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In: Nursing

Should physicians be responsible to serve one master- their patient-or two masters-their patient and the broader...

Should physicians be responsible to serve one master- their patient-or two masters-their patient and the broader needs of society? In your discussion, what are some examples of the Lakebergs, Dr. Intensivo and Rodolfo. How has the distribution system for organ transplantation tried to balance these two masters?

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Expert Solution

The physicians should be responsible to serve two masters their patient and the broader needs of society, as a patient does not live in isolation in society.
While the specific criteria differ for various organs, matching criteria generally include: blood type and size of the organ(s) needed. time spent awaiting a transplant. the relative distance between donor and recipient.
Both recipients and any potential donors have tissue typing performed during the evaluation process. To receive a kidney where recipient's markers and the donor's markers all are the same is a "perfect match" kidney. Perfect match transplants have the best chance of working for many years.
Proper organ size is critical to a successfultransplant, which means that children often respond better to child-sized organs. Although pediatric candidates have their own unique scoring system, children essentially are first in line for other children's organs.
Conversely, older patients typically waited the longest for an organ transplant. Patients over 50 years of age experienced the longest median waiting times of patients registered on the kidney, kidney-pancreas, pancreas and heart waiting lists.

Organ Donation Step by Step
Identification of the Potential Donor by the Hospital.
Evaluation of Donor Eligibility.
Authorization for Organ Recovery.
Medical Maintenance of the Patient.
Matching Organs to Potential Recipients.
Offering Organs Regionally, Then Nationally.
Placing Organs and Coordinating Recovery.
Surgical Recovery of Organs.


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