Impact of cardiac transplantation on the spouse's life.

The purpose of this research was to explore the effect of waiting for heart transplantation and the effect of the transplantation on the life, relationship, and reported stress of the patient's spouse. A cross-sectional descriptive design was used. The impact of both the pretransplant (waiting) and posttransplant periods was measured by using the Perception of Heart Transplantation Questionnaire (PHTQ) and the Subjective Stress Scale (SSS). Thirty spouses of patients who had undergone cardiac transplantation completed the mailed questionnaires. Results indicated that spouses perceived the pretransplant period to have a greater overall influence on their lives and relationships (p less than 0.001) than did the posttransplant period. Their impression of the posttransplant period was significantly more positive than of the pretransplant period (p less than 0.001). However, no significant differences between pretransplant and posttransplant stress scores were found. These results demonstrate the great impact of the waiting period on the spouse's quality of life. Additional research is needed.

Organ and tissue procurement in the acute care setting: principles and practice--Part 1.

The specialty of organ transplantation has grown tremendously during the past decade. With the advent of cyclosporine, artificial organs, and organ-assist devices, the possibility of suitable patients with end-stage organ disease becoming successful transplant recipients has increased dramatically. Consequently, the need for donor organs has risen. The greatest source of potential organ-tissue donors exists in the acute care setting (ie, emergency departments and intensive care units). To meet the need for this increasing demand, emergency physicians must become familiar with the techniques of procurement. Part 1 defines the problem of procurement and presents financial, historic, organizational, legal, and psychosocial aspects of organ-tissue procurement. A synopsis of brain death concludes the discussion. Part 2 (February 1990) presents aspects of the evaluation, selection, maintenance, and management of the organ-tissue donor. Disease transmission and controversial issues in organ-tissue procurement also are discussed.

Organ and tissue procurement in the acute care setting: principles and practice--Part 2.

In this two-part series on organ and tissue procurement in the acute care setting, the procurement problem, cost-benefit analysis, organizational development and framework, approach to surviving relatives, public attitudes, and brain death certification were discussed in part 1 (January 1990). Part 2 examines evaluation, selection, maintenance, and management of the organ-tissue donor. It concludes with a discussion of disease transmission, controversial issues, and financial considerations relevant to the procurement process in the acute care setting.