J Korean Acad Fundam Nurs.  1995 Dec;2(2):139-154.

Pre and Post Operative management of Living Kidney donor: Focus on bioethical aspect

• Kim MH

Abstract

The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision. The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephretomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan. The result of this study, a desirable documents to help the living kidney donor might include following : 1st, identification of the donor and the guardian. 2nd, confirmation f the intension of kidney donor which is based on humanity or not and 3rd, a written oath about Nephrectomy. Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about renal angiography and nephrectomy which required written consent of kidney donor. Further more, the donor should be educated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneuver, pre and post operative complication, the prevention of the complication, the possibility of rejection phenomenon and liss of the transplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated donor ought to have enough time before a making decision and all these process should be recorded in medical records.

MeSH Terms

Allied Health Personnel
Angiography
Busan
Hospitals, General
Humans
Kidney Transplantation
Kidney*
Medical Records
Motivation
Nephrectomy
Research Subjects
Social Workers
Tissue Donors*