| General nephrologist/dialysis unit/advanced chronic kidney disease clinic |
- Educate recipient candidates regarding early referral, preemptive and living donor transplantation options, and resources for identifying donor candidates
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| Transplant program |
- Educate recipient candidates regarding early referral, preemptive and living donor transplantation options
|
- Educate donor candidates regarding all phases of the donation process including evaluation, surgery, postdonation follow-up, expected risks and outcomes, and existing uncertainties
|
| Recipient candidate health insurance carrier |
- Provide coverage for costs related to recipient candidate evaluation and transplantation, including coverage of donor candidate evaluation and treatment costs
|
| Donor/donor candidate health insurance carrier |
- Educate donor candidates regarding any anticipated out-of-pocket expenses related to evaluation and donation processes
|
- Educate donor candidates regarding coverage for postdonation complications, both short-term and long-term after donation
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| Donor/donor candidate primary care clinician |
- Support donor candidates in their desire for information to make informed decisions
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- Participate in predonation and early postdonation care as needed
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- Participate in long-term care after donation
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| Donor/donor candidate clinician/nephrologist |
- Evaluate donor candidates without influence from recipient considerations
|
- Oversee evaluation testing
|
- Provide education regarding all phases of the donation process including postdonation follow-up
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- Participate in donor candidate selection
|
- As needed, participate in care during the surgical hospitalization, in the early postdonation period, and long-term after donation, including serving as resource for primary providers
|
| Donor surgeon |
- Evaluate donor candidates for surgical risks and plan surgical approach
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- Provide education on the surgical procedure, risks, and expected recovery
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- Participate in donor candidate selection
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- Provide care during surgery and perioperative period, and as needed postdonation
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| Nurse coordinator |
- Educate donor candidates on recipient candidate treatment options and phases of the donation process
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- Facilitate and oversee completion of the evaluation
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- Assist with arranging surgery and inpatient care
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- Arrange and oversee postoperative care, and coordinate a plan for postdonation follow-up
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| Dietitian |
- Review dietary habits and metabolic status including measures of obesity when needed
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- Provide guidance for nutritional treatment if indicated, including recommendations to address obesity
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| Social worker/psychologist/psychiatrist |
- Perform donor candidate psychosocial evaluation including assessment of motivation
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- Educate donor candidates on recipient candidate treatment options
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- Provide donor candidates with information and support services related to donation, including information on resources that may be available to assist with donation-related expenses
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- Discuss potential adverse outcomes including loss of income because of donation, donation-related complications, or failure of the transplant
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- Assess the ability of donor candidates to cope with adverse outcomes
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- Support informed donation decisions
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- Assist donors with planning support around the time of donation and creation of a long-term follow-up plan
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| Independent living donor advocate* |
- Verify that donor candidates have information needed to make a voluntary and informed decision on whether or not to donate
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- Verify consent for donation
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- Function independently from the recipient candidate's team
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- Advocate for the rights of donor candidates and donors
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| Regulatory and oversight agencies |
- Create policies for minimum standards of donor candidate informed consent, evaluation, care, and donor follow-up
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| Donor/donor candidate |
- Agree to required psychosocial and medical evaluation
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- Agree to disclosure of required personal health information to intended recipient with regard to risk of disease transmission when necessary, or to withdraw from donation
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- Agree to required lifestyle modifications to reduce risks of donation and promote long-term good health
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- Agree to participate in postdonation follow-up
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