The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision.
The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephrectomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan.
The result of this study, a desirable documents to help the living kidney donor might include following: 1st, identification of the donor and the guardian, 2nd, confirmation of the intension of donor which is based on humanity or not and 3rd, a
written
oath about Nephrectomy.
Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about
renal
angiography and nephrectomy which required written consent of kidney donor.
Further more, the donor should beeducated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneaver, pre and post operative complication, the
prevention
of
the complication, the possiblity of rejection phenomenon and loss of the trasplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated
donor
ought to have enough time before a making decision and all these process should be recorded in medical records
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