Which considerations are involved in organ donation discussions with families near the end of life?

• A. Donation should be discussed only after death has occurred
• B. Timing and sensitivity; legality; and clarification that donation does not impact immediate medical care
• C. Donation is always prioritized over patient comfort
• D. Donation is never discussed in end-of-life care

Answer: (B)

Discussing organ donation near the end of life should be done with thoughtful timing and empathy, within the legal framework, and with clear reassurance that donation will not affect the immediate medical care the patient receives. It’s important to introduce the topic early enough for families to consider one or more options, involve qualified organ procurement professionals who can provide accurate information, and ensure that consent is voluntary and free from pressure. Also make it explicit that pursuing donation does not change decisions about comfort measures or other treatments aimed at the patient’s immediate well-being. This approach respects the patient’s and family’s values and supports ethical, patient-centered end-of-life care.