Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation Dra. Maria de Fátima Freire Sá Dr. Bruno Torquato de Oliveira Naves Dr. Diogo Moureira Luna Sarah Rêgo Goiatá

Introdução Although Brazil has the second largest transplant program in the world, we still have low donation rates. Prejudice and lack of knowledge by common population represent a large obstacle to getting donation consents. Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

why are the organ donation rates so low in Brazil? Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

Religious and cultural divergences Fear Mutilation Age and Diseases Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation ABTO, Brazilian Association of Organ Donation

RELIGIOUS All major religions in Brazil support the individual decision to donate organs Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

multilation Every effort is made to restore the normal appearance of the donor´s body Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

All paramedics is incline to salve life first Fear All paramedics is incline to salve life first the myth that possible donors will not get adequate medical treatment intended at his/her death to obtain the organs for transplants Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

People of all ages e medical conditions are accepted Age and diseases Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation People of all ages e medical conditions are accepted

No organ donation consent Lack of knowledge Uncertainty Doubts (by relatives) Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation No organ donation consent Death of a patient

actions to increase the donation rates Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

Advance Health Care Directives (ADs) as surrogate to organ donation practice Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

Why should we promote the use of advance directives? Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

ensure that an individual participate and direct their own healthcare decisions respect this right to autonomy contains the will of an individual in terms of acceptance and refusal of any medical procedures Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation support all involved

“respect to individuality as well as effective access to making own decisions when in situation of incapacity and/or consciousness loss” Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

“Represent the Patients autonomy expressing their will as to their life quality, death and destination of post mortem body. which may also lead to more diffused information and consequent increase in organ donation rates. ” Transplants and the Advance Health Care Directives: the ethical and legal challenges of organ and tissue donation

Thank you once more for your attention ! Aroldo Plínio Gonçalves "Science is a process of creating new concepts that unify our understanding of the world.” Aroldo Plínio Gonçalves E-mail for questions sarahgoiata@gmail.com