關於此課程：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 it is 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 The course is certified for continuing professional development (CPD) points in South Africa. Send your completion certificate to organdonation@uct.ac.za together with your HPCSA number for 25 general and 5 ethics points. 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
此課程適用人群：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.
製作方： University of Cape Town
教學方： David Thomson, Dr
Critical Care Specialist and Transplant Surgeon
| 級別 | 中級 |
| 承諾學習時間 | 4 weeks, 3 hours per week |
| 語言 | English |
| 如何通過 | 通過所有計分作業以完成課程。 |
| 用戶評分 |
授課大綱
第 1 週
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 actual 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 個視頻, 1 個閱讀材料, 4 個練習測驗
- Discussion Prompt: Introduce yourself
- 視頻: About this Course
- Reading: How This Course Works
- 視頻: Introduction to Week 1
- 視頻: Dead Donor Rule
- 視頻: Consent
- Practice Quiz: Dead Donor Rule and Consent
- 視頻: History of Brain Death
- 視頻: Mechanism of Brain Death
- 視頻: The First Heart Donor
- Practice Quiz: History and Mechanism of Brain Death
- 視頻: Basic Principles
- 視頻: Preconditions Required for Brain Death
- 視頻: Brain Death - Clinical Testing
- 視頻: Additional Brain Death Tests and International Variability
- 視頻: Ancillary Tests
- 視頻: Brain Death Reenactment
- Practice Quiz: Scientific Determination of Brain Death
- 視頻: Consent for Donation after Brain Death
- 視頻: Communicating Effectively
- 視頻: The Organ Donation Request
- Practice Quiz: Informed Consent and Communication
已評分: Week 1 Graded Quiz
第 2 週
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 個視頻, 3 個練習測驗
- 視頻: A Good Death
- 視頻: Principles in Medical Ethics
- 視頻: Withdrawal of Treatment
- 視頻: An Approach to Withdrawal of Non-beneficial Treatments
- Practice Quiz: End of Life Care
- 視頻: Circulatory Death Certification
- 視頻: Donation After Circulatory Death
- 視頻: Types of Donation After Circulatory Death
- 視頻: Consent for Donation After Circulatory Death
- 視頻: Donation After Circulatory Death Reenactment
- Practice Quiz: Donation after Circulatory Death
- 視頻: Donation of Tissues and Bones
- 視頻: What Happens to the Body
- Practice Quiz: After Organ Donation
已評分: Week 2 Graded Quiz
已評分: Breaking Bad News
第 3 週
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 個視頻, 3 個練習測驗
- 視頻: Donation - Who Can Donate What?
- 視頻: Donation - Medical Assessment and Work-up of the Donor
- 視頻: Donor Management
- 視頻: Organ Procurement
- 視頻: Organ Preservation and Transport
- Practice Quiz: The Organ Donation Process
- 視頻: The Waiting List - The Need
- 視頻: Organ Allocation - Ensuring Fairness
- Practice Quiz: Practice Quiz - Waiting List and Allocation
- 視頻: The Recipient Operations
- 視頻: Interview with Recipients
- 視頻: Interview with Namhlatobi Gansanhla
- 視頻: Interview with Mrs Mayekiso
- 視頻: Interview with Selengan Samuel Khalani
- 視頻: Interview with Clive Marais
- Practice Quiz: Practice quiz - A New Life
已評分: Week 3 Graded Quiz
第 4 週
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 個視頻, 3 個練習測驗
- 視頻: Money and Transplantation
- 視頻: Travel and Transplantation
- 視頻: Organ Trafficking
- Practice Quiz: Money, Travel and Organ Trafficking
- 視頻: Religion and Organ Donation
- 視頻: Culture and Organ Donation
- Practice Quiz: Religion and Culture
- 視頻: Assessing the Potential of Deceased Organ Donation
- 視頻: Deceased Donation Models
- 視頻: Strategies to Improve Deceased Organ Donation
- 視頻: Public Awareness Campaigns
- Practice Quiz: Improving Deceased Donation
已評分: Week 4 Graded Quiz
已評分: Making Change
常見問題解答
運作方式
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製作方
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.
評分和審閱
I really very thank full to this team. From this course i came to know and gain knowledge ,these four week lessons was really informative.
Great course indeed. Keep it up !!!!
Great course! Very helpful and easy to understand.
太喜欢这门课程了，由浅入深的详细介绍了器官捐献的历史，捐献前的准备工作，捐献的流程。具体的脑死亡判定流程和实践操作视频竟然都有，难以置信的内容丰富和贴合实践，非常好的一门慕课，谢谢开普敦大学开设这门课程，受益匪浅！