Organ Donation: From Death to Life

所在平台: Coursera

课程主页: https://www.coursera.org/learn/organ-donation

课程评论：没有评论

第一个写评论        关注课程

课程简介

课程名称：器官捐赠：从死亡到生命 课程概述：在生命结束时考虑某人的器官和组织捐赠是复杂的。生与死的界限比以往任何时候都更复杂，医疗专业人员需要在这一往往令人困惑和情感压力巨大的时刻澄清情况。本课程将帮助您了解死亡判断背后的科学以及何时可以进行已故器官捐赠。课程讲座将涵盖生命结束时的医疗标准——从脑死亡测试到如何向悲痛中的家庭请求知情同意。通过提升对良好伦理实践的认识，考虑文化和宗教因素及器官捐赠过程的后勤安排，本课程将增强医疗专业人员与公众在这一复杂时刻的互动与讨论。 本课程旨在确保在生命结束时以尽可能最好的方式，富有同情心地探讨器官捐赠的选择。 课程大纲： 1. **脑死亡与同意**：了解已故器官捐赠的绝对前提条件，探讨脑死亡的历史和机制，以及如何与悲痛的家庭有效沟通进行同意请求。 2. **循环死亡后的捐赠**：讨论在重症监护室中的生命结束决策及其伦理原则，学习如何在循环停顿后进行器官捐赠，了解组织捐赠和捐赠后身体的处理。 3. **器官捐赠流程**：探讨谁可以捐赠，什么可以被捐赠，及如何评估潜在捐赠者，确保器官的有效利用及其在移植中的分配。 4. **移植中的伦理问题**：审视影响全球器官捐赠率的各种因素，包括宗教和文化，在各个社会中如何有效应对器官交易和移植旅游的问题，以及如何提高公众意识。 该课程获得南非继续专业发展（CPD）积分认证，完成后可向指定邮箱发送证书以获取相应积分。

课程大纲

Name:Brain Death and Consent

Description:Welcome to the first week of Organ Donation - From Death to Life. In our first lesson we cover the two absolute prerequisites for deceased organ donation: That the donor must be dead and that there must be consent. Our second lesson takes a look at the history of, and the actual mechanism of brain death as well as the story behind the first heart donor. While our third lesson reviews in detail the scientific determination of brain death, from the preconditions that must be met before testing, to the actual tests themselves, including the role of ancillary tests. Our final lesson will look at the consent process, how to communicate effectively with a grieving family and what is the best way to make the organ donor request.

Name:Donation after Circulatory Death

Description:Not all end of life decisions in the Intensive Care Unit and the discussions that go with them can rely on the clarity of a brain death diagnosis. Just under half of all deaths in Intensive Care Units involve non-beneficial treatment being withdrawn or withheld. In less well resourced countries limited access to ICU means these decisions as to when treatment is futile frequently occur earlier, outside of the ICU setting. In week 2 we will discuss end of life care and the ethical principles which help guide us in making difficult decisions in the ICU. What do we do when interventions may prolong suffering with no reasonable chance of recovery? We will see how the dead donor rule can be applied after circulatory arrest and that in certain patients it may be possible to honour their wish to be an organ donor. We will cover the different types of donation after circulatory arrest and go over the process of donation after circulatory death in detail. We will end the week by covering tissue donation and what happens to the body of the donor after the organ donor operation is complete.

Name:The Organ Donation Process

Description:Who can donate? What can be donated? In this week you will learn that the number of potential organ donors is far larger than you ever thought. In the first lesson we look at the organ donation process in detail. We cover the assessment of a donor in terms of infection and malignancy risk and how individual organs are assessed for potential transplant. We look at the monitoring and interventions required to achieve various physiological goals in the organ donor. Managing a potential donor well and dealing with the complications associated with brain death is essential to maximizing the number of organs that are transplantable. It is not markedly different from any critically ill patient with multi-organ failure. We then look at the organ recovery process and how the organs are preserved and transported to the various recipients. In the second lesson the waiting list and allocation practices are discussed in detail so that you can see how donated organs are allocated fairly and how the benefit is maximized. We end the week with an overview of what each recipient operation entails and show you four interviews - all recipients of an organ transplant - given a new lease on life because of one brain dead donor and a family who consented to organ donation in a time of great personal tragedy.

Name:Ethical Issues in Transplantation

Description:Congratulations! You've reached the final week of the course Organ Donation: From Death to Life. Many factors influence organ donation rates across the world - from religion and culture to where you live and what resources are available. In our final week we will take a look at the role of money and travel in organ transplantation and show you the steps being taken to stamp out organ trafficking and transplant tourism. Dr Boitumelo Nkgudi a colleague of mine from Department of Surgery will speak to us on the influence that different religions and cultures have on organ donation. Organ donation comes with a lot of stigma and religious and cultural competence is essential to connecting with potential donor families before asking for consent for organ donation. We will end off our last week by looking at how to assess the true potential of deceased organ donation, what deceased organ donation models exist, and possible strategies to improve them including improving public awareness. Nobody can do everything when it comes to transplantation - but everybody can do something… Enjoy the last week of the course.

课程评论(0条)