UCLA care delivery model Kidney Transplant Cycle UCLA part? Address interprofessionalism concepts
I address concepts of interprofessionalism extensively in this paper. The first sentence of this document:
"The UCLA care delivery model for the kidney transplant cycle at the university is extremely detailed, well thought out, and completely based on concepts of interprofessionalism."
is wholly based on interprofessionalism, as is the remainder of that paragraph.
The third paragraph is also completely dedicated to explaining how the care model is based on interprofessionalism, and discusses the interaction of a number of different professionals from various occupations who work together to aid the patients.
The other paragraphs emphasize concepts of interprofessionalism by detailing the actions of still other professionals from diverse lines of work who are instrumental in this care model.
Interprofessionalism is roundly discussed within this paper, and is virtually inseparable from an explanation of the UCLA care model itself.
Thanks.
The UCLA care delivery model for the…...
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References
Porter, M.E., Baron, J.F., Chacko, J.M., Tang, R. (2010). "The UCLA medical center: kidney transplantation." Harvard Business School.
Kidney Transplantation ProcedureKidney disease is one of the major public health issues in the United States as the number of people suffering from this condition has tripled in the last two decades. Given the increase in the number of people suffering from kidney disease, the treatment of this condition has become critical in improving the quality of life for end-stage patients. According to Barry (2016), kidney transplantation is the most suitable treatment for patients with end-stage renal disease (ESD). It is the most commonly performed solid organ transplant process and has developed to include the process of continued quality improvement. Over the past few years, kidney transplantation has evolved to include a systematic team approach with a focus on improving patients quality of life. This paper examines the preoperative and postoperative procedures in kidney transplantation based on anatomy and physiology.Preoperative ProceduresKidney transplantation procedure begins by selecting a donor from two…...
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ReferencesAscher, N.L., Chandran, S. & DiPaola, M.E. (2015). Kidney transplant. Retrieved from University of California San Francisco website: J.M. (2016). Renal transplantation. Indian Journal of Urology, 32(3), 175-177.Hameed, A.M., Yao, J., Allen, R., Hawthorne, W.J., Pleass, H.C. & Lau, H. (2018). The evolution of kidney transplantation surgery into the robotic era and its prospects for obese recipients. Transplantation, 102(10), 1650 – 1665. Luo, E.K. (2018). Kidney transplant. Retrieved May 14, 2022, from https://www.healthline.com/health/kidney-transplanthttps://transplantsurgery.ucsf.edu/conditions--procedures/kidney-transplant.aspx Barry,
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive surveys…...
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Works Cited:
Conesa, C.; Rios, a.; Ramirez, P.; Sanchez, J.; Sanchez, E.; Rodriguez, M.; Martinez, L.; Ramos, F. & Parrilla, P. (2009). Attitude of Primary Care Nurses Toward Living Kidney Donation. Transplantation Proceedings, 37(9), 3626-3630.
Kranenburg, L.; Schram, a.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Neyhart, C. & Colaneri, J. (2004). Living Anonymous kidney donation: A solution to the organ donor shortage? Nephrology Nursing Journal. Online at
This study underscores the presumption that where public health information campaigns are concerned, information is often accessed but forgotten or ignored. By connecting this information to certain compensatory incentives, those who make up a likely donor population may be more likely to retain and return to the information provided. Though controversial, this does present a realistic view on the motives that might incline one toward an act with significant personal and health-related implications.
It is important for public health facilities to consider the courtship of donations in this way, primarily because a failure to do so is increasingly stimulating an extra-curricular market for the sale of kidneys. In other words, by neglecting to consider the option of connecting kidney donation courtship to such compensatory incentives, the medical community is not protecting against the ethical concerns correlated thereto. They are simply forcing would-be recipients to look outside of the field for…...
Kranenburg, L.; Schram, A.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Medical News Today (MNT). (2008). Kidney Donation Websites Raise Ethical Concerns - Public Solicitation For Organs May Favor White, Educated And Wealthy Recipients. Wiley Blackwell Publishing. Online at http://www.medicalnewstoday.com/articles/125649.php
Tummy-Ache Debate
A woman complains of abdominal pain and is rushed to the hospital. After an examination, the physician informs the woman that she needs a kidney transplant. However, based on the managed care organization's utilization management review, a nurse practitioner decides to deny the procedure for this patient. The woman eventually dies as a result of not having the transplant.
I personally feel that managed care organizations should provide the best possible care that they can and should have provided treatment to the woman after the physician after her diagnosis. However, on the other hand, it should be noted that there are also many factors that could be entirely relevant that are not specifically outlined in the scenario. For example, there are not typically enough livers that are available to treat every patient that is in need of one at the time. Therefore, there has to be some way to…...
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Works Cited
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Papastavrou, E. (2013). The ethical complexities of nursing care rationing. Health Science Journal, 346-348.
Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.
Mayor, S. (2009). "UK sees rise in people donating a kidney to unknown recipients." British medical journal 338(7710), pp. 1521.
In this brief yet highly relevant article, the author describes a recently observed trend of increasing live-donor kidney donations for unknown recipients. hough living donors for family members with a need for transplant have been relatively common for sometime, the idea of donating a kidney while still living for a person unknown to the donor is a very recent development in kidney translation and availability. hough the reasons for this increase are not yet clear, as no research has been undertaken to determine the causal effect of this observed trend, initial results suggest that simple awareness of the need for renal donation and the normalcy of life following the donation of a kidney is a major factor.
Nakamura, Y.; Konno, O.; Matsuno, N.; Yokoyama, ., et al. (2008). "How can we increase…...
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Though various methods and schema for renal transplantation exist, this study points out the benefits of living donor donation in the combating of end-stage renal failure, in Japan specifically. Citing a decreased need for recipient medication and an increased likelihood of successful transplantation when kidneys used in transplantation come from living donors, the authors of this study examine various methods for increasing rates of living donorship. A new surgical procedure developed by the authors limits the invasiveness and the blood loss in an elective living donor surgery, and combined with higher donorship rates could greatly increase the successful treatment of renal disease.
Testa, G.; Angelos, P.; Crowley-Matoka, M. & Siegler, M. (2009). "Elective surgical patients as living donors: A clinical and ethical innovation." American journal of transplantation 9(10), pp. 2400-5.
An innovative new schema for encouraging organ donation is put forth in this article. Specifically, the authors suggest that patients slated for laporoscopic cholecystectomy be given the opportunity to undergo a more invasive surgical correction and donate a kidney as a living donor at the same time. This would eliminate (or greatly reduce) the need for living donors to become surgical candidates with no health benefit to them; the same surgery and level of invasiveness would both correct the patients' problem and allow for donorship. This is the reverse of the current living donor schema, in which donors become surgical candidates specifically for donor purposes, raising ethical and medical concerns.
Its use on those with acute PAH should be performed with caution. The complication rate was observed at 2%
in patients with acute PAH. The use of the procedure was deemed relatively safe for chronic pulmonary arterial hypertension. Severely ill patients should be subjected to non-invasive imaging method exhaustively before resorting to pulmonary angiography (Hofman et al.).#
ILIOGRAPHY
Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:
Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1
adesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.
131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from http://www.medscape.com/viewarticle/560041
Flattery, Maureen P. And Kathy M. aker. Evidence for Racial Disparity in Cardiac
Transplantation Survival Rates. Journal of Cultural Diversity: Tucker Publications,
March 22, 2004. Retrieved on April 26, 2009 from http://findarticles.com/p/articles/mi_m)MJU/is_1_11/ai_n6183827/?tag=content;col1
Hofman, Lawrence V., et al. Safety and Hemodynamic Effects of Pulmonary
Angiography in Patients with Pulmonary Hypertension: 10-Year Single-Center
Experience. 183 (3).…...
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BIBLIOGRAPHY
Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:
Education Project Proposal (Nursing)
This study is intended to educate the patients (within the age group of 8-12) about the post operative treatment approaches and to prepare them to face the situation. As the main audience is the pediatric patients who have gone trough a kidney transplant, we will focus on the recovery issues with respect to this audience. This study will help these patients to learn about the general issues related to recovery of their wounds, the nutrition they are supposed to adopt during the recovery stage and the physical activity that is expected to be maintained by them. This educational activity is important for the patients because a thorough understanding of the recovery process is very important for the patient.
With an understanding of the process the patient will be able to cooperate with the nursing staff and will more actively participate in the process. From this program, we expect…...
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References
Barbara A. Nilsen: Week by Week: Plans for Observing and Recording Young Children: Delmar Learning, January 1997
Evelyn A. Petersen: Practical Guide to Early Childhood Planning, Methods and Materials, A: The What, Why and How of Lesson Plans: Allyn & Bacon, November 1995
Linda M. Bambara & Tim Knoster: Designing Positive Behavior Support Plans: Amer Assn Mental Retardation: January 1998
Barbara Stevens Barnum: Teaching Nursing in the Era of Managed Care: Springer Publication Company, March 1999
However, Harvard Medical School (HMS) reports that in that study of 1,400 patients, 222 "composite events occurred." Those "events" included 65 deaths, 101 "hospitalizations for congestive heart failure, 25 myocardial infarctions and 23 strokes."
In an understatement, the HMS report - written by Dr. Singh - concluded that while improving the lives of patients with CKD is "of paramount importance," this particular study reveals, "...Aiming for a complete correction of anemia is associated with increased risk, increased cost and no quality of life benefits." The study was published in the November 16, 2006 issue of the New England Journal of Medicine.
Meantime, the National Institutes of Health / Medline Plus (www.nim.nih.gov) explains that epoetin alfa is also used with people who have HIV, it is used prior to surgery and after surgery "to decrease the number of blood transfusions needed" in the predicable loss of blood during surgery. It is also…...
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Works Cited
Harvard Medical School. (2005). Blood test can accurately diagnose heart failure in patients
Hospital Case Study
If the first requirement of any successful case study is a detailed and analytical examination of the situation, the emotional component of so called "high stakes" issues can make this requirement difficult, indeed. The simple fact, however, is in order to find good solutions and policies regarding the problem presented in the case study, one must apply the three main questions of "situation," "remedy/s," and "method/s." Although this may seem difficult in some situations, the emotional component must not be considered.
A good example of this fact occurs in the examination of an unfortunate case involving the botched heart/lung transplant of a 16-year-old girl, much like the recent incident at Duke Hospital. In this case, a young girl died as a result of receiving miss-matched organs. Unfortunately, in this case, all of the supposed safeguards of the system, imposed to assure that proper blood typing of both donor and…...
Few hospitals offered both the expertise and the necessary facilities.
Location of the donor and the recipient also impacted availability. Human organs cool and degenerate quickly when removed from the donor. Transportation in the 50s, 60s, and 70s was in the early stages of rapid jet aircraft travel and was too slow for the transportation of organs. The donor needed to be in close proximity to the recipient which was possible with living family members and donors. Research during this time focused on immunosuppressant drugs and on methods to maintain a viable organ outside the host.
In his discussion of justice in respect to the allocation of scarce goods, Jon Elster (1992) identified three levels of scarcity: natural, quasi-natural and artificial. The availability of twins with one needing a kidney transplant and one willing to donate a kidney generates a natural scarcity similar to the availability of natural black pearls. The…...
Above all it has followed the delibeate maketing of health cae (in association with touism) as medical cae has gadually moved away fom the public secto to the pivate secto, ensuing that a gowing majoity of people, especially in the ichest counties, and paticulaly in the United States, must pay -- often consideably -- fo health cae. Finally, gowing inteest in cosmetic sugey, involving such elective pocedues as hinoplasty, liposuction, beast enhancement o eduction, LASIK eye sugey and so on, o moe simply the emoval of tattoos, have ceated new demands. Vaious foms of dental sugey, especially cosmetic dental sugey, ae not coveed by insuance in counties like the UK and Austalia; hence dental touism has become paticulaly common. In Asia these tends ae 'the unlikely child of new global ealities: the fallout of teoism, the Asian economic downtun, intenet access to pice infomation, and the globalisation of health sevices'…...
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references because the family vetoes it, in part because they were never made known. For a grieving and bereft family, a request for organ donation is difficult to agree to because they can only guess at the wishes of the deceased and if there were any doubt at all, would not the natural answer be a rejection? If relatives had severe objections, they should be taken into account for to do otherwise raises the spectre of the swastika, but the point remains that by changing the default position of organ donation it is a veto clearly against the deceased's wishes, which would be rather more unlikely to take place than the current veto due to a simple lack of information. It is not that the PC system is ethically unsound (Hatfield and Walker 1998).
It can be argued that presumed consent is superior to the opt-in system because it truly ensures autonomy by giving effect to choices each person makes. It gives legal effect to individual autonomy and it ensures truly informed consent when accompanied by public education and information, instead of intuitive responses to organ donation. But one has to question how comfortable the deceased family will be when they come to realise that their relatives' kidney is being placed into someone who is HIV positive. This is likely to be an ethical and morale matter rather than a discriminatory one (Williams, 1999).
Nonetheless, some problems with presumed consent have been pointed out. Patient autonomy lies at the very heart of modern medicine and medical research. This is partly a reaction against medical paternalism and an increasing awareness of the integrity of the individual. It may be argued that a presumed consent (PC) system is paternalistic - but it concomitantly reinforces individual autonomy and preserves the dignity and integrity of the individual especially in comparison to, for example, an organs market. (Brooks).
McLean points out that underpinning the system of organ donation is the fundamental view that organ transplantation should be a gift relationship and should not be based on the type of disease a person has. This underlines that HIV sufferers are just as entitled to a kidney transplant as those who are looking for a heart transplant. John Morris doubts that proposals to change legislation to allow presumed consent to be introduced are likely to be publicly accepted. However, why is presumed consent any less a gift? It does not mean widespread harvesting of major organs. It means greater public awareness and individual choice that is made concrete.
In today's modern, the reality is that HIV / AIDS is at a crossroads where the economic and political niches of the contemporary modern condition provide both the possibility to raise scientific research in order to create a means of effective pandemic or the new religion of globalize capital may only serve as to extend HIV / AIDS to become the biggest social issue of all history. There is a huge issue with regards to donor transplantation and especially kidney transplantation. Unfortunately, some patients with Human Immunodeficiency Disease are denied equal access to kidney transplantation and the same priorities of other people who are suffering from other serious diseases. Therefore, in this research, evidence will be provided to proof HIV patients have the same rights as others to get a kidney transplant regardless if they appear completely diseased.
"Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors "FN12. The article states that acute episodes of hyperkalemia are commonly triggered by the introduction of a medication affecting potassium, and that illnesses and dehydration can also be factors. The physician must also be aware therefore that a common positive response by patients in these circumstances was to a sodium bicarbonate supplementation.
Another bit of information that might be important to the diagnosing physician would be that "elevated serum aldosterone causes the renal cortical collecting ducts to excrete potassium and retain sodium, further lowering serum potassium" FN13. Potassium levels should be monitored in an ongoing fashion to determine whether they are stable or not. Additional monitoring should take place for hypertension since twenty to sixty…...
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References
Pietrow M.D., P.K.; Karellas, M.D., M.E.; (2006) Medical management of common urinary calculi, American Family Physician, Vol. 74, No. 1, pp. 86-94
However, what was once a slow journey has recently gathered momentum with the introduction of "more flexible immunosuppression protocols, the ability to individualize surgical options to patient needs, and the dramatic improvement of isolated islet transplantation results." (Allen, p. 3485) esearchers use pancreas transplant options and advanced surgical techniques, but the donor pancreas and surgical complications, as well as the type of immunosuppression affect the outcome of islet transplantation.
The immunosuppressive drugs have significant side effects and long-term effects are still not known. Known side effects of immunosuppressive drugs include mouth sores and gastrointestinal problems, such as stomach upset or diarrhea. Patients also have experienced increased blood cholesterol levels, decreased white blood cell counts, decreased kidney function, and increased susceptibility to bacterial and viral infections. Taking immunosuppressive drugs increases the risk of tumors and cancer as well.
Progress on whole pancreas and beta cell transplantation has been hampered by the lack…...
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References
Allen, R.D.M., et al. (January-February 2000). Pancreas and islet transplantation: an unfinished journey. Transplantation Proceedings. Vol. 33. Nov-Dec 2001.
Clark, W.L. (January-February 2000). Beta cell replacement and islet transplantation. Diabetes Self-Management. Vol. 17(1): pp. 52, 54, 56.
Collazo-Clavel, M., ed.. (2001). Mayo Clinic on Managing Diabetes. Rochester, MN: Mayo Clinic.
Faustman, D. (December 2004). Towards a cure for type 1 diabetes (and other autoimmune diseases?). Infocus. 12(4): 1.
Acute renal failure is a serious medical condition. The gravity of the condition is manifested itself in the fact that the survival rate for renal failure has not improved for more than forty years. It occurs in 5% of all hospitalized patients and dialysis treatment is required in approximately .5 of cases. Dialysis is required to sustain "fluid and electrolyte balances, minimize nitrogenous waste production and sustain nutrition Infection accounts for 75% of deaths in patients with acute renal failure, and cardiorespiratory complications are the second most common cause of death" (Agrawal & Swartz 2000). Pathophysiology can vary depending upon the type: "patients who develop AKI can be oliguric or nonoliguric, have a rapid or slow rise in creatinine levels, and may have qualitative differences in urine solute concentrations and cellular content.... Oliguria is defined as a daily urine volume of less than 400 mL/d and has a worse prognosis,…...
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References
Epstein, Murray. (1997). Alcohol's impact on kidney function. Alcohol Research and Health21. 1 (1997): 84-91.
Malay, Agrawal & Richard Swartz. (2000). Acute Renal Failure. American Family
Page, Timothy F. & Robert S. Woodward. (2009). Cost-effectiveness of Medicare's coverage of immunosuppression medications for kidney transplant recipients.
Organ donation is a process that allows a person to donate their organs to another person. Most organ donation is done after death and can be accomplished either through a person choosing to be an organ donor or by survivors choosing to donate the organs. However, there are some organ donations from living donors, such as kidney transplants. To some people, organ donation is an ethical issue, however the ethical perspectives vary. For some, it is an ethical violation to donate organs and may go against religious norms. For others, it is unethical not to....
Genes play a crucial role in a kidney transplant paper by influencing factors such as antigen compatibility between the donor and recipient, risk of rejection, and overall transplant success.
- Antigen compatibility: Genes determine the Human Leukocyte Antigen (HLA) profile of an individual, which plays a key role in determining whether a donor kidney will be a suitable match for a recipient. Genes involved in HLA production can impact the likelihood of finding a suitable donor match, which is crucial for a successful transplant.
- Risk of rejection: Genes also influence the recipient's immune response to the transplanted kidney. Certain genetic variations....
Kidney transplantation is a life-saving procedure for patients with end-stage renal disease. However, the success of a transplant depends on a number of factors, including the compatibility of the donor and recipient's genes.
The Human Leukocyte Antigen (HLA) System
The HLA system is a complex genetic system that helps the body distinguish between self and non-self. It is responsible for the rejection of foreign tissues, such as those from a transplanted organ.
There are two main types of HLA antigens: Class I and Class II. Class I antigens are found on all nucleated cells in the body,....
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