Accepting Organ from Mentally Deficient Donor
A 39 year old insulin-dependent (type 1 ) diabetic social worker develops end-stage renal failure caused by diabetic nephropathy. Noting virulent diabetic retinopathy and serious peripheral vascular disease, the attending nephrologist advocates an immediate kidney transplant rather than dialytic therapy which may permit progression of diabetic complications. The patient has an institutionalized, mentally defective, 37 year old sister, functioning at approximately kindergarten level, who is usually seen only on holiday visits. After review of treatment options and in recognition of the two-year or longer wait for a cadaver kidney, the parents — who are legal guardians for the defective sister — direct that she be scheduled as a transplant donor.
KeywordsKidney Transplant Legal Guardian Acceptable Donor Bone Marrow Donor Accept Organ
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