The power of the liver transplant waiting list: A case presentation

Lissi Hansen, Yi Yan, Susan J. Rosenkranz

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

End-stage liver disease (ESLD), the final stage of chronic liver disease, is treated with liver transplant. Many patients have serious ESLD-related complications and are admitted to the intensive care unit for treatment. Such patients are temporarily unsuitable to undergo transplant surgery and are placed into a temporarily inactive category, "status 7," on the transplant waiting list. Status 7 patients account for about 15% of all patients on the list. To describe the experience of a status 7 patient on the liver transplant waiting list from the perspectives of family members, 38 hours of bedside observation of participants, 9 semistructured interviews with 6 family members, and 9 semistructured interviews with 8 health care professionals from nursing, medicine, and other health care disciplines were done. Data were analyzed via conventional content analysis. Family members' perspectives fit into 3 phases that correspond to the progression of the patient's clinical condition: dealing with crisis, confusion and frustration, and back on the road to transplant. All 3 phases related to 1 goal: getting the patient's status reactivated on the liver transplant waiting list. This case exposes the struggles that patients with ESLD and their families may go through during the status 7 period and could serve as a starting point for further examination of this period.

Original languageEnglish (US)
Pages (from-to)510-515
Number of pages6
JournalAmerican Journal of Critical Care
Volume23
Issue number6
DOIs
StatePublished - 2014

Fingerprint

Waiting Lists
Transplants
Liver
End Stage Liver Disease
Interviews
Delivery of Health Care
Confusion
Frustration
Power (Psychology)
Intensive Care Units
Liver Diseases
Nursing
Chronic Disease
Observation
Medicine

ASJC Scopus subject areas

  • Critical Care

Cite this

The power of the liver transplant waiting list : A case presentation. / Hansen, Lissi; Yan, Yi; Rosenkranz, Susan J.

In: American Journal of Critical Care, Vol. 23, No. 6, 2014, p. 510-515.

Research output: Contribution to journalArticle

Hansen, Lissi ; Yan, Yi ; Rosenkranz, Susan J. / The power of the liver transplant waiting list : A case presentation. In: American Journal of Critical Care. 2014 ; Vol. 23, No. 6. pp. 510-515.
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