520
Detailed Needs and Requirements: Organ Transplant Unit
Table 520-6 indicates the major organ transplant unit operational
relationships.
5210.1.3
Characteristics
1. Environment
The desired environment for the unit will be similar to a GM & S or
intensive care unit depending upon the degree of isolation desired and
the severity of patient illness in a particular section of the unit. Many
pre- and post-operative patients will require intensive nursing. Some
patients need only a routine level of observation and care.
2. Organization
Optimum organization for transplant units has not yet been
determined. Several theoretical models currently prevail.
Patterns of organization depend on the unit size. One model for a
larger unit is illustrated in Figure 520-11. This provides separation of
pre- and post-operative patients with shared support facilities.
5210.1.4
Primary Users
1. Patient
Prior to entering the unit the patient and his family may have
ambivalent feelings about the prospects for survival or well-being
offered by transplantation. The patient's hopes will rise and fall during
the course of his treatment, thus creating severe emotional strain. This
strain may be further increased by having to ask a donor, perhaps a
close relative, to give a vital organ. These tensions often lead to
irrational behavior from the patient and his family. Frequent counseling
and instruction concerning the procedures and risks of a transplant are
required to alleviate this stress. Relatives are included in many
discussion sessions. They must understand and accept the
implications of transplantation, e.g., life long medication and possible
rejection.
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