Thumbnail Image
Item

Reimagining the Transplant Evaluation Process: A review of the Ethical and Evidentiary Basis Behind the Psychosocial Evaluation of Lung Transplantation

Davis, Hugh Alexander
Citations
Altmetric:
Genre
Thesis/Dissertation
Date
2024-08
Advisor
Tuohy, Brian
Committee member
Group
Department
Urban Bioethics
Subject
Medical ethics
 Medicine
 Public health
 Bioethics
 Ethics
 Lung transplant
 Lung transplantation
 Medical ethics
 Transplantation
Permanent link to this record
http://hdl.handle.net/20.500.12613/10659
Collections
Theses and Dissertations
Show all metadata
Files
Thumbnail Image
Davis_temple_0225M_15857.pdf
Adobe PDF, 233.7 KB
Research Projects
Organizational Units
Journal Issue
DOI
http://dx.doi.org/10.34944/dspace/10621
Abstract
Despite decades of changes in allocation policies for lung transplantation, the field is plagued by outdated and ethically problematic processes that impact candidate selection. Transplant centers screen potential organ recipients with a psychosocial evaluation in an attempt to identify potential barriers to post transplant success. Professional guidelines note the problematic nature of basing transplant candidacy on social factors. The prohibitive nature of the process in conjunction with the coercive pressures of impending demise forces individuals and their social support systems to make concessions that directly impact their individual dignities. Precluding eligible candidates based upon nonadherence does not improve clinical outcomes and thus does not benefit the net population. Psychosocial evaluation needs to be reimagined. The current practice, as it stands, fails to meet national ethical standards, but with its diverse widespread utilization, the psychosocial evaluation can become a tool to identify potential gaps and empower transplant teams to support individuals in addressing perceived deficiencies.
Description
Citation
Citation to related work
Has part
ADA compliance
For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
Embedded videos
License
IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
cb