Organ and Tissue Donation: An Evidence Base for Practice

By Magi Sque; Sheila Payne | Go to book overview
Save to active project

7 Facilitating the donation
discussion beyond intensive
care: lessons from specialist
palliative care

Joanne Wells, Delyth Hughes and Parul Mistry


With an increasing gap between the demand for donated organs and tissues for transplantation and the available supply, there is a need to facilitate donation from clinical environments other than intensive care. In this chapter we draw mainly on UK data to highlight the potential for donation from alternative settings such as accident and emergency departments, general wards, the primary care setting and palliative care units. Initially we will discuss the possibilities and problems associated with non-heartbeating donation.1 We will then focus on non-heartbeating donation from the palliative care setting, examining the current literature, particularly studies by two of the authors (Wells and Hughes). Finally we will highlight the issues influencing donation from non-heartbeating donors who die outside the intensive care unit, and pinpoint the differences that exist between donation from this setting and the palliative care environment.

Beyond intensive care: possibilities and problems


Prior to establishment of brain death criteria (Ad Hoc Harvard Committee 1968) non-heartbeating donors were the only source of organs and tissues. With the introduction of the legal definition of brain death, brain dead patients became a more preferred source of organs. Practical concerns regarding warm ischaemia, the amount of time the organ spends at room temperature without any oxygen supply and organ preservation were


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Organ and Tissue Donation: An Evidence Base for Practice


Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 193

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?