Ethical Considerations in Electronic Monitoring of the Cognitively Impaired
| Autor: | Y. Tony Yang, Charles G. Kels |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
BitTorrent tracker
media_common.quotation_subject Decision Making Applied psychology Monitoring Ambulatory 03 medical and health sciences Patient safety 0302 clinical medicine Humans Medicine 0501 psychology and cognitive sciences Cognitive decline 050107 human factors Aged media_common Aged 80 and over Informed Consent business.industry 05 social sciences Beneficence Public Health Environmental and Occupational Health Law enforcement United States Caregivers Privacy Personal Autonomy Cognitively impaired Tracking (education) Cognition Disorders Family Practice business 030217 neurology & neurosurgery Autonomy |
| Zdroj: | The Journal of the American Board of Family Medicine. 30:258-263 |
| ISSN: | 1558-7118 1557-2625 |
| DOI: | 10.3122/jabfm.2017.02.160219 |
| Popis: | Cognitive impairment afflicts an estimated 16 million people in the United States. Wandering is a concerning behavior associated with cognitive impairment, as it may threaten patient safety. The risks posed by wandering place severe burdens on both professional and informal caregivers, as well as law enforcement institutions throughout the United States. As such, location trackers that could reduce this burden have become increasingly prevalent. As with many assistive technologies, the substantial promise of location trackers is counterbalanced by potential pitfalls with respect to loss of privacy and autonomy. This article reviews the ethical issues raised by electronic monitoring of cognitively impaired persons, with the goal of transcending a narrow focus on decisional capacity in favor of a patient-centered framework that is applicable and adjustable at different stages of cognitive decline. Balancing the ethical principles of beneficence and respect in treating cognitively impaired persons goes beyond the necessary step of evaluating decision-making capacity to include partnering with families, caretakers, and cognitively impaired individuals who wander in a collaborative coalition of care. An approach emphasizing the individual needs of patients and caretakers is best suited to finding solutions that implement tracking technologies in ways that both protect and empower the cognitively impaired. |
| Databáze: | OpenAIRE |
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