Katrina Bramstedt, PhD | Philips Electronics (original) (raw)
Books by Katrina Bramstedt, PhD
This book is a collection of poems, written as a form of narrative medicine, while the author was... more This book is a collection of poems, written as a form of narrative medicine, while the author was suffering from vertigo. The poems (each linked with an image) are presented in chronological format, from illness onset, through various treatments, and recovery. The poems are a deep insight into the world of suffering that occurs in patients who have balance disorders such as vertigo.
This book is a collection of photographic images of mixed media artwork created by twenty medical... more This book is a collection of photographic images of mixed media artwork created by twenty medical students at Bond University (QLD, Australia). The artwork was displayed as a formal community art exhibit during Medical Humanities Week in March 2014.
This is the only book of its kind, helping patients and families work through common medical dile... more This is the only book of its kind, helping patients and families work through common medical dilemmas. Each chapter is case-based and includes topics such as advance care planning, transplant ethics, neuroethics, pediatrics, research study participation, sports ethics, genetics, and medical tourism.
This book tells the stories of 22 people who were living donors to strangers (liver, kidney and l... more This book tells the stories of 22 people who were living donors to strangers (liver, kidney and lung donors) in USA, Canada and Belgium. The authors explore their motivations, experiences, and the meaning of altruism from a medical ethics lens.
This book is a collection of poems, written as a form of narrative medicine, while the author was... more This book is a collection of poems, written as a form of narrative medicine, while the author was suffering from vertigo. The poems are presented in chronological format, from illness onset, through various treatments, and recovery. The poems are a deep insight into the world of suffering that occurs in patients who have balance disorders such as vertigo.
Papers by Katrina Bramstedt, PhD
Organ donation following circulatory death (DCD) or brain death (BD) facilitates life-saving tran... more Organ donation following circulatory death (DCD) or brain death (BD) facilitates life-saving transplantation for thousands of patients worldwide each year. Both DCD and BD protocols require that the donor be declared dead before organ procurement. Some hospitals refuse to perform DCD donations based on moral and other objections, and this creates a complex dilemma for families attempting to honor the donation wishes of their relatives. Because organ donation is a community good, any accommodation of staff objection that impedes or harmfully delays DCD donation is ethically impermissible. Furthermore, hospital refusal to perform DCD donation is ethically untenable.
Ethics & medicine : a Christian perspective on issues in bioethics, 2004
Progress in transplantation (Aliso Viejo, Calif.), 2014
A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two ... more A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two medical school clinicians designed a telemedicine session linking their facilities (across 2 continents). The session, Exploring the Patient Experience Through Telemedicine: Dialysis and End-Stage Renal Disease, allowed second-year medical students to explore various parameters of quality of life experienced by dialysis patients. A panel of 4 medical students interviewed a dialysis patient via Skype video connection between the medical school and the hospital's dialysis unit. Interview questions were adapted from the Kidney Disease Quality of Life instrument. During the live video-streamed interview, the remaining 23 second-year medical students observed the session. Afterward, the 23 were offered a voluntary anonymous online feedback survey (15 responded). The 4 panelists submitted narrative responses to 2 open-ended questions about their experience. All 15 responding students "...
Authors: DE Martin, TA Nakagawa, MJ Siebelink, KA Bramstedt, J Brierley, F Dobbels, JR Rodrigue, M Sarwal, R Shapiro, B Dominguez-Gil, GM Danovitch, SC Sweet, RS Trompeter, F Moazam, MA Bos, FL Delmonico, May 20, 2015
The Ethics Committee of The Transplantation Society convened a meeting on pediatric deceased dona... more The Ethics Committee of The Transplantation Society convened a meeting on pediatric deceased donation of organs in Geneva, Switzerland, on March 21 to 22, 2014. Thirty-four participants from Africa, Asia, the Middle East, Oceania, Europe, and North and South America explored the practical and ethical issues pertaining to pediatric deceased donation and developed recommendations for policy and practice. Their expertise was inclusive of pediatric intensive care, internal medicine, and surgery, nursing, ethics, organ donation and procurement, psychology, law, and sociology. The report of the meeting advocates the routine provision of opportunities for deceased donation by pediatric patients and conveys an international call for the development of evidence-based resources needed to inform provision of best practice care in deceased donation for neonates and children.
Monash bioethics review, 2007
In the United States 46 million people are uninsured and it is from within this population that m... more In the United States 46 million people are uninsured and it is from within this population that many 'normal, healthy' research participants are selected. Research institutions and sponsors are not required to compensate or provide free treatment to participants when they incur research-related harm, and most studies do not stipulate the provision of free medical care to treat research-related adverse events. The consequence for uninsured participants is that they must assume these medical costs unless they successfully sue the study sponsor or research institution. This article discusses the matter of healthy volunteers becoming 'the sick' as a result of research participation, and proposes guidance for the informed consent process in order to optimize awareness about injury potential and injury compensation. Guidance regarding health screening for these volunteers is also presented.
The Western journal of medicine, 2000
Progress in transplantation (Aliso Viejo, Calif.), 2006
Previous and current alcohol use by potential living liver donors presents ethical challenges for... more Previous and current alcohol use by potential living liver donors presents ethical challenges for donor selection committees. Discussing these challenges, we offer guidelines for selection and management of these individuals. Donor safety and welfare should be the primary concern, thus relapse potential during the postdonation period for those with a history of alcohol dependence or abuse is of importance, especially because of the potentially severe consequences of mixing pain relievers (eg, acetaminophen) and alcohol during liver regeneration. Psychosocial and chemical dependency evaluations are critical for potential living donors as well as recipients.
Progress in transplantation (Aliso Viejo, Calif.), 2006
Progress in transplantation (Aliso Viejo, Calif.), 2007
Transplant medicine is a setting filled with emotions and uncertainty. The clinical cases are fre... more Transplant medicine is a setting filled with emotions and uncertainty. The clinical cases are frequently complex and affected by psychosocial and ethics variables as well as time constraints. For the nonurgent patient, there is usually ample time to complete the necessary evaluations. In urgent situations, however, time is limited and social workers and ethicists often find themselves racing to conduct assessments that provide information that is important for decision making regarding a patient's suitability for organ transplantation. The same can be said for decisions about insertion of ventricular assist devices and living organ donation. Using 2 cases, we explore the practice of emergency consultation (distinguished from "curbside consultation") and offer guidance for conducting these assessments.
Progress in transplantation (Aliso Viejo, Calif.), 2004
United Network for Organ Sharing policy allows patients to be listed for a transplant at multiple... more United Network for Organ Sharing policy allows patients to be listed for a transplant at multiple hospitals. This strategy can sometimes lessen the transplant waiting time for patients because waiting times vary geographically. We explore the ethical dilemma of "shopping for a transplant" by presenting the case of a patient with an addictive disorder who was listed for liver transplantation at one hospital on the east coast of the United States and was seeking listing at 2 additional hospitals in midwestern United States, when marijuana use was suspected by 1 of the latter 2 facilities. Although the transplant team at this facility deferred listing the patient, the team's bioethicist posed the concept of a duty to notify the facility where the patient was already listed for transplantation about any confirmed substance abuse, in an effort to prevent a scarce resource from being allocated to an individual who is noncompliant.
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 2005
Información del artículo When Families Complicate Patient Care: A Case Study with Guidelines for ... more Información del artículo When Families Complicate Patient Care: A Case Study with Guidelines for Approaching Ethical Dilemmas.
New Zealand bioethics journal, 2001
1. NZ Bioeth J. 2001 Jun;2(2):27-31. Why an alternate recipient list for heart transplantation is... more 1. NZ Bioeth J. 2001 Jun;2(2):27-31. Why an alternate recipient list for heart transplantation is not a form of ageism. Bramstedt KA. Monash University, Australia. Numerous studies have shown that the use of marginal hearts ...
Progress in transplantation (Aliso Viejo, Calif.), 2006
Clinical and investigative medicine. Médecine clinique et experimentale, 2004
Page 1. Abstract Purpose: This study explores the ethical issues con-tained in warning letters is... more Page 1. Abstract Purpose: This study explores the ethical issues con-tained in warning letters issued to clinical researchers by the Food and Drug Administration (FDA) in the USA. Methods: The online FDA Warning Letter Index ...
This book is a collection of poems, written as a form of narrative medicine, while the author was... more This book is a collection of poems, written as a form of narrative medicine, while the author was suffering from vertigo. The poems (each linked with an image) are presented in chronological format, from illness onset, through various treatments, and recovery. The poems are a deep insight into the world of suffering that occurs in patients who have balance disorders such as vertigo.
This book is a collection of photographic images of mixed media artwork created by twenty medical... more This book is a collection of photographic images of mixed media artwork created by twenty medical students at Bond University (QLD, Australia). The artwork was displayed as a formal community art exhibit during Medical Humanities Week in March 2014.
This is the only book of its kind, helping patients and families work through common medical dile... more This is the only book of its kind, helping patients and families work through common medical dilemmas. Each chapter is case-based and includes topics such as advance care planning, transplant ethics, neuroethics, pediatrics, research study participation, sports ethics, genetics, and medical tourism.
This book tells the stories of 22 people who were living donors to strangers (liver, kidney and l... more This book tells the stories of 22 people who were living donors to strangers (liver, kidney and lung donors) in USA, Canada and Belgium. The authors explore their motivations, experiences, and the meaning of altruism from a medical ethics lens.
This book is a collection of poems, written as a form of narrative medicine, while the author was... more This book is a collection of poems, written as a form of narrative medicine, while the author was suffering from vertigo. The poems are presented in chronological format, from illness onset, through various treatments, and recovery. The poems are a deep insight into the world of suffering that occurs in patients who have balance disorders such as vertigo.
Organ donation following circulatory death (DCD) or brain death (BD) facilitates life-saving tran... more Organ donation following circulatory death (DCD) or brain death (BD) facilitates life-saving transplantation for thousands of patients worldwide each year. Both DCD and BD protocols require that the donor be declared dead before organ procurement. Some hospitals refuse to perform DCD donations based on moral and other objections, and this creates a complex dilemma for families attempting to honor the donation wishes of their relatives. Because organ donation is a community good, any accommodation of staff objection that impedes or harmfully delays DCD donation is ethically impermissible. Furthermore, hospital refusal to perform DCD donation is ethically untenable.
Ethics & medicine : a Christian perspective on issues in bioethics, 2004
Progress in transplantation (Aliso Viejo, Calif.), 2014
A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two ... more A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two medical school clinicians designed a telemedicine session linking their facilities (across 2 continents). The session, Exploring the Patient Experience Through Telemedicine: Dialysis and End-Stage Renal Disease, allowed second-year medical students to explore various parameters of quality of life experienced by dialysis patients. A panel of 4 medical students interviewed a dialysis patient via Skype video connection between the medical school and the hospital's dialysis unit. Interview questions were adapted from the Kidney Disease Quality of Life instrument. During the live video-streamed interview, the remaining 23 second-year medical students observed the session. Afterward, the 23 were offered a voluntary anonymous online feedback survey (15 responded). The 4 panelists submitted narrative responses to 2 open-ended questions about their experience. All 15 responding students "...
Authors: DE Martin, TA Nakagawa, MJ Siebelink, KA Bramstedt, J Brierley, F Dobbels, JR Rodrigue, M Sarwal, R Shapiro, B Dominguez-Gil, GM Danovitch, SC Sweet, RS Trompeter, F Moazam, MA Bos, FL Delmonico, May 20, 2015
The Ethics Committee of The Transplantation Society convened a meeting on pediatric deceased dona... more The Ethics Committee of The Transplantation Society convened a meeting on pediatric deceased donation of organs in Geneva, Switzerland, on March 21 to 22, 2014. Thirty-four participants from Africa, Asia, the Middle East, Oceania, Europe, and North and South America explored the practical and ethical issues pertaining to pediatric deceased donation and developed recommendations for policy and practice. Their expertise was inclusive of pediatric intensive care, internal medicine, and surgery, nursing, ethics, organ donation and procurement, psychology, law, and sociology. The report of the meeting advocates the routine provision of opportunities for deceased donation by pediatric patients and conveys an international call for the development of evidence-based resources needed to inform provision of best practice care in deceased donation for neonates and children.
Monash bioethics review, 2007
In the United States 46 million people are uninsured and it is from within this population that m... more In the United States 46 million people are uninsured and it is from within this population that many 'normal, healthy' research participants are selected. Research institutions and sponsors are not required to compensate or provide free treatment to participants when they incur research-related harm, and most studies do not stipulate the provision of free medical care to treat research-related adverse events. The consequence for uninsured participants is that they must assume these medical costs unless they successfully sue the study sponsor or research institution. This article discusses the matter of healthy volunteers becoming 'the sick' as a result of research participation, and proposes guidance for the informed consent process in order to optimize awareness about injury potential and injury compensation. Guidance regarding health screening for these volunteers is also presented.
The Western journal of medicine, 2000
Progress in transplantation (Aliso Viejo, Calif.), 2006
Previous and current alcohol use by potential living liver donors presents ethical challenges for... more Previous and current alcohol use by potential living liver donors presents ethical challenges for donor selection committees. Discussing these challenges, we offer guidelines for selection and management of these individuals. Donor safety and welfare should be the primary concern, thus relapse potential during the postdonation period for those with a history of alcohol dependence or abuse is of importance, especially because of the potentially severe consequences of mixing pain relievers (eg, acetaminophen) and alcohol during liver regeneration. Psychosocial and chemical dependency evaluations are critical for potential living donors as well as recipients.
Progress in transplantation (Aliso Viejo, Calif.), 2006
Progress in transplantation (Aliso Viejo, Calif.), 2007
Transplant medicine is a setting filled with emotions and uncertainty. The clinical cases are fre... more Transplant medicine is a setting filled with emotions and uncertainty. The clinical cases are frequently complex and affected by psychosocial and ethics variables as well as time constraints. For the nonurgent patient, there is usually ample time to complete the necessary evaluations. In urgent situations, however, time is limited and social workers and ethicists often find themselves racing to conduct assessments that provide information that is important for decision making regarding a patient's suitability for organ transplantation. The same can be said for decisions about insertion of ventricular assist devices and living organ donation. Using 2 cases, we explore the practice of emergency consultation (distinguished from "curbside consultation") and offer guidance for conducting these assessments.
Progress in transplantation (Aliso Viejo, Calif.), 2004
United Network for Organ Sharing policy allows patients to be listed for a transplant at multiple... more United Network for Organ Sharing policy allows patients to be listed for a transplant at multiple hospitals. This strategy can sometimes lessen the transplant waiting time for patients because waiting times vary geographically. We explore the ethical dilemma of "shopping for a transplant" by presenting the case of a patient with an addictive disorder who was listed for liver transplantation at one hospital on the east coast of the United States and was seeking listing at 2 additional hospitals in midwestern United States, when marijuana use was suspected by 1 of the latter 2 facilities. Although the transplant team at this facility deferred listing the patient, the team's bioethicist posed the concept of a duty to notify the facility where the patient was already listed for transplantation about any confirmed substance abuse, in an effort to prevent a scarce resource from being allocated to an individual who is noncompliant.
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 2005
Información del artículo When Families Complicate Patient Care: A Case Study with Guidelines for ... more Información del artículo When Families Complicate Patient Care: A Case Study with Guidelines for Approaching Ethical Dilemmas.
New Zealand bioethics journal, 2001
1. NZ Bioeth J. 2001 Jun;2(2):27-31. Why an alternate recipient list for heart transplantation is... more 1. NZ Bioeth J. 2001 Jun;2(2):27-31. Why an alternate recipient list for heart transplantation is not a form of ageism. Bramstedt KA. Monash University, Australia. Numerous studies have shown that the use of marginal hearts ...
Progress in transplantation (Aliso Viejo, Calif.), 2006
Clinical and investigative medicine. Médecine clinique et experimentale, 2004
Page 1. Abstract Purpose: This study explores the ethical issues con-tained in warning letters is... more Page 1. Abstract Purpose: This study explores the ethical issues con-tained in warning letters issued to clinical researchers by the Food and Drug Administration (FDA) in the USA. Methods: The online FDA Warning Letter Index ...
The virtual mentor : VM, 2007
The American journal of gastroenterology, 2006
To explore the use of medical journals, lay media, registries, and transplant center websites to ... more To explore the use of medical journals, lay media, registries, and transplant center websites to discuss living liver donor mortality. To study the incidence of and circumstances relating to living liver donor death, medical journals and lay print media were searched to create a case summary of worldwide living liver donor deaths. The United Network for Organ Sharing (UNOS) and European Liver Transplant Registry (ELTR) were also queried for information regarding living liver donor deaths. Lastly, the Websites of United States transplant centers offering living liver donation were reviewed to identify whether or not death was stated as a donor risk. Literature review revealed 14 living liver donor deaths. One of the five deaths occurring in the United States had been reported to UNOS. One of the 14 cases had been reported only in lay literature, and another only in the ELTR. In at least five cases, surgical complications were not the cause of donor death. Among the 62 transplant center Websites, only 12 centers (19%) specifically mentioned death as a donation risk. Eight of these 12 centers (67%) mentioned death in terms of percent mortality risk; however, risk rates spanned a 10-fold range from 0.2% to 2%. Potential living liver donors are best served by accurate information about donor mortality. Access to such data is difficult and these individuals would benefit by a worldwide living liver donor registry and peer-reviewed publication of donor mortality.
Technology and health care : official journal of the European Society for Engineering and Medicine, 2005
Page 1. Technology and Health Care 13 (2005) 193198 193 IOS Press When microchip implants do mor... more Page 1. Technology and Health Care 13 (2005) 193198 193 IOS Press When microchip implants do more than drug delivery: Blending, blurring, and bundling of protected health information and patient monitoring Katrina A ...
The Journal of clinical ethics, 2005
Ethics & medicine : a Christian perspective on issues in bioethics, 2006
It is common knowledge that the supply of cadaveric organs does not meet demand. This shortage is... more It is common knowledge that the supply of cadaveric organs does not meet demand. This shortage is often used as ethical argument against transplantation in Non-Resident Aliens; however, this fact in isolation does not present a comprehensive picture of organ allocation in USA. Even though approximately 153 cadaveric livers, kidneys, and hearts are transplanted into Non-Resident Aliens each year, roughly another 85 livers, kidneys and hearts are recovered as usable for transplantation but are not transplanted due to inability to find a recipient. These organs are also unable to be exported due to logistics or lack of patient matching. Because usable, recovered allografts are discarded on a yearly basis, there is no justification to use "allograft scarcity" as argument against transplantation in Non-Resident Aliens. Further, consistent with other countries, a system of two waiting lists which allocates organs to US Residents with the first right of refusal (with Non-Resident Aliens having to access organs refused by or not matched to US Residents) is ethically appropriate. Justification for this two-list system lies in deconstructing "who" is the transplant community, and who are "guests" of the transplant community.