This paper joins the debate over changes in the role of health professionals when applying advance directives to manage the decision-making process at the end of life care. Issues in relation to advance directives occur in clinical units in Lithuania; however, it remains one of the few countries in the European Union where the discussion on advance directives is not included in the health-care policy-making agenda. To encourage the discussion of advance directives, a study was designed to examine health professionals’ (...) understanding and preferences related to advance directives. In addition, the study sought to explore the views of health care professionals of the application of Advance Directives in clinical practice in Lithuania. A cross-sectional survey was conducted by interviewing 478 health professionals based at major health care centers in Kaunas district, Lithuania. The design of the study included the use of a questionnaire developed for this study and validated by a pilot study. The collected data were analyzed using standard descriptive statistical methods. The analysis of knowledge about AD revealed some statistically significant differences when comparing the respondents’ profession and gender. The analysis also indicated key emerging themes among respondents including tranquility of mind, the longest possible life expectancy and freedom of choice. Further, the study findings revealed that more than half of the study participants preferred to express their will while alive by using advance directives. The study findings revealed a low level of knowledge on advance directives among health professionals. Most health professionals agreed that AD’s improved end-of-life decision making while the majority of physicians appreciated AD as the best tool for sharing responsibilities in clinical practice in Lithuania. More physicians than nurses preferred the presence of advance directives to support their decision making in end-of-life situations. (shrink)

The purpose of the text is to demonstrate a distinction between good or virtue and evil or vice, introduced by Hannah Arendt on the grounds of the novel by Hermann Melville Billy Budd. I analyze this distinction in relation to the life story of Romulus Gaita, the hero of the autobiographical novel My father Romulus, written by the Australian ethicist Raimond Gaita. The first paragraph deals with the said distinction, indicating the re-evaluation of such concept as virtue and vice in (...) Melville’s novel and his understanding of virtue. Then, I make an attempt to answer the question of why Gaita writes about his father using a category of character instead of virtue. Then, I reflect on the relationship between virtue, character, goodness and Romulus’s mental illness. Finally, I answer the question about the metaphysical foundation on which Gaita forms his conviction about the superiority of Good and goodness over virtue, and I show what particular components make up the ethics of goodness assumed by Romulus. (shrink)

Ce texte a déjà paru dans le catalogue E-Cité/Europe, Strasbourg, Apollonia, 2015, p. 26-30. Nous remercions Claire Dehove et WOS-Agences des hypothèses de nous avoir autorisé à le reproduire ici. WORKSHOP EN PARTENARIAT AVEC LA HEAR ET LA FACULTÉ DES ARTS DE STRASBOURG – Wos agence des hypothèses/Claire Dehove avec François Duconseille, et avec les étudiants de scénographie HEAR et du Master Critique-essais de Strasbourg, Inès Sassi, Raimonda Tamuleviciute, Ikhyong Park, Laura Perrone, Loue Aveline – - Arts plastiques et (...) autres – GALERIE – Nouvel article. (shrink)