Managing Psychological Issues Inclusive of Terminal Restlessness - Nursing Assignment Help

Assignment Task :

PURPOSE 

The purpose of this guideline is to provide clinical staff with an overview Terminal Restlness/Agitation.  This guideline covers:  

• Defining Terminal Restlessness/Agitation 

• Symptoms 

• Possible Causes 

• Management Flowcharts 

PURPOSE 

The purpose of this guideline is to provide clinical staff with an overview of organ and tissue donation practice. This guideline explains the details of the various pathways to organ and tissue donation, and the key requirements  and personnel.  

This guideline covers:  

• Donation of organs and tissue from deceased persons.  

This guideline does not cover:  

• Donation of organs from living persons. 

• Blood donation for transfusion, cord blood donation, donation of reproductive tissues or bone marrow. 

• Donation of tissue used for routine medical care (e.g. femoral head, heart valves, iliac vessels). 

1. The treating Intensivist may wish to only manage the withdrawal process and relinquish the organ  donation related responsibilities to a Medical Donation Specialist (MDS), particularly in a DCD  case.  

2. For any case that may have anticipated complexity, particularly due to the patient or family  situation, the DSNC should involve one of the Alfred MDSs as soon as is reasonable. The best  MDS to contact should be discussed with the treating Intensivist. Examples include, but are not  limited to, un-survivable burns, all ECMO cases or a difficult family dynamic. 

3. For any case that is not following standard process that potentially compromises the outcome, for  any reason, this should be discussed with the MDS and escalated to the Emergency and Acute  Medicine Service Director (in hours) or the Service Director (on call) after-hours (contactable  through switchboard). An example would include delayed access to theatre or where there is more  than one organ donation being managed simultaneously. 

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