Nurse Case Manager Role in caring for Brain - Dead Donor

บทบาทพยาบาลผู้จัดการรายกรณีต่อการดูแลผู้บริจาคอวัยวะที่มีภาวะสมองตาย

Abstract

 ABSTRACT             Advancing in technology and modern medicine enhances the curative treatment for patients with end stage organs failure by organ transplantation, which increases patients’ survival and promotes quality of life. Organ transplantation cannot occur without organ donation. The organ transplantation includes complex and delicate processes relating to ethical issues. This article is intended for readers to understand organ donation process and nurse case manager role. The process of deceased brain death organ donor begins with the permission from doctors for proceed and diagnosis of brain death, informing relatives about brain death, negotiating with relatives for organ donation, preparing information and collecting laboratory results according to donor check list, monitoring organs’ functions, caring for organ donors to maintain organs in a suitable condition for organ transplantation, sending blood samples and lymph nodes to the Organ Donation Center Red Cross Center for the screening of infection and HLA typing, performing surgery to remove organs, caring and facilitating the relatives in taking the body to a religious ceremony.         

Nurse case managers are responsible for the management in the process of organ and tissue donation and transplantation; risk management with multidisciplinary team for patients and families under the law, ethics, and professional ethics; development of information systems about organ donation and transplantation; creating a network and public relations to build a positive attitude towards organ donation to the public.