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Psychological support leading to the transplant

The plan of care towards a transplant involves a series of key aspects with respect to human subjectivity and emotiveness that are based on the events.
Since organ transplant is often the only alternative to a disease with a fatal prognosis, it can cause doubts, anxiety and distress that in the post-op phase can become fear of infections, rejection, and unforeseeable and dramatic outcomes.
The psychological support consists of three phases:
Pre-transplant support
Assess the psychic, emotional and cognitive status of patients, defense strategies, risk factors and therapeutic compliance.
Evaluate the understanding of the information and reasons for transplant; psychological work-up to the transplant.
Assess family dynamics and resources.
Meet the transplant team to discuss the case.

Post-op support (during hospital stay)
Psycho-behavioral assessment.
Relational-behavioral strategies between clinicians and patients.
Assess psycho-pharmacology indications.

Post-op support (Outpatient setting)
Follow-up strategies to help patients regain independence and assess their ability to readjust to the outside world and family life.
Psychological support towards pharmacology and therapy compliance; assess emotional, family and social adjustment (quality of life).
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University of Pittsburgh Medical Center ISMETT