HCRP NEW AND UPDATED 2.pptxrir8fidnddididd9

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1. HOSPITAL CORNEA RETRIEVAL PROGRAM (HCRP) Dr. Shashwat Singh Junior resident (Ophthalmology) CSSH, Subharti university Meerut

2. Trauma Infection Measles Vitamin A deficiency Degenerations While most of the causes can be prevented Corneal transplantation is needed mostly for corneal scars and graft failures CAUSES OF CORNEAL BLINDNESS 2% of Total Blindness- 26% of Childhood Blindness

3. COMMON CONCERNS ABOUT DONATION DISFIGUREMENT RELIGIOUS BELIEFS “I CANNOT BE A DONOR BECAUSE OF MY MEDICAL HISTORY.” “IF I WANT TO BE A DONOR, THEY WON’T TRY AND SAVE ME!”

4. Lack of awareness (Donor constraints) Professional issues Financial constraints Legal hurdles ISSUES IN COLLECTING EYES

5. SOURCES FOR PROCUREMENT OF CORNEAS Voluntary Donation-collection Of Eyes From House Deaths/ Cremation Grounds With Consent Of Next Of Kin. Hospital Corneal Retrieval Programme - Consented Eyes / Grief Counselors

6. H ospital C orneal R etrieval P rogram HCRP IS THE BEST WAY TO COLLECT GOOD QUANTITIY AND QUALITY OF DONOR CORNEAS.

7. EDUCATION SEEKING EYE DONATION EYE BANKING SERVICES CORNEA SPECIALITY CLINIC CONCEPT OF HCRP- 4 COMPONENTS

8. How we start the HCRP? FIRST COMPONENT OF HCRP Education and awareness of attendant of critically ill patient. Actively mobilizing health guides, paramedical workers & social workers. Through hand bills, pamphlets, Banners, posters, hoarding educational institutions. Motivating prominent community leaders, religious leaders.

9. Increasing awareness by publicity at social & religious gatherings, markets, melas and fares . Media participation, AIR, Doordarshan . Advertisement in the newspaper. Social and voluntary organizations.

10. Second component-Seeking Eye Donation GRIEF COUNSELLORS HOW TO GO ABOUT COUNSELING? The counsellor should be committed to the cause of eye donations. Expose patients relatives to information. Be sensitive to needs of patient nearing death. Discuss eye donation only after death. Choosing next of kin for eye donation along with proper place and proper choice of words.

11. Availability of medical history of donor Availability of younger cornea tissues. Reduction in time of corneal excision. Availability of staff round the clock. ADVANTAGES OF HCRP

12. Trained Eye Donation Counsellors/Social workers can contact eye donor family for better counselling and motivation and also collect donor medical information. Hospital corneal retrieval is more effective with less effort, prior knowledge of eye donation is also not a prerequisite as the hospital staff can educate the relatives of the deceased

13. Eye Banking Services Eye Banking is an organization that collects eyes, processes them, and makes them available to the surgeon for corneal transplantation THIRD COMPONENT OF HCRP -

14. Final COMPONENT OF HCRP- CORNEA SPECIALTY CLINICS Very important component and needs dedicated personnel to understand needs of patient, to counsel them and maintain meticulous records and plan corneal transplantation

15. WHO CAN MAKE EYE DONATION A REALITY? DOCTORS NURSING PERSONNEL TECHNICAL PERSONNEL MEDICAL STUDENTS NURSING STUDENTS

16. ROLE OF DOCTORS Eye Donation program is possible with the help and support of the faculty and residents from all specialties at a multispecialty hospital.

17. Provide care during illness ,perform surgery, provide care during hospitalization and after discharge which may extend lifelong. Interact with patients and develop rapport with the patient and family. Role as teachers, advisors and trusted confidants of the patient and family. These roles make it possible for us to encourage tissue/organ donation

18. NURSING PERSONNEL Primary duties of Nursing Personnel are: Caring for patient Working with the doctor Teaching the patient A nurse is therefore a care provider, an advisor and a trusted confidant. These qualities put her in a key position to seek Eye Donation

19. TECHNICAL PERSONNEL Play crucial role in Quality Assurance Providing Organ Retreival facilities Helping in all aspects of the process

20. THANK YOU