Question

Peter is a 15-year-old boy who underwent a heart transplant when he was 8 years old. Peter is currently massive organ rejection related to non-compliance with rejection medication. Peter has a history of recurrent rejection related to non-compliance. Peter's works three factory jobs to make ends meet, is rarely home, and speaks no English. Peter speaks English and admits to not appropriate taking his medication due to both choice and financial issues. Peter's rejection is irreversible, and Peter will need another heart transplant to survive. because of Peter's history of non-compliance, he is no longer a candidate for organ transplantation. Peter's father does not understand, and Peter is angry.

Answer 1

This scenario when discussed can lead to several ethical issues for not opting this 15 year old boy for a re-organ transplantation triggering anger of the patient and misunderstanding of the father.

The eligibility criteria has to be explained to the father providing great psychological support to accept the fact and the rules for being eligible for the re-transplant .This candidate is non compliant with the follow up care ,second transplantation can be a greater risk with complications .