A Kidney Transplant Essay

due 11/21/2020 @7pm EST

APA format

3 – 4 pages

Minimum of 2 scholarly sources with link to an English article or journal

Must submit assignment through Turnitin and provide a report A Kidney Transplant Essay

Due 11/21/2020 @7pm EST
APA Format
3 – 4 pages
Minimum of 2 scholarly sources with link to an English article or journal
Must submit assignment through Turnitin and provide a report
After reading the scenario please be sure to write an equal length to each part answering the questions. Please make that each question is answered. A Kidney Transplant Essay

Scenario:

John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old. She developed kidney problems due to eating a high-fat and high-sugar diet. If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant. A Kidney Transplant Essay

Situation
A Hospital has three patients in need of a kidney transplant. John Doe is one of the patients and is predicted to die within the week. He is 45, single, with no children. He is a millionaire and spends much of his money on supporting charities but, his luxurious life eating habits has contributed to his kidney damage by not following a low salt diet. If he doesn’t receive this kidney, he will likely have to find one unconventionally spending all his money. Another patient is 55-year-old Jane Doe, she is a mother of two children (ages 21 and 24) and is divorced. Her diet of high fat and high sugar diet, doctors say contributed to her kidney damage and now has one month to live. Patient three is an eleven-year-old orphan with a genetic disorder that damages her kidney. She has to undergo multiple kidney transplants throughout her life due to the genetic disorder. She will perish in two months if she does not receive this kidney. A Kidney Transplant Essay
Who Should Get the Kidney & Why?
Technically in the hospital there are rules and regulations about who can get the donor kidney. It is the United Network for Organ Sharing (UNOS) and they would decide who gets the kidney. They look at who is the highest person on the list, which is determined by the time they have left, compatibility, their condition, survival rate, and their pediatric status. Taking this information into account John Doe has the shortest life span projection but he didn’t comply with his low salt diet feeding into his kidney damage. He has lived a full life of riches and could potentially find another source to receive a kidney to live. The mother of two, also contributed to her own demise by her diet. Her children are grown up. Also, she only has one month to live without the kidney. The orphan is only 11 with two months to live. Her genetic disorder causes her liver damage and she is not able to control this. Her parents also believe in a religion that that does not agree with organ donation and receiving organs. She may never get the chance to go back to her parents if she does not live but would they be able to accept her if she received the transplant? There also is the possibility of her finding a home that will accept her the way she is. I do not believe that she should die because the parents who gave her up do not believe in organ donation. Although she will need transplants further in the future, I believe she should get the organ. She has a long life ahead of her to grow and her uncontrollable disease could be treated with future medicine. John Doe would be my next of choice because he did contribute to his own demise, but he only has one week to live. He has a better chance of finding another kidney than the child. The mother also has a month for them to find her another kidney. A Kidney Transplant Essay
Ethical Egoism View
“On their view, known as Ethical Egoism, each person ought to pursue his or her own self-interest exclusively,” (Rachels, 2019). If this were the case each person would take the kidney for themselves. This is the morality of selfishness and it looks at what is best for our own self. That is why there are regulations and rules on picking who would get the organ donation. There would be mass chaos if the ethical egoism view was present in this decision. The other patients would not be told about the organ, only the patient that is receiving the organ will know. This will make sure there isn’t any controversy due to the fairness of UNOS. It gives equality of care and does away with self-interests. The regulations don’t allow for manipulation or bribery to get organs above others suffering. The way I used ethical egoism in my view was that I was selfish and chose who the organ should go to. I used my own moral values to choose the child who needs the organ. They still have a long life ahead of them and they could not have prevented their condition. A Kidney Transplant Essay

Utilitarianism View
“Morality, he urged, is not about pleasing God, nor is it about being faithful to abstract rules; instead, it is about making the world as happy as possible,” (Rachels, 2019). I believe some of the healthcare we experience today is aimed at making the patients as happy and healthy as possible. “In the context of medicine, this means we should aim to create healthcare policies which promote the best standard of health for the greatest number of patients,” (Lawson-Frost, 2017). In this scenario it is hard to make every patient happy without causing suffering to another. If we give the kidney to one the others may die without finding another kidney. That is why there is a list of who gets what organ to give happiness to the ones who need it most.
Conclusion

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To conclude, if we look at both the ethical egoism and utilitarian views, we can see that medical rules were made to prevent and cause these ethical views. These cause happiness but also bring suffering to those who do not receive the medical treatment. It truly is a moral dilemma to choose who will live and who may die. I think I take both ethical egoism and utilitarian’s views when I made my decision to give the kidney to the orphan. It is selfish of me to choose who it should go to. Yes, the child has many years to grow and live if she gets the kidney, but she does have two months without it to find another one. John doe only has a week to live but he can find another kidney using unconventional ways. I believe I have a soft spot for children who are genetically predisposed to be sick and are unable to change it. The utilitarian view I look at in my decision brings happiness and life to a child so she may find a happy home one day. A Kidney Transplant Essay

Kidney disease has become more prevalent over the years, one in nine Americans has chronic kidney disease, resulting in the need for a kidney transplant. Kidney failure is caused by variety of factors resulting in damage of the nephrons, which are the most important functioning unit of the kidneys. Kidney failure can be broken down into three groups: acute, chronic, end-stage. Once kidney failure is irreversible, dialysis or transplantation is the only method of survival. To avoid a kidney transplant, one needs to be aware of the pre-disposing factors, signs and symptoms, available treatments, and proper diet. A Kidney Transplant Essay

The kidneys are twin organs about the…show more content…
Specific blood tests also can be an accurate diagnostic tool. A kidney biopsy can also provide accurate results. Chest x-ray, ultrasound, and electrocardiogram can be effectively used (Stevens, 2009).

According to National Kidney Foundation (2010), the majority of people with diabetes tend to develop kidney disease. This is probably the result of poor or improper dietary and life-style practices, although genetics seem to be a factor. This makes it the single leading cause of kidney failure. High blood pressure/Hypertension is another pre-disposing factor of kidney failure. This disease is also aggravated by improper dietary and life-style practices. High blood pressure/Hypertension speeds up the loss of kidney function and eventually leads to kidney failure. It also appears to have genetic and familial factors (National Kidney Foundation, 2010). A Kidney Transplant Essay