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.

Reference

Kidney transplants are regarded as the most preferred treatment intervention for patients suffering from end-stage kidney disease. However, access to kidney transplants remain relatively problematic because of some issues relating to ethnicity, culture, gender, and social determinants of health. According to Khanal et al. (2018), ethnicity affects access to kidney transplants as Indigenous Australians are less likely to undergo dialysis than non-Indigenous Australians. Indigenous Australians are less likely to be placed on the kidney transplantation waiting list in comparison to non-Indigenous Australians. Additionally, this population experience challenges in early access to renal replacement therapy. With regards to social determinants of health, Indigenous Australians are less likely to access to get kidney transplants because of their remoteness. These people live in remote areas characterized with poor health service delivery and a burden of comorbid conditions. As a result of living in remote areas, these individuals have different values and beliefs regarding…...

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,

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.

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

With kidney dysfunction. Retrieved February 10, 2008, at  http://www.hms.harvard.edu .

Harvard Medical School. (2006). Higher Doses of Anemia Drug for Chronic Kidney Disease

Does Not Improve Quality of Life and Increases Risk for Cardiovascular Events. Retrieved February 9, 2008, at

(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…...

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Works Cited:

Aghanwa, H.S.; Akinsola, A.; Akinola, D.O. & Makanjuola, R.O.A. (2003). Attitudes Toward Kidney Donation. J Natl Med Assoc., 95(8), 725-731.

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

Polycystic Kidney DiseaseIntroductionPolycystic Kidney Disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. These cysts are filled with fluid and can cause the kidneys to become enlarged and dysfunctional. PKD can cause a wide range of symptoms, including pain, hypertension, kidney failure, and an increased risk of urinary tract infections. PKD is not a disease that can be readily cured, but there are available treatments that can help to control the symptoms and slow the progression of the disease. Early diagnosis and treatment are essential for maximizing the chances of a good outcome.CriteriaPKD is diagnosed using a combination of clinical criteria and imaging tests. The clinical criteria for diagnosing PKD include the presence of two or more cysts in each kidney, renal cysts in a first-degree relative, and/or renal impairment due to PKD. Imaging tests such as ultrasounds, CT scans, and MI scans…...

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ReferencesHalvorson, C. R., Bremmer, M. S., & Jacobs, S. C. (2010). Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment. International journal of nephrology and renovascular disease, 3, 69.Patel, V., Chowdhury, R., & Igarashi, P. (2009). Advances in the pathogenesis and treatment of polycystic kidney disease. Current opinion in nephrology and hypertension, 18(2), 99.Wallace, M. A. (1998). Anatomy and physiology of the kidney. AORN journal, 68(5), 799-820.

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.

Introduction Women without functioning uteruses now have a real chance of making their motherhood dreams come true with a radical new surgical procedure that involves a uterus transplant. Mats Brannstrom, the Swedish doctor who was the first in the world to deliver babies from transplanted uteruses, has successfully delivered about half a dozen babies from transplanted uteruses so far (“First baby from a uterus transplant in the U.S. born in Dallas,” 1). In the United States, the first baby was born from a transplanted uterus in December of 2017, in Dallas. As promising as it is, a uterus transplant birth is a relatively risky medical procedure, though, and one that has raised some questions about the efficacy and ethics of this remarkable intervention. However, as long as full disclosure is made to patients, who make their decisions autonomously and with informed consent, transplanted uterine deliveries should certainly be an option for…...

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:

Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from  http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1 

Badesch, 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

Buy and Sell Organs for Transplants:
The consideration of the possible negative socio-ethical repercussions of allowing people to buy and sell their non-vital body organs for transplant fortifies the argument of all opponents to the proposition. As stated in the U.S. Constitution, human beings are created equal and given the un-separable rights to life, freedom, and the pursuit of happiness. While in the pursuit of these rights, the American society has learnt that the end does not always justify the means and as such, necessary legislation has been instituted to help protect minorities from majorities, the poor from the wealthy, and the weak from the strong. A society in which people could buy and sell organs for transplant would further ruin the pursuit for equality and frustrate the liberty of generosity needed for living a happy life.

Opposing the proposition does not mean that one believes society bears no duty to preserve…...

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References:

Andre, C. & Velasquez, M. (n.d.). Kidneys for Sale. Retrieved from Santa Clara University -- The Jesuit University in Silicon Valley website:  http://www.scu.edu/ethics/publications/iie/v1n2/kidneys.html 

Mayes, G. (2003.) Buying and Selling Organs for Transplantation in the U.S.: National Organ Transplant Act of 1984 (NOTA) Bans Buying and Selling. Medscape Education, 4(2). Retrieved from  http://www.medscape.org/viewarticle/465200_2 

"Statistics." (n.d.). Donate Life America. Retrieved January 31, 2012, from  http://donatelife.net/understanding-donation/statistics/

elling Human Organs: The Ethical Issue
elling body transplants is one of the latest ventures that entrepreneurs have devised. ome see it as servicing a public good, whilst others perceive it as one more example of capitalism at its worst.

Barry Jacobs is an example of an international broker for bodily parts whose business involves matching up kidney "donors" with patients needing kidney transplants. The donor receives a magnanimous paycheck; the recipient receives a healthy kidney, and Jacobs, himself, profits by business in worse ways (Chapman, 1984). Jacobs and other advocates of organ-selling see this business as filling a necessary void. Approximately, 100,000 organ transplants are needed per annum, and only an annual 10,000 are performed due to the deficiency of matching organs. Biomedical breakthroughs have increased the success of these operations, but the procedures cannot always be accomplished due to depletion of stocks. People are simply not willing to donate their…...

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Sources

Annas, GJ (1984) Life, Liberty, and the Pursuit of Organ Sales, Hastings Center Report, 14, 22-23.

Chapman, FS (1984) The Life and Death Questions of an Organ Market, Fortune 108-118.

Borna, S (1987) Morality and Marketing Human Organs, Journal of Business Ethics, 6, 37-44.

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

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…...

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Bibliography

Chibbaro, Lou. (2004) Victory Claimed in HIV Suits. Washington Blade. Web site. Retrieved on August 8, 2004, at  http://www.washblade.com/print.cfm?content_id=2771 

Colorado State University Writing Center. "Case Studies." Retrieved from Web site on August 2, 2004  http://writing.colostate.edu/references/research/casestudy/com2a1.cfm 

CTDN. California Donors Network. (2004) Facts about organ and tissue donation. Web site. Retrieved on August 8, 2004, at http://www.ctdn.org/resources/faqs.php?id=3&NoHeader=1

Duke University. (2004). UNOS and DUH Safeguards for Organ Transplant Safety. Duke Medical News. Retrieved on August 7, 2004, at http://dukemednews.org/filebank/2003/06/28/UNOS%20and%20DUH%20Safeguards%20for%20Organ%20Transplant%20Safety.doc

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....

The Role of Genes in Kidney Transplantation

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,....