The most frequently encountered contraindication to transplantation is continued destructive behavior resulting from drug and alcohol addiction (Murray & Carithers, 2005). Individuals must meet the expectations of compliance before they can be placed or remain on the donor waiting list. Any form of addictive behavior should be addressed and be well controlled before patients are accepted for transplantation. According to Murray and Carithers (2005), a candidate can not be refused a liver transplantation until every effort has been made to provide expert counseling and treatment of disorders that may adversely affect postoperative compliance. Emily should be taken off the list only after it is confirmed that she has an issue with alcohol abuse.
