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
教學大綱 - 您將從這門課程中學到什麼
週
1完成時間為 3 小時
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 （總計 96 分鐘）, 1 個閱讀材料, 5 個測驗
17 個視頻
About this Course3分鐘
Introduction to Week 11分鐘
Dead Donor Rule4分鐘
Consent4分鐘
History of Brain Death6分鐘
Mechanism of Brain Death3分鐘
The First Heart Donor8分鐘
Basic Principles3分鐘
Preconditions Required for Brain Death7分鐘
Brain Death - Clinical Testing7分鐘
Additional Brain Death Tests and International Variability4分鐘
Ancillary Tests5分鐘
Brain Death Reenactment9分鐘
Consent for Donation after Brain Death7分鐘
Communicating Effectively6分鐘
The Organ Donation Request8分鐘
1 個閱讀材料
How This Course Works5分鐘
5 個練習
Dead Donor Rule and Consent8分鐘
History and Mechanism of Brain Death4分鐘
Scientific Determination of Brain Death12分鐘
Informed Consent and Communication10分鐘
Week 1 Graded Quiz40分鐘
週
2完成時間為 4 小時
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 （總計 70 分鐘）, 5 個測驗
12 個視頻
A Good Death4分鐘
Principles in Medical Ethics6分鐘
Withdrawal of Treatment7分鐘
An Approach to Withdrawal of Non-beneficial Treatments2分鐘
Circulatory Death Certification7分鐘
Donation After Circulatory Death9分鐘
Types of Donation After Circulatory Death3分鐘
Consent for Donation After Circulatory Death5分鐘
Donation After Circulatory Death Reenactment11分鐘
Donation of Tissues and Bones4分鐘
What Happens to the Body4分鐘
4 個練習
End of Life Care10分鐘
Donation after Circulatory Death10分鐘
After Organ Donation6分鐘
Week 2 Graded Quiz40分鐘
週
3完成時間為 2 小時
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 （總計 84 分鐘）, 4 個測驗
14 個視頻
Donation - Who Can Donate What?6分鐘
Donation - Medical Assessment and Work-up of the Donor5分鐘
Donor Management8分鐘
Organ Procurement5分鐘
Organ Preservation and Transport4分鐘
The Waiting List - The Need6分鐘
Organ Allocation - Ensuring Fairness9分鐘
The Recipient Operations10分鐘
Interview with Recipients54
Interview with Namhlatobi Gansanhla4分鐘
Interview with Mrs Mayekiso5分鐘
Interview with Selengan Samuel Khalani6分鐘
Interview with Clive Marais8分鐘
4 個練習
The Organ Donation Process10分鐘
Practice Quiz - Waiting List and Allocation8分鐘
Practice quiz - A New Life4分鐘
Week 3 Graded Quiz40分鐘
週
4完成時間為 4 小時
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 （總計 53 分鐘）, 5 個測驗
10 個視頻
Money and Transplantation7分鐘
Travel and Transplantation3分鐘
Organ Trafficking7分鐘
Religion and Organ Donation4分鐘
Culture and Organ Donation3分鐘
Assessing the Potential of Deceased Organ Donation6分鐘
Deceased Donation Models6分鐘
Strategies to Improve Deceased Organ Donation6分鐘
Public Awareness Campaigns7分鐘
4 個練習
Money, Travel and Organ Trafficking6分鐘
Religion and Culture4分鐘
Improving Deceased Donation6分鐘
Week 4 Graded Quiz40分鐘
4.8
17 個審閱熱門審閱
REALLY A NICE COURCE,GIVE SO MUCH INTRESTING INFORMATION,AND INSPIRE US FOR DONATION,,SOMTIME THE STORY OF RECIPENT MAKE ME EMOTIONAL.VERY NICE COURSE
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.
講師
David Thomson
DrCritical Care Specialist and Transplant Surgeon
關於 开普敦大学
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.
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有助学金吗？
How do I apply for CPD points in South Africa?
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.
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