Power, ethics and normative logic related to voluntary remote monitoring used to provide independent living...9th World Conference of the International Society for Gerontechnology (ISG), June 18-21, 2014, Taipei, Taiwan.
Purpose The social and ethical considerations of emerging remote monitoring practices with older adults are seldom discussed in the empirical literature1-3. Remote monitoring (RM) technology is commonly described as a tool used to enhance independence, yet older adults and caregivers have also expre...
| Publicado en: | Gerontechnology Vol. 13; no. 2; pp. 130 - 132 |
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| Formato: | abstract proceedings research Journal Article |
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International Society for Gerontechnology
2014 Special Issue
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180444763&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180444763 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15691101 904R jtl: Gerontechnology issn: 15691101 maglogo: N pubinfo: dt: 2014 Special Issue vid: 13 iid: 2 pid: 54298 pub: International Society for Gerontechnology artinfo: ui: 180444763 180444763 180444763 10.4017/gt.2014.13.02.278.00 180444763 ppf: 130 ppct: 2 formats: tig: atl: Power, ethics and normative logic related to voluntary remote monitoring used to provide independent living...9th World Conference of the International Society for Gerontechnology (ISG), June 18-21, 2014, Taipei, Taiwan. aug: au: BERRIDGE, C. affil: School of Social Welfare, University of California, Berkeley, CA, USA sug: subj: Community Living In Old Age Telehealth Ethical Issues Monitoring, Physiologic Ethical Issues Technology, Medical Congresses and Conferences Taiwan Taiwan Aged Aged: 65+ years ab: Purpose The social and ethical considerations of emerging remote monitoring practices with older adults are seldom discussed in the empirical literature1-3. Remote monitoring (RM) technology is commonly described as a tool used to enhance independence, yet older adults and caregivers have also expressed concerns that RM undermines independence, self-determination and choice4. Focus group and pilot study participants express fear that RM will reduce privacy, act as 'big brother', or undermine the ability of the elderly to keep information about themselves private for their own personal reasons4,5. The unique contributions of this study are four-fold: it explains the ethical implications of elder care practices related to independent living; it examines discontinuation; it is based on a non-pilot real-world situation with six years of organizational use; and its sample a population that includes ethnically diverse residents of subsidized senior housing. Method Forty-six in-depth interviews were conducted in English and Korean with current resident users, former users, social workers, and family members serving as emergency contacts for residents of six low-income independent living residence buildings in a USA city. Participants were ethnically diverse; more than half were born in one of ten different countries. The majority of resident participants had home aide services and all had multiple chronic conditions. Results & Discussion Three interrelated ethical issues will be presented. The first is the issue of elder self-determination. Techniques include engaging family and peers to encourage adoption of RM, "revisiting" the option multiple times if a resident had initially declined RM, and presenting adoption as the right thing to do through moral discourse related to self-care. The second issue is the potential threat to autonomy and control over one's life that is embedded in the design of the passive monitoring systems. The expectation of a regularity of routine in one's daily life, coupled with no other viable options for the older adult to control their own lives, can present a problem for some users and cause them to discontinue use of RM. Third, examples will be presented of how privacy and incidental findings are perceived and handled in practice. The ways in which older adults, family members and social workers negotiate needs, concerns, caregiving, responsibility and prevention techniques are reflexive, relational practices. They have ethical aspects and implications. Findings reveal that passive monitoring systems can become coercive if the rights of the elderly to refuse or discontinue use are not respected. The interaction of power dynamics in the decision making process with potential threats to autonomy and privacy will be discussed. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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