Since 2018, a new terminology has been developed, called Algor-ethics, indicating the necessity for a dedicated study concerning the evaluation of an ethics applied to technology, to Algorithms and to Artificial Intelligence (AI). At the same time, since 1987, when the concept of sustainability was introduced, the discussion on this issue has become increasingly lively and has now spread to every area of life. In this paper, we would like to propose an application of the concept of sustainability to technological processes and in particular to the elaboration of AI systems. To reach this goal we will first try to build an ethical framework, here called Dynamical Techno-Algor-Ethical Composition, to define the interaction between the most important ethical ingredients involving the human person in relation to technology, taking a person-centered approach. Out of this will emerge a possible structure and definition of Technological Sustainability. The second step will consist of evaluating the process for the elaboration of an AI algorithm as a concrete application of the previously analyzed framework, to set ethical contents composing what we might call a good and sustainable algorithm.
In the A. Gemelli university hospital in Rome, the presence of highly specialized inter-professional palliative care teams and spiritual assistants who are dedicated to their role in the service of inpatients is valuable to person-centered healthcare. Spiritual needs are commonly experienced by patients with sudden illness, chronic conditions, and life-limiting conditions, and, consequently, spiritual care is an intrinsic and essential component of palliative care. This paper focuses on the sacrament of the Anointing of the Sick to demonstrate the importance of spiritual care as an integral part of palliative care and highlights the need for all interdisciplinary team members to address spiritual issues in order to improve the holistic assistance to the patient. Over a 3-year period (October 2018–September 2021), data about the sacrament of the Anointing of the Sick administered by the hospitaller chaplaincy were collected. A total of 1541 anointings were administered, with an average of 514 anointings per year, excluding reductions related to the COVID-19 pandemic. In 98% of cases, the sacrament was requested by health personnel, and in 96% of cases, the same health personnel participated in the sacrament. These results demonstrate that, at the A. Gemelli polyclinic in Rome, the level of training that the care team has received in collaboration with the chaplains has generated a good generalized awareness of the importance of integrating the spiritual needs of patients and their families into their care, considering salvation as well as health, in a model of dynamic interprofessional integration.
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