Despite decades of changes in allocation policies for lung transplantation, the field is plagued by outdated and ethically problematic processes that impact candidate
selection. Transplant centers screen potential organ recipients with a psychosocial
evaluation in an attempt to identify potential barriers to post transplant success.
Professional guidelines note the problematic nature of basing transplant candidacy on
social factors. The prohibitive nature of the process in conjunction with the coercive
pressures of impending demise forces individuals and their social support systems to
make concessions that directly impact their individual dignities. Precluding eligible
candidates based upon nonadherence does not improve clinical outcomes and thus does
not benefit the net population. Psychosocial evaluation needs to be reimagined. The
current practice, as it stands, fails to meet national ethical standards, but with its diverse
widespread utilization, the psychosocial evaluation can become a tool to identify
potential gaps and empower transplant teams to support individuals in addressing
perceived deficiencies. / Urban Bioethics
| Identifer | oai:union.ndltd.org:TEMPLE/oai:scholarshare.temple.edu:20.500.12613/10659 |
| Date | 08 1900 |
| Creators | Davis, Hugh Alexander |
| Contributors | Tuohy, Brian |
| Publisher | Temple University. Libraries |
| Source Sets | Temple University |
| Language | English |
| Detected Language | English |
| Type | Thesis/Dissertation, Text |
| Format | 52 pages |
| Rights | IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available., http://rightsstatements.org/vocab/InC/1.0/ |
| Relation | http://dx.doi.org/10.34944/dspace/10621, Theses and Dissertations |
Page generated in 0.0028 seconds