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The “Noncompliant” Transplant Patient: A Persistent Ethical Dilemma

The “Noncompliant” Transplant Patient: A Persistent Ethical Dilemma The term noncompliant patient may evoke the image of a difficult, demanding, and troublesome patient. In the transplant environment, patients who are unable or unwilling to adhere to a prescribed plan of treatment raise a number of medical, ethical, and other concerns with respect to individual patient care. Their behavior also raises questions of justice and fairness, especially in light of the limited numbers of transplantable organs available and the very large number of people who are waiting for a transplant. Patients who are unable to do what is necessary to maintain a transplanted organ may create a moral dilemma for the healthcare providers who treat them. This article will (1) attempt to develop a more complete understanding of “patient noncompliance,” (2) address concerns that arise both before and after the transplant, and (3) suggest strategies for dealing with noncompliant patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Transplant Coordination SAGE

The “Noncompliant” Transplant Patient: A Persistent Ethical Dilemma

Edwards, Sue Shevlin
Journal of Transplant Coordination , Volume 9 (4): 7 – Dec 1, 1999
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Publisher
SAGE
Copyright
© 1999 NATCO: The Organization for Transplant Professionals
ISSN
0905-9199
DOI
10.1177/090591999900900403
Publisher site
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Abstract

The term noncompliant patient may evoke the image of a difficult, demanding, and troublesome patient. In the transplant environment, patients who are unable or unwilling to adhere to a prescribed plan of treatment raise a number of medical, ethical, and other concerns with respect to individual patient care. Their behavior also raises questions of justice and fairness, especially in light of the limited numbers of transplantable organs available and the very large number of people who are waiting for a transplant. Patients who are unable to do what is necessary to maintain a transplanted organ may create a moral dilemma for the healthcare providers who treat them. This article will (1) attempt to develop a more complete understanding of “patient noncompliance,” (2) address concerns that arise both before and after the transplant, and (3) suggest strategies for dealing with noncompliant patients.

Journal

Journal of Transplant Coordination – SAGE

Published: Dec 1, 1999

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