PMID- 15806507
OWN - NLM
STAT- MEDLINE
DCOM- 20050623
LR  - 20190922
IS  - 8755-7223 (Print)
IS  - 8755-7223 (Linking)
VI  - 21
IP  - 2
DP  - 2005 Mar-Apr
TI  - The ethics of heparin administration to the potential non-heart-beating organ 
      donor.
PG  - 97-102
AB  - The increasing need and limited sources for organs has stimulated a renewed 
      interest in non-heart-beating organ donation (NHBOD). NHBOD is the donation of 
      organs from cadavers that have been declared dead by cardiopulmonary criteria. 
      Emerging protocols for heparin administration to the potential non-heart-beating 
      organ donor (NHBD) deserve scrutiny. This topic is presented within a limited 
      discussion of organ donation in general. The definition of death has been refined 
      to its present state because of the need for clear parameters in light of a 
      desire to procure organs for transplant. The administration of heparin to the 
      NHBD is intended to prevent the formation of blood clots in the kidneys and 
      liver. Heparin at high doses is clearly not given for the benefit of the patient, 
      and some professionals are concerned that administration may hasten death. Nurses 
      are guided by codes that require the consideration of the ethical principles of 
      autonomy, informed consent, beneficence, and justice while providing 
      compassionate care. An eagerness to procure viable organs for positive transplant 
      outcomes must not be the guiding force in protocols that allow the administration 
      of heparin to the potential NHBD. Heparin administration is supported for these 
      donors within specific parameters.
FAU - Motta, Elizabeth D
AU  - Motta ED
AD  - Department of Nursing, Rhode Island College, Providence 02908, USA.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - J Prof Nurs
JT  - Journal of professional nursing : official journal of the American Association of 
      Colleges of Nursing
JID - 8511298
RN  - 0 (Anticoagulants)
RN  - 9005-49-6 (Heparin)
SB  - IM
MH  - Anticoagulants/*administration & dosage
MH  - Attitude to Health
MH  - Brain Death/diagnosis
MH  - *Cadaver
MH  - Clinical Protocols/standards
MH  - Codes of Ethics
MH  - Decision Making, Organizational
MH  - Family/psychology
MH  - Heart Arrest/diagnosis
MH  - Heparin/*administration & dosage
MH  - Humans
MH  - Informed Consent/ethics
MH  - Nurse's Role
MH  - Patient Advocacy/ethics
MH  - Patient Selection/ethics
MH  - Principle-Based Ethics
MH  - Public Opinion
MH  - Social Perception
MH  - Tissue Donors/*ethics
MH  - Tissue and Organ Harvesting/*ethics/methods
MH  - Tissue and Organ Procurement/*ethics/organization & administration
RF  - 13
OID - KIE: 124779
OTO - KIE
OT  - Health Care and Public Health
GN  - KIE: KIE Bib: organ and tissue donation
EDAT- 2005/04/05 09:00
MHDA- 2005/06/24 09:00
CRDT- 2005/04/05 09:00
PHST- 2005/04/05 09:00 [pubmed]
PHST- 2005/06/24 09:00 [medline]
PHST- 2005/04/05 09:00 [entrez]
AID - S8755722305000190 [pii]
AID - 10.1016/j.profnurs.2005.01.005 [doi]
PST - ppublish
SO  - J Prof Nurs. 2005 Mar-Apr;21(2):97-102. doi: 10.1016/j.profnurs.2005.01.005.