9. Conclusion

The organ donation decision is a complex one, based strongly on personal beliefs. There are some factors, such as religious and cultural beliefs, that are seemingly intractable and are often cited as reasons for a refusal to donate. In this chapter, it is shown that these have often been found to be tied in with more complex issues such as a distrust of the medical system, misunderstandings about religious stances and ignorance about the donation process. Interventions to better engage the community, including disadvantaged and minority groups, to foster trust and provide information represent promising opportunities of promoting organ donation in the future.

[3] Kumar A, Mandhani A, Verma BS, et al. Expanding the living related donor pool in renal

Organ Donation and Transplantation: "Life after Death" http://dx.doi.org/10.5772/intechopen.76962 31

[4] Mandal AK, Kalligonis AN, Ratner LE. Expanded criteria donors: Attempts to increase the renal donor transplant pool. Advances in Renal Replacement Therapy. 2000a;7:117-113

[5] Simmons RG et al. Gift of Life: The Social and Psychological Impact of Organ Transplantation. NY: Wiley; 1977. Reprinted with additions, Brunswick, NJ: Transaction Books, 1987

[6] Corley MC et al. Attitude, self-image, and quality of life of living kidney donors. Nephrol-

[7] Goldman LS. Liver transplantation using living donors: Preliminary donor psychiatric

[8] Pradel FG et al. Exploring donors' and recipients' attitudes about living donor kidney

[9] Fellner CH. Renal transplantation and the living donor. Decision and consequences.

[10] Toronyi E et al. Attitudes of donors towards organ transplantation in living related kidney

[11] Henderson AJZ et al. The living anonymous kidney donor: Lunatic or saint? American

[12] Jacobs CL et al. Twenty-two nondirected kidney donors: An update on a single center's

[13] Matas AJ et al. Nondirected donation of kidneys from living donors. The New England

[14] Olbrisch ME et al. Psychological, Social and Behavioral Characteristics of Living Donor Candidates for Adult Liver Transplantation. Biennial Meeting on Psychiatric, Psychosocial and Ethical Issues in Organ Transplantation. Santa Monica, CA; February, 2005

[15] Crowley-Matoka M et al. Long-term quality of life issues among adult-to-pediatric living donors: A qualitative exploration. American Journal of Transplantation. 2004;4:744-750

[16] Karliova M et al. Living-related liver transplantation from the view of the donor: A 1-year

[17] De Graaf Olson W, Bogetti-Dumlao A. Living donors' perception of their quality of health

[18] Beavers KL et al. The living donor experience: Donor health assessment and outcomes

[19] Lennerling A et al. Becoming a living kidney donor. Transplantation. 2003;76:1243-1247

after living donor liver transplantation. Liver Transplant. 2001;7(11):943-947

transplantation: Use of marginal donors. Journal of Urology. 2000a;163:33-36

ogy Nursing Journal. 2000;27(1):43-52

outcomes. Psychsomatics. 1993;34(3):235-240

Psychother Psychosomat. 1976/77;27:139-143

Journal of Transplantation. 2003;3:203-213

Journal of Medicine. 2000;343(6):433-436

transplantation. Progress in Transplantation. 2003;13(3):203-210

transplantations. Transplant International. 1998;11(Suppl 1):S481-S483

experience. American Journal of Transplantation. 2004;4:1110-1116

follow-up survey. Transplantation. 2002;73(11):1799-1804

after donation. Progress in Transplantation. 2001;11(2):108-115

Donor motives directly contribute to their decision to donate, is not uniform and is influenced by multiple factors. Majority of the donors were relationship oriented donor, whose major motives were desires to relieve the suffering & save the life of their loving ones. Creating awareness to the organ donation will directly influence the donor motives and willingness. By deriving the motives many more intervention to improve the willingness to be a living organ donor can be evolved. Recruitment of living donors represents a medical and moral responsibility. The possibility of organ removal from healthy donor to a recipient needs great inner motivation. Saving one's life is divine.

The psycho social assessment must be made as a routine part of the nursing process. These assessments are meant to identify patients at risk for poor outcomes, provide guidelines for their management and improve the post-transplant quality of life [6]. "Because donated organs are a severely limited resource, the best potential, recipients should be identified. The probability of a good outcome must be highly emphasized to achieve the maximum benefit for all transplants" (OPTN/UNOS Ethics committee General Considerations in Assessment for Transplant Candidacy White paper-2010).
