Jump to content

Ethical discussion about blood donation.

Nurses   (8,815 Views | 69 Replies)

Flare is a ASN, BSN and specializes in school nursing, ortho, trauma.

2 Followers; 5 Articles; 35,515 Profile Views; 4,161 Posts

You are reading page 4 of Ethical discussion about blood donation.. If you want to start from the beginning Go to First Page.

BabyLady is a BSN, RN and specializes in NICU, Post-partum.

2,300 Posts; 14,930 Profile Views

How is this relevant? How many individuals who were sexually active/promiscuous in the 1950's are lining up to give blood? Again, they are looking at high risk individuals, not a needle in a haystack.

I guess you forgot about the 70's when the worse thing people thought you could "catch" could be cured by a 10 day course of antibiotics.

It is VERY relevant.

Share this post


Link to post
Share on other sites

BabyLady is a BSN, RN and specializes in NICU, Post-partum.

2,300 Posts; 14,930 Profile Views

This is how bizarre so many of the comments on this BB are. If you don't specify every single detail that you can think of in every post made, wild assumptions are made like the one above. Asolutely no credit is given to the fact that I just might KNOW that heterosexual behavior not entirely risk free. But it IS well known and documented that homosexual activity is riskier.

So if the questionaire is outdated, do we get rid of all quesions relating to any sexual activity, or only this one? Heaven forbid that we should risk offending someone in an attempt to protect recipients from contracting HIV!

It is a statistical fact that the rate of HIV infections of homosexual males have been DECREASING while that of heterosexuals have been INCREASING.

There are many other countries besides the USA where the predominance of HIV infections are NOT concentrated in the homosexual population.

Share this post


Link to post
Share on other sites

carolmaccas66 is a BSN, RN and specializes in Med/Surg, DSU, Ortho, Onc, Psych.

2,212 Posts; 14,372 Profile Views

As far as I'm aware, one of the directors of the Red Cross blood donation here in Oz, said he would never have a blood transfusion, because not every single bag of blood donated is tested for communicable diseases. This story was reported in a Jehovah's Witness Watchtower magazine that I had read.

I personally would refuse myself - it isn't just HIV you have to worry about. There are numerous blood borne diseases. I've even read books about theories that there are diseases communicated by blood we either don't know about, or haven't figured out how the disease is borne through blood/body fluid.

I would even have 2nd thoughts re getting a blood transfusion if I was told I was going to die. Some JWs I've known personally have been told they would die w/out a blood transfusion and they actually survived.

It's too scary for me personally to have blood transfused from another person. When asked before operations re blood transfusions, I always say no.

Share this post


Link to post
Share on other sites

4,266 Posts; 22,400 Profile Views

So when my pancytopenia required 25 units of PRBCs and platelets (total, not each), I should have been thinking about the 'what if's' and not done what was necessary to stay alive? There was no WAY my body could regenerate enough cells, let alone healthy ones on its own.

I have always hated the idea of getting someone elses' blood- but I hated the idea of sharing real estate with corpses more :)

Share this post


Link to post
Share on other sites

carolmaccas66 is a BSN, RN and specializes in Med/Surg, DSU, Ortho, Onc, Psych.

2,212 Posts; 14,372 Profile Views

So when my pancytopenia required 25 units of PRBCs and platelets (total, not each), I should have been thinking about the 'what if's' and not done what was necessary to stay alive? There was no WAY my body could regenerate enough cells, let alone healthy ones on its own.

I have always hated the idea of getting someone elses' blood- but I hated the idea of sharing real estate with corpses more :)

A very good point! I suppose we all have to make our own decisions. I've never really (but though I might be at one stage) dying, so I suppose I might change my mind then? Who knows.

I read a really good book not long ago about monkeys and how a scientist was trying to prove that we can catch many diseases off of them, let alone each other, and how we should not be eating monkeys etc as this has lead to many of the problems in the world with diseases transferring to humans. Others dispute his claims. Can't remember the name of the book, but it made me think long and hard re blood issues.

Share this post


Link to post
Share on other sites

317 Posts; 6,479 Profile Views

Donated blood is tested for antibodies, not actual viral presence because that is a very lengthy and expensive process. Sooooooo, someone could have contracted Hep C and have a VERY high viral count during the ramp up phase, but will not be antibody positive for several months. And in fact...some people, very rare indeed, but some people nonetheless never develop antibodies to Hep C. Therefore, that is why there are multiple checks; screening out high risk individuals and then testing blood for antibody presence because if you have engaged in a high risk behavior in recent past, you could be a festering viral factory and have no evidence of disease during the test phase.

I for one, am very much an advocate of gay rights and think that profiling gays as being high risk is certianly faulty. But when people's lives are at risk, you can never be too careful and so any high risk behavior is taken as a non-compatable with blood donation. Gay sex is undeniably higher risk than heterosexual sex due to the trauma endured by the anus which is not meant to stretch as much as a vagina. And unfotunately, if we decided to get more "PC" about it and deny blood donation by anyone who engages in sex in general, then well we'd all bleed out unless a whole lot of priests and nuns lined up for donation! :jester:

Share this post


Link to post
Share on other sites

4,266 Posts; 22,400 Profile Views

CarolMacca66....Uh, I'll cross the monkey BBQ off of my fav places to pig out!! :)

Share this post


Link to post
Share on other sites

1,850 Posts; 18,148 Profile Views

It is a statistical fact that the rate of HIV infections of homosexual males have been DECREASING while that of heterosexuals have been INCREASING.

There are many other countries besides the USA where the predominance of HIV infections are NOT concentrated in the homosexual population.

Uh huh...and your source is?

Share this post


Link to post
Share on other sites

4,266 Posts; 22,400 Profile Views

Google AIDS rates in Africa, teenagers, and heterosexuals... there are a lot of sources out there.

Several PSAs on TV. Seen the one about pregnant women? Did they impregnate each other? :)

Share this post


Link to post
Share on other sites

1,850 Posts; 18,148 Profile Views

Google AIDS rates in Africa, teenagers, and heterosexuals... there are a lot of sources out there.

Several PSAs on TV. Seen the one about pregnant women? Did they impregnate each other? :)

I'm quite familiar with Google, thanks anyway. I want her source.

Share this post


Link to post
Share on other sites

42 Posts; 4,297 Profile Views

Actually globally, there are more women and children infected than men.

Second, they do do antigen testing as well as antibody testing on blood donations. It's a multi-layered process. They do a questionnaire to weed out high risk, then do an antibody test and then pool multiple donations together and run a NAT (nucleic acid test) for HIV, Hep B, Hep C and West Nile viral antigens in combo. If it comes back postive then the batch is retested seperately for each specific viral antigen. Then it's sent to the hospitals. The testing process for blood/plasma donations is pretty thorough.

http://www.americasblood.org/go.cfm?do=Page.View&pid=8

http://hospitals.unitedbloodservices.org/forms/BS_988B.pdf

Share this post


Link to post
Share on other sites

690 Posts; 14,976 Profile Views

Globally the HIV/AIDS rates are higher in women, but according to my microbiology professor, who also works for the DPH, that is inflated mainly in Africa. I know that the CDC still has "men that have sex with men" as one of their risk factors for HIV. I'm not sure if today's research still holds true, but their stance has always been that if you are a man that has sex with other men, we are assuming you have a higher risk.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.