acquisition of kidneys, including a number of controversial proposals such as payment to donors and xenotransplantation; and equity in allocation of the supply ofkidneys. Other chapters consider ethical issues in genetics; special problems in the care of children with kidney disease; and broad societal issues such as allocation of national resources for expensive therapies and economic issues in clinical practice. In the final part of the book ethical issuesin the care of patients with kidney disease are discussed from an Asian and African perspective.

Ethics and the Kidney

Ethics and the Kidney PDF Author: Norman George Levinsky
Publisher:
ISBN:
Category : Chronic renal failure
Languages : en
Pages : 296

Book Description
This book provides a comprehensive review of ethical issues in clinical nephrology. With the advent of dialysis and kidney transplantation midway through the 20 Century, clinical nephrology was one of the first areas of medicine to deal with complex ethical issues such as rationing of healthcare and discontinuation of life-sustaining therapy. In the first section of the book this historical perspective is reviewed, followed by a consideration of legal issues. Specific ethical issues in nephrology are discussed in detail in the next section. These include problems in the allocation ofchronic dialysis and in termination of that treatment. Also reviewed are issues in kidney transplantation, such as proposals for enhanced acquisition of kidneys, including a number of controversial proposals such as payment to donors and xenotransplantation; and equity in allocation of the supply ofkidneys. Other chapters consider ethical issues in genetics; special problems in the care of children with kidney disease; and broad societal issues such as allocation of national resources for expensive therapies and economic issues in clinical practice. In the final part of the book ethical issuesin the care of patients with kidney disease are discussed from an Asian and African perspective.

Legal and Ethical Concerns in Treating Kidney Failure

Legal and Ethical Concerns in Treating Kidney Failure PDF Author: E.A. Friedman
Publisher: Springer Science & Business Media
ISBN: 9401143552
Category : Medical
Languages : en
Pages : 221

Book Description
Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an `ethical genie' was released. The introduction of peritoneal dialysis and kidney transplantation compounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly delegated to administrators or physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances? Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients, has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients. Members of the kidney team, those immersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort.

Ethical Problems in Dialysis and Transplantation

Ethical Problems in Dialysis and Transplantation PDF Author: C. M. Kjellstrand
Publisher: Springer Science & Business Media
ISBN: 9401579695
Category : Medical
Languages : en
Pages : 247

Book Description
Ethical Problems in Dialysis and Transplantation presents an overview of issues with which nephrologists and decision makers are confronted in their daily practice. The search for a universal system of ethics and theories of justice are addressed. Furthermore the work provides a normative ethical discussion of ways of distributing resources with a view to selection and commercialization. Others chapters discuss a philosophical and religious analysis of stopping treatment and the clinical and ethical aspects of stopping treatment in dialysis. Different views from different countries on the subject of dialysis and transplantation are covered including the views expressed by contributors from India, Africa, Japan, Great Britain and China. The work presents the clinician with a guide to the ethical considerations underlying the treatment of dialysis and renal transplantation patients.

Kidney to Share

Kidney to Share PDF Author: Martha Gershun
Publisher: Cornell University Press
ISBN: 1501755455
Category : Medical
Languages : en
Pages : 223

Book Description
In Kidney to Share, Martha Gershun tells the story of her decision to donate a kidney to a stranger. She takes readers through the complex process by which such donors are vetted to ensure that they are physically and psychologically fit to take the risk of a major operation. John D. Lantos, a physician and bioethicist, places Gershun's story in the larger context of the history of kidney transplantation and the ethical controversies that surround living donors. Together, they help readers understand the discoveries that made transplantation relatively safe and effective as well as the legal, ethical, and economic policies that make it feasible. Gershun and Lantos explore the steps involved in recovering and allocating organs. They analyze the differences that arise depending on whether the organ comes from a living donor or one who has died. They observe the expertise—and the shortcomings—of doctors, nurses, and other professionals and describe the burdens that we place on people who are willing to donate. In this raw and vivid book, Gershun and Lantos ask us to consider just how far society should go in using one person's healthy body parts in order to save another person. Kidney to Share provides an account of organ donation that is both personal and analytical. The combination of perspectives leads to a profound and compelling exploration of a largely opaque practice. Gershun and Lantos pull back the curtain to offer readers a more transparent view of the fascinating world of organ donation.

Challenges in Pediatric Kidney Transplantation

Challenges in Pediatric Kidney Transplantation PDF Author: Katherine E. Twombley
Publisher: Springer Nature
ISBN: 3030747832
Category : Medical
Languages : en
Pages : 429

Book Description
This book provides a comprehensive overview of the unique challenges inherent in pediatric kidney transplantation. The text reviews the problems faced during each stage of the kidney transplantation process, including the occurrence of infections during the pre-transplant stage, surgical challenges during the actual transplantation, and medication issues during the post-transplant stage. The book also features high-yield case presentations of typical pediatric transplant scenarios, from the pre-transplant management of a child with CAKUT to the evaluation and treatment of antibody mediated rejection in children. Written by experts in the field, Challenges in Pediatric Kidney Transplantation: A Practical Guide is a valuable resource for clinicians, practitioners, and trainees who manage or are interested in this challenging group of patients.

Teaching Ethics in Organ Transplantation and Tissue Donation

Teaching Ethics in Organ Transplantation and Tissue Donation PDF Author: Silke Schicktanz
Publisher: Universitätsverlag Göttingen
ISBN: 394187540X
Category : Medical
Languages : en
Pages : 88

Book Description
"Organ transplantation is a thrilling new option for modern surgery giving hope for chronically ill patients, and, at the same time, stirring controversial ethical questions on human identity and the meaning of the human body. Being a global and transnational endeavor, organ transplantation raises universal ethical concerns and, yet, has to be adapted to culturally mediated believes. In this book, 30 case studies collected from all over the world illustrate the range of global and local, ethical, social, and cultural problems associated with this new form of treatment. Together with a list of relevant movies, the collection provides a unique resource for ethics education in medicine, health care, philosophy, and religious studies. The authors have completed the teaching material by a systematic introduction into the field of transplantation ethics"--Introduction

Living Kidney Donation

Living Kidney Donation PDF Author: Krista L. Lentine
Publisher: Springer Nature
ISBN: 3030536181
Category : Medical
Languages : en
Pages : 390

Book Description
This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance. This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation. Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.

Ethics and the Acquisition of Organs

Ethics and the Acquisition of Organs PDF Author: T. M. Wilkinson
Publisher: Issues in Biomedical Ethics
ISBN: 0199607869
Category : Medical
Languages : en
Pages : 221

Book Description
Transplantation is a medically successful and cost-effective way to treat people whose organs have failed--but not enough organs are available to meet demand. T. M. Wilkinson explores the major ethical problems raised by policies for acquiring organs. Key topics include the rights of the dead, the role of the family, and the sale of organs.

Tragic Choices

Tragic Choices PDF Author: Guido Calabresi
Publisher: W W Norton & Company Incorporated
ISBN: 9780393090857
Category : Business & Economics
Languages : en
Pages : 252

Book Description
This book offers a general theoretical account of how societies cope with decisions which they regard as tragic.

Stakes and Kidneys

Stakes and Kidneys PDF Author: James Stacey Taylor
Publisher: Taylor & Francis
ISBN: 1351898167
Category : Philosophy
Languages : en
Pages : 237

Book Description
It is well known that the numbers of organs that become available each year for transplantation fall far short of the numbers that are actually required. In this boldly argued book James Stacey Taylor contends that, given both this shortage and the desperate poverty that some people endure, it is morally imperative that the current methods of organ procurement be supplemented by a legal, regulated market for human transplant organs purchased from live vendors. Taylor pays particular attention to outlining the implications that recognizing the moral legitimacy of these market transactions in human body parts and reproductive capacities have for public policy.