Care of the organ transplant receiver: Review

Organ recipient preparation

Authors

Keywords:

Organ transplant, Nursing care, Peri-operative care, Organ recipient

Abstract

Organ transplantation is the process of replacing damaged/inoperative organs with healthy ones. Many parameters are considered in the decision-making process for this procedure. At first, compatibility parameters of the recipient individual and the donor should be evaluated. All laboratory values and tissue compatibility tests should be compared. The organ transplant coordinator shares the patient’s compliance information with the team. The recipient patient is informed of the match, and the process begins. Preparing the recipient for transplantation is as difficult as finding the appropriate organ. During the first stages, the individual is evaluated and meets with the entire transplant team. Everyone on the transplant team explains their roles and responsibilities. The patient can ask questions. Information is given about complications and negative care processes encountered after transplantation. Patients most often experience differences of opinion in religious and cultural dimensions. On the one hand, he/she wants to live; on the other hand, he/she thinks transplantation is a “sin”. These confusing thoughts can increase and be replaced by psychosocial issues. The transplant nurse initiates the patient’s rehabilitation process. This process is based on an immunosuppressive treatment plan to strengthen the patient’s immunity before transplantation. The transplantation plan provides guidance on transplant day, donor patient preparation, and organ safety. This review serves as a guide for recipient individual. This review study consists of specific sub-titles related to the subject.

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References

Demirkiran O, Bozbay S, Elmaagac M, Agkoç M. Religious and Cultural Aspects of Organ Donation in the Turkish Population. Transplant Proc. 2019;51(7):2158-62. doi: 10.1016/j.transproceed.2019.01.159 DOI: https://doi.org/10.1016/j.transproceed.2019.01.159

The Australian Institute of Health and Welfare. Projections of the Prevalence of Treated End-Stage Kidney Disease in Australia 2012–2020. 2012.

Mevzuat Kanunları Resmi Sitesi. Organ ve Doku Alınması, Saklanması, Aşılanması ve Nakli Hakkında Kanun. 18-150(2018).

Oliver M, Woywodt A, Ahmed A, Saif I. Organ donation, transplantation, and religion. Nephrol Dial Transplant. 2011;26(2):437-44. doi: 10.1093/ndt/gfq628 DOI: https://doi.org/10.1093/ndt/gfq628

Malti T, Beermann A, Noam GG, et al. Health Policy: Application for Nurses and Other Healthcare Professionals. J Clin Nurs. 2017;33(1).

Taş F, Selçuk Tosun A, Akgül Gündoğdu N. The Effect of Islamic Belief and Spiritual Well-being on Organ Donation in Turkey: A Descriptive-Relational Study. J Relig Health. Published online April 17, 2021. DOI: https://doi.org/10.1007/s10943-021-01252-3

Mehra NK, Baranwal AK. Clinical and immunological relevance of antibodies in solid organ transplantation. Int J Immunogenet. 2016;43(6):351-68. doi: 10.1111/iji.12294 DOI: https://doi.org/10.1111/iji.12294

Bruce CR, Koch P. Flawed Assumptions: Ethical Problems With Proposed Presumed Consent Legislation. Am J Transplant. 2017;17(12):3262-3. doi: 10.1111/ajt.14402 DOI: https://doi.org/10.1111/ajt.14402

Abdeldayem H, El-Kased AF, Elshaarawy A, et al. Religious Concepts in Organ Transplantation. In: Frontiers in Transplantology. 2016. doi: 10.5772/62401 DOI: https://doi.org/10.5772/62401

Özbolat A. “Organlarımla Dirilmek İstiyorum.”- Organ Bağışının Dini-Toplumsal Arkaplanı. Çukurova Üniversitesi İlahiyat Fakültesi Derg. 2017;17(1):67-8. doi: 10.30627/cuilah.326050 DOI: https://doi.org/10.30627/cuilah.326050

Glazier AK, Delmonico FL, Koh HK. Organ Donation in the Era of the Opioid Crisis: A Clinical Strategy to Maximize Transplantation. Transplantation. 2017;101(11):2652-4. doi: 10.1097/TP.0000000000001878 DOI: https://doi.org/10.1097/TP.0000000000001878

Nur S. Tranplantasyon İmmünolojisi. Cerrahpaşa Öğrenci Bilim Derg. 2015;7(9):1-4.

Glaze JA, Brooten D, Youngblut JA, Hannan J, Page T. The Lived Experiences of Caregivers of Lung Transplant Recipients. Prog Transplant. 2021;31(4):299-304. doi: 10.1177/15269248211046034 DOI: https://doi.org/10.1177/15269248211046034

Çevik C, Özyürek P. Organ Nakli Hemşireliği. Nobel Tıp; 2017.

Hanson KE, Limaye AP. Prediction of Infection After Solid Organ Transplantation: Is Measuring Cell-Mediated Immunity the Answer? Clin Infect Dis. 2018;66(9):1398-9. doi: 10.1093/cid/cix1009 DOI: https://doi.org/10.1093/cid/cix1009

Thomson AW, Zahorchak AF, Ezzelarab MB, Butterfield LH, Lakkis FG, Metes DM. Prospective clinical testing of regulatory dendritic cells in organ transplantation. Front Immunol. 2016 Jan 28;7:15. doi: 10.3389/fimmu.2016.00015 DOI: https://doi.org/10.3389/fimmu.2016.00015

Ochando J, Fayad ZA, Madsen JC, Netea MG, Mulder WJM. Trained immunity in organ transplantation. Am J Transplant. 2020 Jan;20(1):10-8. doi: 10.1111/ajt.15620 DOI: https://doi.org/10.1111/ajt.15620

Papp G, Boros P, Nakken B, Szodoray P, Zeher M. Regulatory immune cells and functions in autoimmunity and transplantation immunology. Autoimmun Rev. 2017 May;16(5):435-44. doi: 10.1016/j.autrev.2017.03.011 DOI: https://doi.org/10.1016/j.autrev.2017.03.011

Ángeles Pérez-San-Gregorio M, Martín-Rodríguez A, Borda-Mas M, Luisa Avargues-Navarro M, Pérez-Bernal J, Ángel Gómez-Bravo M. Coping strategies in liver transplant recipients and caregivers according to patient posttraumatic growth. Front Psychol. 2017 Jan 20;8:18. doi: 10.3389/fpsyg.2017.00018 DOI: https://doi.org/10.3389/fpsyg.2017.00018

Kahveci E, Bozoklar CA, Topcuoğlu MA. Beyin Ölümünden Organ Nakline: Temel İlkeler ve Pratik Uygulamalar. Kayıhan Ajans; 2015.

Soo E, Marsh C, Steiner R, Stocks L, McKay DB. Optimizing organs for transplantation; advancements in perfusion and preservation methods. Transplant Rev. 2020 Jan;34(1):100514. doi: 10.1016/j.trre.2019.100514 DOI: https://doi.org/10.1016/j.trre.2019.100514

Hameed AM, Hawthorne WJ, Pleass HC. Advances in organ preservation for transplantation. ANZ J Surg. 2017;87(12):976-80. doi: 10.1111/ans.13713 DOI: https://doi.org/10.1111/ans.13713

Gallego A, Sarmiento E, Sousa I, Zatarain E, Fernández-Yáñez J, Navarro J, Gil J, et al. Immunologic Abnormalities Associated With Health Status of Heart Recipients Long Term After Transplantation. Transplant Proc. 2021 Nov;53(9):2724-7. doi: 10.1016/j.transproceed.2021.08.044 DOI: https://doi.org/10.1016/j.transproceed.2021.08.044

Maldonado JR. The Psychosocial Evaluation of Transplant Candidates. In: Psychosocial Care of End-Stage Organ Disease and Transplant Patients. 2019. doi: 10.1007/978-3-319-94914-7_3 DOI: https://doi.org/10.1007/978-3-319-94914-7_3

Dailey FE, Turse EP, Daglilar E, Tahan V. The dirty aspects of fecal microbiota transplantation: a review of its adverse effects and complications. Curr Opin Pharmacol. 2019 Dec;49:29-33. doi: 10.1016/j.coph.2019.04.008 DOI: https://doi.org/10.1016/j.coph.2019.04.008

Goldman JD, Julian K. Urinary tract infections in solid organ transplant recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clin Transplant. 2019 Sept;33(9):e13507. doi: 10.1111/ctr.13507 DOI: https://doi.org/10.1111/ctr.13507

Tepehan S, Elmas İ. Beyin ölümü kavramı ve organ transplantasyonu. Türkiye Klin Adli Tıp Derg. 2016;2(1):8-11.

Braza MS, Conde P, Garcia M, et al. Neutrophil derived CSF1 induces macrophage polarization and promotes transplantation tolerance. Am J Transplant. 2018 May;18(5):1247-55. doi: 10.1111/ajt.14645 DOI: https://doi.org/10.1111/ajt.14645

Justiz Vaillant AA, Mohseni M. Chronic Transplantation Rejection. 2019.

Schulz KH, Kroencke S. Psychosocial challenges before and after organ transplantation. Transpl Res Risk Manag. 2015;7:45-58. doi: 10.2147/TRRM.S53107 DOI: https://doi.org/10.2147/TRRM.S53107

Schneekloth TD, Hitschfeld MJ, Jowsey-Gregoire SG, Petterson TM, Dunlay SM, Niazi SK, et al. Psychosocial Risk Predicts New Episode Depression After Heart Transplant. Psychosomatics. 2019 Jan-Feb;60(1):47-55. doi: 10.1016/j.psym.2018.06.003 DOI: https://doi.org/10.1016/j.psym.2018.06.003

Snell GI, Levvey BJ, Henriksen A, Whitford HM, Levin K, Paraskeva M, et al. Donor Lung Referrals for Lung Transplantation: A 'Behind The Scenes' View. Heart Lung Circ. 2020 May;29(5):793-9. doi: 10.1016/j.hlc.2019.04.007 DOI: https://doi.org/10.1016/j.hlc.2019.04.007

Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. J Hear Lung Transplant. 2016 Jan;35(1):1-23. doi: 10.1016/j.healun.2015.10.023 DOI: https://doi.org/10.1016/j.healun.2015.10.023

Mehta P, Steinberg EA, Kelly SL, Buchanan C, Rawlinson AR. Medication adherence among adolescent solid-organ transplant recipients: A survey of healthcare providers. Pediatr Transplant. 2017 Nov;21(7). doi: 10.1111/petr.13018. Epub 2017 Jul 2. PMID: 28670855. DOI: https://doi.org/10.1111/petr.13018

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Published

2022-10-29

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Section

Review

How to Cite

1.
Bektas N. Care of the organ transplant receiver: Review: Organ recipient preparation. J Surg Med [Internet]. 2022 Oct. 29 [cited 2022 Dec. 7];6(10):877-81. Available from: https://jsurgmed.com/article/view/1063254