1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

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

11. 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

12. 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

13. 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

14. “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

15. “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

16. 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
for questions