RESUMEN
Anticipatory grief is experienced by families who are informed that their unborn child may not survive in utero or during or after delivery. The child who survives delivery, but is critically ill, brings a combination of emotions to the family: joy in welcoming a new life and fear for the future. The healthcare team members caring for the patient and family often witness this grief and are impacted. In the perinatal setting, the care continuum for these patients begins at diagnosis, typically in the prenatal setting, and continued support extends beyond the presumed life expectancy of the child. This case study is provided to demonstrate the utilization of a palliative care interdisciplinary approach to meeting the complex bereavement needs of a family who was expecting a child with a life-impacting congenital condition.
Asunto(s)
Aflicción , Continuidad de la Atención al Paciente/organización & administración , Familia/psicología , Enfermería Neonatal/métodos , Atención Posnatal/métodos , Resultado del Embarazo/psicología , Adaptación Psicológica , Consejo/métodos , Femenino , Humanos , Recién Nacido , Masculino , Inutilidad Médica , Cuidados Paliativos/psicología , Embarazo , Diagnóstico Prenatal/enfermería , Apoyo SocialRESUMEN
Results of donor outcome studies indicate that most living donors report a positive psychosocial response to donation. However, negative psychosocial outcomes have also been reported. Evaluation guidelines have been proposed, although a standardized evaluation specific to living donors is not yet available. In an effort to determine what psychosocial factors should be considered in a comprehensive evaluation of living donors, an extensive literature review was undertaken that was focused on previously proposed guidelines for the psychosocial evaluation of living donors, research on outcomes among living donors, and other relevant psychosocial data.
Asunto(s)
Actitud Frente a la Salud , Selección de Donante/métodos , Donadores Vivos/psicología , Salud Mental , Pruebas Psicológicas , Adaptación Psicológica , Características Culturales , Selección de Donante/normas , Familia/psicología , Guías como Asunto , Humanos , Consentimiento Informado/psicología , Anamnesis , Motivación , Evaluación de Resultado en la Atención de Salud , Pruebas Psicológicas/normas , Factores de Riesgo , Apoyo Social , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/psicologíaRESUMEN
As demands for organs increase, transplant centers are now considering alternative resources. This paper looks at the experiences of one kidney transplant center as it developed its anonymous donor protocol. The authors review the historical use of living donors and discuss why the program initially considered this type of donor. The team members and the decision-making process are identified, including ethical dilemmas confronted by the team. Finally, the protocol and anticipated concerns are presented.
