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ORGAN DONATION

KENZE KLAUSE
ORGAN DONATION
 “is the process of removing an organ or tissue
from one person (the organ donor) and placing it
to another person (the recipient). Anyone of legal
age can give every parts and cell of their body to
an individual needing them.
 18,603 Filipinos nationwide started dialysis in early
2015 and increased to 32,077 by December 2015.
(NKTI Redcorp 2015 Report)

 50% of these patients are suitable kidney


transplant candidates.
 Only 3.4% received a kidney transplant.

PROBLEM:
 insufficient organ supply

 unaffordability of the operative procedure to most


patients..
TWO SITUATION UNDER WHICH ORGAN
DONATION OCCURS ARE:

 Live donations
(When the person making the donation is alive)

 Cadaver/ Deceased donations


(After the donor dies)
REPUBLIC ACT, 7170 KNOWN AS THE
ORGAN DONATION ACT OF 1991
 Any individual at least 18 years old and above of
sound mind can donate parts of the body for any
purpose specified by the law. You should inform
your immediate family with your decision to
donate your organ after your death.
LIVE DONATIONS
 This type of donation occurs when a living person
wishes to donate organs to some immediate
family member in need.

 Living related Donors this includes first degree


consanguity - i.e. parents and children. However,
considering the cultural and close kinship
relationship in the country, this order extends
the definition to include: siblings, cousins,
nephews , nieces and other blood relatives.
ADMINISTRATIVE ORDER NO. 124 S.2002,
SECTION 3 2-A

 Voluntary donors are allowed. They are


benefactors who donate out of the kindness of
their hearts. They are of two kinds:

 1) Those who are not related by blood to the recipient


but be a close emotional ties with him/her. Ex. spouse,
relatives by affinity, friends, employees, colleagues
adoptive parents or children
 2) The second are those who are strangers who have
no consanguine and direct emotional ties with the
recepient but who donate out of benevolence or purely
altruistic motivation.

 But sale and purchase of kidney organs by kidney


vendors are prohibited.
 "Foreignersare not eligible to
receive organs from Filipino living
non-related donors"
FORMER PRESIDENT FIDEL V. RAMOS IS
LIVING WITH ONE KIDNEY

 "At the age of 88, I’m still around playing golf and still
healthy. I have one very healthy kidney—it's on the right.
It's a very big, very healthy kidney and I would like to
donate it to somebody...but at the right time."
CADAVER/ DECEASED DONATION
 This kind of donation involves taking organs
from a person who has just died. But organ can
be taken only if the deceased person registered
his/her wish for donation or his first degree
relatives give their consent.
 In deceased donations, organs to be donated
depends on the type of death.

 Death is of two main types: Brain death and


cardiac/ Natural death
BRAIN DEATH

 Brain death is the irreversible and permanent


end of all brain functions.

 Such persons are kept on artifical support


(ventilators) to maintan oxygenation of organs so
that the organs are in healthy condition until
they are removed. Most cases of brain death are
the end result of head injuries or brain tumor
patients from intensive care units.

 It is possible to donate all organs in the case of


Brain death.
CARDIAC DEATH

 When a person suffers a Cardiac Death, the heart


stops beating. Due to the lack of circulation of
blood the vital organs quickly become unusable
for transplantation. However, if the person is on
a ventilator and if it is medically clear that the
person cannot survive, then the family can
consider the organ donation for certain vital
organs.
 First world countries definitely have more
advanced organ and tissue transplant program.
Unfortunately in the Philippines, there are only
few key organs for transplantation.

 Three people a day die in need of a transplant


due to low donation rates.

 Aside from the issue of health advancement,


there’s a decrease on number of organ
transplantation each year. One of the primary
causes are Filipinos lack of education and
awareness on organ donation.
BUSTED: MYTHS ON ORGAN DONATION
 Myths, legends, misconceptions, misinformation,
and whatnot are the top reasons why organ
donation in the Philippines remains dismally low.
Fear due to ignorance prevents someone to fully
understand the importance of giving the gift of
life.
1. MYTH: MY BODY WILL BE DAMAGED AFTER
DONATING AN ORGAN.

 Fact: Your body as an organ donor won’t be


damaged after a transplant operation, as expert
doctors will do the operation. You can also attend
a Pre-Transplant Seminar at the National
Kidney Transplant Institute Auditorium every
Friday to learn more about the life of organ
donors and recipients after transplantation.
2. MYTH: MY FAMILY WOULD BE EXPECTED TO
PAY FOR DONATING MY ORGANS.

 Fact: As a donor, your family does not pay for


any expenses related to the donation. The donor
will already give the GIFT OF LIFE to the
intended recipient of the new organ. The latter
will take care of all the expenses related to donor
work-up, hospital expenses for the donation, and
laboratory fees during follow-up after the
donation.
3. MYTH: I MIGHT WANT TO DONATE ONE
ORGAN, BUT I DO NOT WANT TO DONATE
EVERYTHING.

 Fact: You may specify what organs you want to


donate by checking the correct box on the
ORGAN DONOR CARD and your wishes will be
followed. It is highly encouraged to DONATE
ALL YOUR ORGANS, TO ALLOW MORE
PEOPLE TO GET A NEW LIFE!
4. MYTH: IF I AM IN AN ACCIDENT AND THE
HOSPITAL KNOWS THAT I WANT TO BE A DONOR,
THE DOCTORS WILL NOT TRY TO SAVE MY LIFE.

 Fact: That’s NOT TRUE! The medical team


treating you is separate from the transplant
team. H.O.P.E. is not notified until all lifesaving
efforts have failed and death has been
determined. Your family will make the final
decision on organ donation. Always inform them
about your choice.
5. MYTH: I AM NOT AT THE RIGHT AGE FOR
DONATION.

 Fact: Organs may be donated from someone as


young as a newborn. There are no longer any age
limits for organ donation. ALL OF US CAN BE
ORGAN DONORS and you will continue to live a
healthy life after donation.
6. MYTH: IF I DONATE, I WOULD WORRY THAT
THE RECIPIENT AND/OR THE RECIPIENT'S
FAMILY WOULD DISCOVER MY IDENTITY AND
CAUSE MORE GRIEF FOR MY FAMILY.

 Fact: Information about the donor is released by


H.O.P.E. only if the deceased donor family gives
permission. Your identity is secured. DO NOT
WORRY!
7. MYTH: MY RELIGION DOES NOT SUPPORT
DONATION.

 Fact: All organized religions support donation


considering it a generous act that is an
individual's choice. Here are the religious
statements on organ donation from National
Kidney and Transplant Institute Kidney Donor’s
Guide:
 Christianity: Christians consider organ donation as
a genuine act of love and a way of following Jesus’
example.
 Islam: Donation by living donors and by brain dead
donors is not only permitted but also encouraged.
 Buddhism: Central to Buddhism is a wish to relieve
suffering and there may be circumstances that an
organ donation is an act of generosity.
 Hinduism: Organ donation is an integral part in
Hindu’s way of life
 Judaism: In principle, it supports and
encourages organ donation in order to save lives.
Although consultation with the Rabbinic
authority is needed before organ donation is
granted.
 Sikhism: Sikh philosophy and teaching is
emphasized on giving and putting others before
oneself. Helping other’s through organ donation
is consistent with Sikh spirit.
8. MYTH: ONLY HEART, LIVER AND KIDNEYS
CAN BE TRANSPLANTED.

 Fact: The pancreas, lungs, small and large


intestines, stomach, eyes, bones and other tissues
can also be transplanted. DONATE ALL YOUR
ORGANS TO ALLOW MORE PEOPLE TO GET
A NEW LIFE!
9. MYTH: WEALTHY PEOPLE ARE THE ONLY
PEOPLE WHO RECEIVE TRANSPLANTS.

 Fact: A patient requiring a transplant who has


passed all the medical tests and found to be
eligible can receive a deceased donor as long as
they are registered in the NATIONAL
DECEASED DONOR WAITING LIST. This list
contains all the names of patients in the country
who have enlisted to receive a deceased donor.
The Department of Health thru the Philippine
Network for Organ Sharing (Philnos) maintains
this list.
PHIL Z-BENEFIT FOR A KIDNEY
TRANSPLANT
 Philhealth also has a Z BENEFIT for kidney
transplantation in the amount of P600,000.00
that covers the cost of pre-transplant medical
evaluation for recipient and donor, the transplant
operation, and upon hospital discharge, it
includes 1 month laboratory for the recipient, and
1 year lab tests for the donor. AVAIL OF THE
PHIL Z-BENEFIT FOR A KIDNEY
TRANSPLANT. For the recipient’s anti-rejection
medicines, the PCSO can assist patients.
 Talk to your doctors to learn more. Attend the PRE-
TRANSPLANT ORIENTATION for donors and
recipients every Friday morning. You can also talk to
your hospital’s Medical Social Worker for other
assistance. ENLIST IN THE DECEASED ORGAN
DONOR WAITING LIST IN THE H.O.P.E. OFFICE
NOW.
10. MYTH: I HAVE A HISTORY OF MEDICAL
ILLNESS. YOU WOULD NOT WANT MY ORGANS
OR TISSUES.

 Fact: At the time of death, HOPE will review


medical and social histories to determine if you
can be a donor.
11. MYTH: THE DECEASED DONOR WILL FEEL
PAIN WHEN THE DOCTORS REMOVE HIS ORGANS
FOR DONATION.

 Fact: The donor has no more brain function at


the time the consent for donation is given;
therefore the donor can no longer feel any pain.

 Now that you know the facts should help you


better understand organ donation. Have an
informed decision and help to save more lives.
REGALO: PUSHING FOR ORGAN DONATION
AWARENESS

 There have been initiatives to inform Filipinos on


the importance of organ transplantation.
REGALO (Renal Gift Allowing Life for Others) is
an Organ Donation Advocacy led by National
Kidney Transplant Institute, Maria Corazon T.
Javier Foundation, and other health care
providers in raising knowledge of Filipinos on
organ donation. REGALO believes that every
Filipino should consider giving a gift of life by
signing up as an organ donor and carrying an
organ donor card all the times.
GUIDES
1. CARRY AN ORGAN DONOR CARD

 According to Republic Act, 7170 known as the


Organ Donation Act of 1991, any individual at
least 18 years old and above of sound mind can
donate parts of the body after his death for any
purpose specified by the law. You should inform
your immediate family with your decision to
donate your organ after your death. Print an
Organ Donor Card and bring it with you every
time.
2. CHECK YOUR DRIVER’S LICENSE ORGAN
DONOR OPTION

 In case you can’t get hold of an Organ Donor


Card, Driver’s License will be handy. If you want
to donate all your organs or just a specific one
after your death. Make sure to fill out the correct
information on whom to contact during the
mergency.
3. CONTACT NATIONAL KIDNEY AND
TRANSPLANT INSTITUTE HUMAN ORGAN
PRESERVATION EFFORT ( HOPE )

 H.O.P.E. educates every Filipino in the nobility of


organ and tissue donation. It was primarily
tasked to focus on deceased (brain dead) organ
recovery. But as there’s a scarcity of organ donors
in the country, this office is responsible for
orienting and assisting potential living donors
and recipients.
 Year after year, the number of Filipinos needing
organ transplant increases while the number of
organ donor decreases. Patients die on dialysis
while waiting for a potential donor. All of us can
help by carrying an ORGAN DONOR CARD or
by offering our kidneys by becoming living kidney
donors to our relatives and loved ones who may
need a transplant.
 Expressing our love to our neighbors knows no
boundaries. The culture of giving is a good value
that will make it easier for more Filipinos to give
the gift of life as an organ donor.

 You have the option to help out and save lives.

BE A HERO. BE AN ORGAN DONOR.


CARRY THE ORGAN DONOR CARD

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