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| Narrative medicine principles and organ donation communications |
| Jun-Jun Jia a , b , Jia Luo a , b , Jing Shu c , Shu-Sen Zheng a , b , ∗ |
a Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
b NHC Key Laboratory of Combined Multi-organ Transplantation, Zhejiang University, Hangzhou 310003, China
c Division of ICU Department, Zhejiang Sian International Hospital, Jiaxing 314000, China
∗ Corresponding author at: Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
E-mail address: shusenzheng@zju.edu.cn (S.-S. Zheng). |
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Abstract At present, patients with severe brain trauma in traffic accidents are the main source of organ donation [1] . Most patients in traffic accidents are young adults, and their families are desperate and helpless during the treatment. They are anxious because of the uncertain prognosis; they also feel uncertain and are saddened by the prospect of a broken family in the future. Doctors often feel powerless for the treatment of severe trauma. Breaking such bad news is always difficult for doctors. Therefore, many doctors will not try to communicate about organ donation because of their own sense of powerlessness and guilt after brain death of the patient. Donation after brain death may be the most difficult topic for patient-physician communication. Under the influence of traditional Chinese culture that requires keeping the body intact after death, the public have not yet widely accepted the concept of organ donation after brain death. Narrative medicine can play an efficient auxiliary role in such patient-physician communication.
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2023, Vol. 22 
