1. RESOURCES Alcoholic Card sort cut outs. 1 set per group of 3. Heart transplant cards- two separate half of set. Per group of 3.

2. Ethics and transplants Objective: By the end of the lesson I will be able to… Analyse points of view on whether everyone should get the same medical treatment, SO THAT… Starter: Would you get an donate your organs if you died? YES/NO Produce a: Positive point Negative point Interesting point. Image from: www.airambulanceaviation.com Image from: www.weirdasianews.com THINK: Capital- full sentence- full stop!

3. Lesson success criteria? Success Criteria Be able to discuss the ethics of organ transplants. Be able to discuss and balance arguments. Lesson Menu Deciding who should receive a transplant! THINK: Capital- full sentence- full stop!

4. Do you want your organs to be reused after you die? Organ donation for transplants. Whole body donation for medical research. Whole body donation to medical schools for medical students. Whole body donation to artists to be transformed into works of art THINK: Capital- full sentence- full stop!

5. http://img.dailymail.co.uk/i/pix/2007/12_01/kidneyDM0312_800x483.jpg All donated kidneys! THINK: Capital- full sentence- full stop!

6. Transplant- take an organ and put inside another person. Donor? The person who gives the organ. THINK: Capital- full sentence- full stop!

7. Alcohol and liver transplants… http://www.bbc.co.uk/learningzone/clips/ alcohol-and-binge-drinking-the-harmful- effects/6028.htmlhttp://www.bbc.co.uk/learningzone/clips/ alcohol-and-binge-drinking-the-harmful- effects/6028.html 01:47 mins Write one thing you found interesting! THINK: Capital- full sentence- full stop!

8. Liam’s case. Died 23 from Liver damage. 10 years binge drinking. Refused a transplant- couldn’t prove he could stay clean. Chart shows which way people would have voted for him to get transplant. Just Think- how would you vote? Questions next slide! How would you have voted? Image from: http://goo.gl/LVzpmy

9. So, should an alcoholic be given a new liver? Sort your statements into FOR and Against a transplant in groups of 3. THESE ARE NOT PRESORTED DESPITE DIFFERENT COLOUR SECTIONS! 5minutes How would you have voted with all this extra information? Image from: http://goo.gl/LVzpmy

10. Difficult decisions Every year 100 patients die waiting for transplants because the supply of organs isn’t big enough. Image from: Thestar.com Image from rayflynt.com Image from: www.nowtheendbegins.com

11. Doctors face difficult decisions in deciding who to give transplants to: There’s a certain criteria that patients must fit: What do you think these are? 2 minutes. Tell me what you heard others saying. –Have similar tissues to the donor organ. –Be of similar ages. –Geographically close. –How ill the patient is. THINK: Capital- full sentence- full stop!

12. Ethics - perceived rights or wrongs. Alcohol abusers –Liver disease Drug users –Blood infections - Hepatitis Clinically obese –Heart transplants –What caused the need in the first place? –Can they turn over a new leaf? THINK: Capital- full sentence- full stop!

13. Ethical decisions are hard Different people have different standards. Is alcohol addiction someone’s fault? Should 2 nd chances be given? How do you value one life over another? THINK: Capital- full sentence- full stop!

14. Who’s likely to need a heart transplant? While you’re thinking… have a look at this.. The cardiovascular system - heart and lung transplants. http://www.bbc.co.uk/learningzone/clips/ the-cardiovascular-system-heart-and- lung-transplants/4291.htmlhttp://www.bbc.co.uk/learningzone/clips/ the-cardiovascular-system-heart-and- lung-transplants/4291.html

15. Fred: 44 years’ old. Mass: 34 stone - clinically obese Good tissue match Lives in Bath (2 hours away) Been waiting for a transplant for 5 years. Single, lives with 2 cats Katie: 34 years’ old. Mass: 9stone, 3lbs Good tissue match. Lives in Southampton (3 hours away) A new addition to the transplant register. Married, no children Sarah: 55 Years’ old. Mass: 10 stone, 7lbs Mother of 3 children Lives in Plymouth (1 hour away) Poor tissue match. Health deteriorating rapidly - needs a transplant within the next 6 months to survive. Bertie: 14 years’ old. Mass: 8 stone Poor tissue match Lives in Tiverton, 15 minutes away from Exeter. Recent addition to the register. Congenital heart-defect. Helen: 34 years’ old Mass: 28 stone - clinically obese Good tissue match Lives in South Wales Been on the transplant list for 2 years Married with no children. Max: 85 years’ old Mass: 11 stone, 8 lbs Good tissue match Healthy eater Lives in Exeter - 5 minutes’ from the hospital. Married with 4 children P Point Evidence Explain Review EER Grab a new set (1 st half only) of cards in your group of three. Questions next slide.

16. There’s a heart up for grabs… Who’s going to get it? 3-4mins. Look at your cards and decide quickly. Is there any other information you’d like? THINK: Capital- full sentence- full stop!

17. Quick check! Hands up for the those voting… Fred/ Bertie/Helen/ Max/Katie/ Sarah.

18. How have your opinions changed? Who would get the heart and why? How have you prioritised the information? What other information would you like? THINK: Capital- full sentence- full stop!

19. Fred: 44 years’ old. Has been losing weight for 4 years, and has reduced his weight by 12 stone already. Weight issue is due to long-term thyroid illness, resulting in a suppressed metabolism. Katie: 34 years’ old. Has a hole in the heart - has been keeping it under control all her life but it’s starting to deteriorate. Of Chinese origin Sarah: 55 Years’ old. Mass: 10 stone, 7lbs 50-a day smoker, and a self- confessed addict who does not want to give up. Willing to donate £100,000 to British hear foundation Bertie: 14 years’ old. Mass: 8 stone Has a congenital heart-defect, and without a transplant he will not survive the year. Healthy eater, caring parents. Tests show that he’s a smoker, although his parents don’t know… Helen: 34 years’ old Mass: 28 stone - clinically obese Sufferer of an eating disorder where patients feel constantly hungry. Has undergone a stomach reduction (paid for by her self) to reduce the symptoms. Determined to beat her illness, has been losing weight for 1 year. Max: 85 years’ old Mass: 11 stone, 8 lbs Used to be clinically obese, and confesses that he abused his body in his formative years. Recently suffered a stroke which adds a major risk to surgery. P Point Evidence Explain Review EER 2 nd half of cards. Reevaluate your decision.

20. Extension: Have a go at creating a set of rules. Who should get the heart transplant? Order any personal statements from top priority to low. If you were the doctor in charge of giving it away, what would be your rules? Give a priority order and give reasons why. Remember Point Evidence Explain and Compare P Point Evidence Explain Review EER THINK: Capital- full sentence- full stop!

21. Lesson success criteria? Record how you have met the objective. Success Criteria Be able to discuss the ethics of organ transplants. Be able to discuss a balanced argument. Lesson Menu Deciding who should receive a transplant! Objective: By the end of the lesson I will be able to… Analyse points of view on whether everyone should get the same medical treatment, SO THAT…

22. Image from: masslomap.org Write one thing you learnt today on a post it note. On the back: Write one thing we need to go back over next lesson? Ideas- be specific!: This lesson went really well because… I know I met the objective because… Today I learnt… I struggled with… I not so confident with… I need more practice with… THINK: Capital- full sentence- full stop! Image from: www.dreamstime.com