Organ Donation: From Death to Life

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Organ Donation: From Death to Life

Coursera (CC)
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When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

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  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Considering someone for organ and tissue donation at the end of life is complicated. The boundary between life and death is more complex than ever before and it falls to medical professionals to help clarify a situation at an often confusing and emotionally stressful time. In this course you will learn about the science behind death determination and when is it possible for deceased organ donation take place. The lectures will cover medical standards at the end of life - from brain death testing, to requesting informed consent from a grieving family. By improving knowledge of good ethical practices, cultural and religious considerations and the logistics of the organ …

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When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Considering someone for organ and tissue donation at the end of life is complicated. The boundary between life and death is more complex than ever before and it falls to medical professionals to help clarify a situation at an often confusing and emotionally stressful time. In this course you will learn about the science behind death determination and when is it possible for deceased organ donation take place. The lectures will cover medical standards at the end of life - from brain death testing, to requesting informed consent from a grieving family. By improving knowledge of good ethical practices, cultural and religious considerations and the logistics of the organ donation process this course will empower the interactions and discussions of medical professionals and the general public at an often confusing time. This course will help you to ensure that the option of organ donation is compassionately explored in all appropriate situations at the end of life in the best way possible. Watch the course trailer here https://www.youtube.com/watch?v=Ak-kVtmZGRs For another interesting course on organ donation and transplantation, see Clinical Kidney, Pancreas and Islet Transplantation from Leiden University https://www.coursera.org/learn/clinical-kidney-transplantation

Who is this class for: This course is primarily aimed at professionals, graduates and students in a healthcare field, but is largely understandable to those with a general interest in organ donation and brain death.

Created by:  University of Cape Town
  • Taught by:  David Thomson, Dr

    Critical Care Specialist and Transplant Surgeon
Level Intermediate Commitment 4 weeks, 3 hours per week Language English How To Pass Pass all graded assignments to complete the course. User Ratings 5.0 stars Average User Rating 5.0See what learners said Задания курса

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University of Cape Town The University of Cape Town is the oldest university in South Africa and is one of the leading research universities on the African continent. UCT has over 25 000 students, of whom 30% are postgraduate students. We offer degrees in six faculties: Commerce, Engineering & the Built Environment, Health Sciences, Humanities, Law, and Science. We pride ourself on our diverse student body, which reflects the many cultures and backgrounds of the region. We welcome international students and are currently home to thousands of international students from over 100 countries. UCT has a tradition of academic excellence that is respected world-wide and is privileged to have more than 30 A-rated researchers on our staff, all of whom are recognised as world leaders in their field. Our aim is to ensure that our research contributes to the public good through sharing knowledge for the benefit of society. Past students include five Nobel Laureates – Max Theiler, Alan Cormack, Sir Aaron Klug, Ralph Bunche and, most recently, J M Coetzee.

Syllabus


WEEK 1


Brain Death and Consent



Welcome to the first week of Organ Donation - From Death to Life. In our first lesson we cover the two absolute prerequisites for deceased organ donation: That the donor must be dead and that there must be consent. Our second lesson takes a look at the history of, and the actual mechanism of brain death as well as the story behind the first heart donor. While our third lesson reviews in detail the scientific determination of brain death, from the preconditions that must be met before testing, to the actuals tests themselves, including the role of ancillary tests. Our final lesson will look at the consent process, how to communicate effectively with a grieving family and what is the best way to make the organ donor request.


17 videos, 1 reading, 4 practice quizzes expand


  1. Вопрос для обсуждения: Introduce yourself
  2. Video: Welcome to Organ Donation: From Death to Life
  3. Video: About this Course
  4. Материал для самостоятельного изучения: How This Course Works
  5. Video: Introduction to Week 1
  6. Video: Dead Donor Rule
  7. Video: Consent
  8. Тренировочный тест: Dead Donor Rule and Consent
  9. Video: History of Brain Death
  10. Video: Mechanism of Brain Death
  11. Video: The First Heart Donor
  12. Тренировочный тест: History and Mechanism of Brain Death
  13. Video: Basic Principles
  14. Video: Preconditions Required for Brain Death
  15. Video: Brain Death - Clinical Testing
  16. Video: Additional Brain Death Tests and International Variability
  17. Video: Ancillary Tests
  18. Video: Brain Death Reenactment
  19. Тренировочный тест: Scientific Determination of Brain Death
  20. Video: Consent for Donation after Brain Death
  21. Video: Communicating Effectively
  22. Video: The Organ Donation Request
  23. Тренировочный тест: Informed Consent and Communication

Graded: Week 1 Graded Quiz

WEEK 2


Donation after Circulatory Death



Not all end of life decisions in the Intensive Care Unit and the discussions that go with them can rely on the clarity of a brain death diagnosis. Just under half of all deaths in Intensive Care Units involve non-beneficial treatment being withdrawn or withheld. In less well resourced countries limited access to ICU means these decisions as to when treatment is futile frequently occur earlier, outside of the ICU setting. In week 2 we will discuss end of life care and the ethical principles which help guide us in making difficult decisions in the ICU. What do we do when interventions may prolong suffering with no reasonable chance of recovery? We will see how the dead donor rule can be applied after circulatory arrest and that in certain patients it may be possible to honour their wish to be an organ donor. We will cover the different types of donation after circulatory arrest and go over the process of donation after circulatory death in detail. We will end the week by covering tissue donation and what happens to the body of the donor after the organ donor operation is complete.


12 videos, 3 practice quizzes expand


  1. Video: Introduction to Week 2
  2. Video: A Good Death
  3. Video: Principles in Medical Ethics
  4. Video: Withdrawal of Treatment
  5. Video: An Approach to Withdrawal of Non-beneficial Treatments
  6. Тренировочный тест: End of Life Care
  7. Video: Circulatory Death Certification
  8. Video: Donation After Circulatory Death
  9. Video: Types of Donation After Circulatory Death
  10. Video: Consent for Donation After Circulatory Death
  11. Video: Donation After Circulatory Death Reenactment
  12. Тренировочный тест: Donation after Circulatory Death
  13. Video: Donation of Tissues and Bones
  14. Video: What Happens to the Body
  15. Тренировочный тест: After Organ Donation

Graded: Week 2 Graded Quiz
Graded: Breaking Bad News

WEEK 3


The Organ Donation Process



Who can donate? What can be donated? In this week you will learn that the number of potential organ donors is far larger than you ever thought. In the first lesson we look at the organ donation process in detail. We cover the assessment of a donor in terms of infection and malignancy risk and how individual organs are assessed for potential transplant. We look at the monitoring and interventions required to achieve various physiological goals in the organ donor. Managing a potential donor well and dealing with the complications associated with brain death is essential to maximizing the number of organs that are transplantable. It is not markedly different from any critically ill patient with multi-organ failure. We then look at the organ recovery process and how the organs are preserved and transported to the various recipients. In the second lesson the waiting list and allocation practices are discussed in detail so that you can see how donated organs are allocated fairly and how the benefit is maximized. We end the week with an overview of what each recipient operation entails and show you four interviews - all recipients of an organ transplant - given a new lease on life because of one brain dead donor and a family who consented to organ donation in a time of great personal tragedy.


14 videos, 3 practice quizzes expand


  1. Video: Introduction to Week 3
  2. Video: Donation - Who Can Donate What?
  3. Video: Donation - Medical Assessment and Work-up of the Donor
  4. Video: Donor Management
  5. Video: Organ Procurement
  6. Video: Organ Preservation and Transport
  7. Тренировочный тест: The Organ Donation Process
  8. Video: The Waiting List - The Need
  9. Video: Organ Allocation - Ensuring Fairness
  10. Тренировочный тест: Practice Quiz - Waiting List and Allocation
  11. Video: The Recipient Operations
  12. Video: Interview with Recipients
  13. Video: Interview with Namhlatobi Gansanhla
  14. Video: Interview with Mrs Mayekiso
  15. Video: Interview with Selengan Samuel Khalani
  16. Video: Interview with Clive Marais
  17. Тренировочный тест: Practice quiz - A New Life

Graded: Week 3 Graded Quiz

WEEK 4


Ethical Issues in Transplantation



Congratulations! You've reached the final week of the course Organ Donation: From Death to Life. Many factors influence organ donation rates across the world - from religion and culture to where you live and what resources are available. In our final week we will take a look at the role of money and travel in organ transplantation and show you the steps being taken to stamp out organ trafficking and transplant tourism. Dr Boitumelo Nkgudi a colleague of mine from Department of Surgery will speak to us on the influence that different religions and cultures have on organ donation. Organ donation comes with a lot of stigma and religious and cultural competence is essential to connecting with potential donor families before asking for consent for organ donation. We will end off our last week by looking at how to assess the true potential of deceased organ donation, what deceased organ donation models exist, and possible strategies to improve them including improving public awareness. Nobody can do everything when it comes to transplantation - but everybody can do something… Enjoy the last week of the course.


10 videos, 3 practice quizzes expand


  1. Video: Introduction to Week 4
  2. Video: Money and Transplantation
  3. Video: Travel and Transplantation
  4. Video: Organ Trafficking
  5. Тренировочный тест: Money, Travel and Organ Trafficking
  6. Video: Religion and Organ Donation
  7. Video: Culture and Organ Donation
  8. Тренировочный тест: Religion and Culture
  9. Video: Assessing the Potential of Deceased Organ Donation
  10. Video: Deceased Donation Models
  11. Video: Strategies to Improve Deceased Organ Donation
  12. Video: Public Awareness Campaigns
  13. Тренировочный тест: Improving Deceased Donation

Graded: Week 4 Graded Quiz
Graded: Making Change
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