The Importance of Reconstituting the Bodies of Organ and Tissue Donors: a Look at Human Dignity
Keywords:
Tissue Donors, Obtaining Tissues and Organs, Collecting Tissues and Organs, Cadavers, Tissue BanksAbstract
Introduction: Family refusal to authorize the donation of human organs and tissues has remained high over the years. Among the many reasons for not donating, we highlight the lack of information about the process and the family’s lack of knowledge about the donor’s wishes in life, as well as other issues, such as the appearance of the donor’s body after donation. In this sense, it is necessary to bring to light the aspects that permeate the concepts of death, human dignity, and care for the donor’s image, especially in the case of tissue donors, where the removal may be more noticeable. Objectives: An integrative literature review (ILR) was carried out, seeking to highlight gaps and characterize the process of donating human organs and tissues, with a focus on the reconstruction of the donor’s body and human dignity. In addition, the aim was to describe the experience of a professional from a human tissue bank (BTH). Methods: Using the PICO strategy, the study’s guiding question was drawn up following an IR carried out over the last 10 years, operationalized by controlled descriptors in the SciELO, LILACS, Google Scholar, and PubMed databases. In addition to the search, an experience report was described on the techniques used to reconstruct the donor’s body after the tissues used by a BTH located in the interior of the state of São Paulo were harvested. Results: Nine specific studies were found on donation and the use of prostheses to reconstruct donated areas. The results show the reasons for family refusal, as well as the care taken by the technical teams in reconstructing donors’ bodies. The family’s concern about the donor’s aesthetic situation influences acceptance for donation, so it is necessary to invest in the safety and quality of the services provided by BTH to reduce family refusal for donation. Conclusion: Clear communication and the safety of the processes involved in the procurement of human organs and tissues proved to be the best way to facilitate donation and could thus increase donations.
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Gois RSS, Galdino MJQ, Pissinati PSC, Pimentel RRS, Carvalho MDB, Haddad MCFL. Effectiveness of the organ donation process. Acta Paul Enferm 2017;30(6):621-7. https://doi.org/10.1590/1982-0194201700089
Corsi CAC, Almeida EC, Santos MJ, Bueno SM, Santos MA. Mapping of educational strategies for elementary school students regarding the process of donation and transplantation of human organs and tissue: an integrative review. Arq Ciênc Saúde UNIPAR 2020;24(3):169-77. https://doi.org/10.25110/arqsaude.v24i3.2020.7426
Corsi CAC, Assunção-Luiz AV, Pitta NC, Cintra AS, Scarpelini KCG, Bento RL, et al. Educational actions to raise student awareness about the donation and transplantation of human organs and tissues. Transplant Proc 2023;55(6):1329-36. https://doi.org/10.1016/j.transproceed.2023.04.024
Associação Brasileira de Transplante de Órgãos. Dados numéricos da doação de órgãos e transplantes realizados por estado e instituição no período janeiro/setembo-2023. Registro Brasileiro de Transplantes 2023; XXIV(3):3-16. Available at: https://site.abto.org.br/wp-content/uploads/2023/12/rbt2023-3trim-naoassociados.pdf
Brasil. Ministério da Saúde. Regulamento nº 9.175, de 18 de outubro de 2017. Regulamenta a Lei nº 9.434, de 4 de fevereiro de 1997, para tratar da disposição de órgãos, tecidos, células e partes do corpo humano para fins de transplante e tratamento. Oficial da República Federativa do Brasil; 1997.
Brasil. Ministério da Saúde. Portaria de Consolidação nº 04, de 28 de setembro de 2017. Consolidação das normas sobre os sistemas e os subsistemas do Sistema Único de Saúde. Oficial da República Federativa do Brasil; 2017.
Brasil. Ministério da Saúde. Resolução da Diretoria Colegiada (RDC) da Agência Nacional de Vigilância Sanitária (ANVISA) nº 707, de 1 de julho de 2022. Dispõe sobre as Boas Práticas em Tecidos humanos para uso terapêutico. Oficial da República Federativa do Brasil; 2022.
Corsi CAC, Assunção-Luiz AV, Cintra AS, Scarpelini KCG, Bento RL, Garcia FL, et al. The Significance of the nucleic acid test (NAT) to prevent viral contamination in musculoskeletal tissue transplantation. Rev Bra Ortop 2023;58(1):23-9. https://doi.org/10.1055/s-0042-1756156
Santos MJ, Moraes EL, Martins MS, Almeida EC, Silva LBB, Urias V, et al. Trend analysis of organ and tissue donation for transplantation. Transplant Proc 2018;50(2):391-3. https://doi.org/10.1016/j.transproceed.2017.11.075
Jawoniyi O, Gormley K, Mcgleenan E, Noble HR. Organ donation and transplantation: awareness and roles of healthcare professionals – A systematic literature review. J Clin Nurs 2018;27(5-6):e726-38. https://doi.org/10.1111/jocn.14154
Araujo HV, Araujo AT, Souza RZ, Cruz SR. Os principais fatores de recusa de doação de órgãos e tecidos no âmbito familiar: revisão da literatura. Braz J Implant Health Sci 2023;5(5):1223-43. https://doi.org/10.36557/2674-8169.2023v5n5p1223-1243
Brito AN, Santos MJ, Pimentel RRS. Skin donation for transplantation: social representations of family members who (do not) give consent for collection. Burns 2023;50(3):709-16. https://doi.org/10.1016/j.burns.2023.12.004
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan – a web and mobile app for systematic reviews. Systematic Reviews 2016;5(1):1-0. https://doi.org/10.1186/s13643-016-0384-4
Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2014 Edition. North Adelaide: JBI; 2014.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement. Ann Intern Med 2009;151(4):264-9. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
Vialle LRG, Vialle EN, Nianni FN. A technique for the reconstruction of the limbs of osteomuscular tissue donors. Rev Bras Ortop 2020;55(1):112-4. https://doi.org/10.1055/s-0039-1692696
Pompeu MH. Aspectos intervenientes na efetivação da doação do tecido ósseo durante o acolhimento e a entrevista familiar para doação de órgãos e tecidos. Thesis [PhD in Psychiatric Nursing]– Universidade de São Paulo; 2018.
Pompeu MH, Silva SS, Roza BA, Bueno SMV. Fatores envolvidos na negativa da doação de tecido ósseo. Acta Paul Enf 2014;27(4):380-4. https://doi.org/10.1590/1982- 0194201400063
Vanholder R, Domínguez-Gil B, Busic M, Cortez-Pinto H, Craig JC, Jager KJ, et al. Organ donation and transplantation: a multi-stakeholder call to action. Nat Rev Nephrol 2021;17(8):554-68. https://doi.org/10.1038/s41581-021-00425-3
Srivastava A, Mani A. Deceased organ donation and transplantation in India: promises and challenges. Neurol India 2018;66(2):316-22. https://doi.org/10.4103/0028-3886.227259
Schmidt S, Schulte A, Schwarz S, Hofmann N, Tietz S, Boergel M, et al. Fresh osteochondral allografts-procurement and tissue donation in Europe. Injury 2017;48(7):1296-1301. https://doi.org/10.1016/j.injury.2017.05.008
Hage S, Santos MJ, Moraes EL, Silva LBB. Bone tissue donation: tendency and hurdles. Transplantat Proc 2018;50(2):394-6. https://doi.org/10.1016/j.transproceed.2017.11.071
Casalvara VJ, Scorsolini-Comin F, Corsi CA. A comunicação de más notícias em saúde: aproximações com a abordagem centrada na pessoa. Rev Abordagem Gestalt 2019;25(1):92-102. https://doi.org/10.18065/RAG.2019v25.9
Corsi CAC. Estratégias educativas utilizadas na educação básica para conscientização dos alunos sobre a temática doação/transplante de órgãos e tecidos humanos: revisão integrativa da literatura. Thesis [Master in Psychiatric Nursing]–Universidade de São Paulo; 2018.
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Copyright (c) 2024 Carlos Alexandre Curylofo Corsi, Alan Vinicius Assunção-Luiz, Leonardo Monteiro-Silva, Katia Carmen Gabriel Scarpelini , Rodolfo Leandro Bento, Mayara Segundo Ribeiro, Flávio Luis Garcia , Luís Gustavo Gazoni Martins
This work is licensed under a Creative Commons Attribution 4.0 International License.
