Organ Donation: From Death to Life
University of Cape Town
Об этом курсе
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
Syllabus - What you will learn from this course
1
Section
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 videos (Total 96 min), 1 reading, 5 quizzes
17 videos
About this Course3m
Introduction to Week 11m
Dead Donor Rule4m
Consent4m
History of Brain Death6m
Mechanism of Brain Death3m
The First Heart Donor8m
Basic Principles3m
Preconditions Required for Brain Death7m
Brain Death - Clinical Testing7m
Additional Brain Death Tests and International Variability4m
Ancillary Tests5m
Brain Death Reenactment9m
Consent for Donation after Brain Death7m
Communicating Effectively6m
The Organ Donation Request8m
1 readings
How This Course Works5m
5 practice exercises
Dead Donor Rule and Consent8m
History and Mechanism of Brain Death4m
Scientific Determination of Brain Death12m
Informed Consent and Communication10m
Week 1 Graded Quiz40m
2
Section
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 (Total 70 min), 5 quizzes
12 videos
A Good Death4m
Principles in Medical Ethics6m
Withdrawal of Treatment7m
An Approach to Withdrawal of Non-beneficial Treatments2m
Circulatory Death Certification7m
Donation After Circulatory Death9m
Types of Donation After Circulatory Death3m
Consent for Donation After Circulatory Death5m
Donation After Circulatory Death Reenactment11m
Donation of Tissues and Bones4m
What Happens to the Body4m
4 practice exercises
End of Life Care10m
Donation after Circulatory Death10m
After Organ Donation6m
Week 2 Graded Quiz40m
3
Section
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 (Total 84 min), 4 quizzes
14 videos
Donation - Who Can Donate What?6m
Donation - Medical Assessment and Work-up of the Donor5m
Donor Management8m
Organ Procurement5m
Organ Preservation and Transport4m
The Waiting List - The Need6m
Organ Allocation - Ensuring Fairness9m
The Recipient Operations10m
Interview with Recipients0m
Interview with Namhlatobi Gansanhla4m
Interview with Mrs Mayekiso5m
Interview with Selengan Samuel Khalani6m
Interview with Clive Marais8m
4 practice exercises
The Organ Donation Process10m
Practice Quiz - Waiting List and Allocation8m
Practice quiz - A New Life4m
Week 3 Graded Quiz40m
4
Section
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 (Total 53 min), 5 quizzes
10 videos
Money and Transplantation7m
Travel and Transplantation3m
Organ Trafficking7m
Religion and Organ Donation4m
Culture and Organ Donation3m
Assessing the Potential of Deceased Organ Donation6m
Deceased Donation Models6m
Strategies to Improve Deceased Organ Donation6m
Public Awareness Campaigns7m
4 practice exercises
Money, Travel and Organ Trafficking6m
Religion and Culture4m
Improving Deceased Donation6m
Week 4 Graded Quiz40m
4.8
Top Reviews
By AT•Aug 20th 2017
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
By JP•Jun 1st 2018
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.
Instructor
About 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.
Frequently Asked Questions
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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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