Loading...
Reimagining the Transplant Evaluation Process: A review of the Ethical and Evidentiary Basis Behind the Psychosocial Evaluation of Lung Transplantation
Davis, Hugh Alexander
Davis, Hugh Alexander
An error occurred retrieving the object's statistics
Citations
Altmetric:
Genre
Thesis/Dissertation
Date
2024-08
Advisor
Tuohy, Brian
Committee member
Group
Department
Urban Bioethics
Permanent link to this record
Collections
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Despite decades of changes in allocation policies for lung transplantation, the field is plagued by outdated and ethically problematic processes that impact candidate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