Background: The increasing number of elderly people in nursing homes with failing competence to give consent represents a great challenge to healthcare staff’s protection of patient autonomy in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation. The lack of national guidelines and internal routines can threaten the protection of patient autonomy. Objectives: To place focus on protecting patient autonomy in the decision-making process by studying how relatives experience their role as substitute decision-makers. Design: A qualitative descriptive design with analysis (...) of the contents of transcribed in-depth interviews with relatives. Participants: Fifteen relatives of 20 patients in 10 nursing homes in Norway. Results and Interpretations: The main findings reveal deficient procedures for including relatives in decision-making processes. Relatives have poor knowledge about the end of life, and there is little discussion about their role as substitute decision-makers for patients who are not competent to give consent. Few relatives understand the concept of patient autonomy. In Norway the treating physician is responsible for patient treatment. When relatives are included in discussions on treatment, they perceive themselves as responsible for the decision, which is a burden for them afterwards. This qualitative study describes relatives’ experiences, thus providing important information on the improvement potential with the main objective of safeguarding patient autonomy and caring for relatives. Conclusion: The study reveals failing procedures and thus a great potential for improvement. Both ethical and legal aspects must be addressed when considering patient autonomy. (shrink)

Ubuntu is a dynamic and celebrated concept in Africa. In the great Sutu-nguni family of Southern Africa, being humane is regarded as the supreme virtue. The essence of this philosophy of life, called ubuntu or botho, is human relatedness and dignity. The Shona from Zimbabwe articulate it as: "I am because we are; I exist because the community exists." This volume offers twenty-two such reflections on practicing ubuntu as it relates to justice, personhood and human dignity both in Southern African (...) as well as in wider international contexts. This work highlights the potential of ubuntu for enriching our understanding of justice, personhood and human dignity in a globalising world. -- publisher's description. (shrink)

Hugo Preuß war nicht nur einer der wichtigsten theoretischen Vordenker der modernen Demokratie in Deutschland, sondern war als Politiker auch wesentlich an der Verfassunggebung der Weimarer Republik beteiligt. Als Staatsrechtler entwickelte Preuß die demokratische Genossenschaftstheorie und zählt damit zu den Begründern des Pluralismus in Deutschland. Zudem war Preuß als politischer Publizist aktiv im Kampf für die Demokratisierung des Kaiserreiches und ergriff nach 1919 zur Verteidigung der Republik und zur Abwehr des Antisemitismus die Feder. Preuß war damit ein früher Verfechter des (...) Konzepts der wehrhaften Demokratie gegen die vor allem rechten Feinde der Weimarer Republik. Als liberaler Politiker wurde Preuß in der Berliner Kommunalpolitik ein Exponent sozialliberaler Ideen. 1918 war er Mitbegründer der Deutschen Demokratischen Partei und zeichnete als erster Reichsinnenminister der Weimarer Republik für die Wahlen zur Nationalversammlung und für den Prozeß der Verfassunggebung verantwortlich, den er vom ersten Entwurf der Verfassung bis zur Verabschiedung begleitete. Bis zu seinem Tod gehörte er dem Landtag Preußens an, wo er in der DDP für die Weimarer Koalition eintrat. (shrink)

Keine ausführliche Beschreibung für "Suarez, Descartes, Spinoza, Hobbes, Locke, Newton" verfügbar.

Dreyer Kruger, now in his eighties, was asked to reflect on the years of his active professional experience, especially while at Rhodes University from 1974 to 1989. Considered by many to be the doyen of phenomenological psychology in South Africa, he introduced what, at that time, was a revolutionary view in the social sciences of understanding what it means to be human.During his tenure as an academic psychologist, a cohort of doctoral level phenomenologically-oriented psychologists emerged, many of whom emigrated (...) from South Africa during its apartheid era to take up high-raking positions elsewhere in the academic arena in the USA, UK, Australia and New Zealand, while those remaining in South Africa continued his legacy of promoting phenomenology as a field of interrogation in the social and human sciences. (shrink)