Assistive Technologies: Ethical Practice, Ethical Research, and Quality of Life

Eccles, Andrew; Damodaran, Leela; Olphert, Wendy; Hardill, Irene; Gilhooly, Mary

doi:10.1007/978-1-4419-8348-0_4

Cited by 8 publications

(8 citation statements)

References 31 publications

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“…Thus to what extent could there be a refusal to engage with technology based care, if that was the client"s choice, given the wider policy push for its adoption. As has been noted (Eccles et al, 2013) the only alternative choice here may be institutional care, not community care. Overall the appropriateness of the application of technology was the key issue, reflecting the point raised by Pols and Moser (2010) about a false dichotomy between "warm" care and "cold" technology.…”

Section: Do Telecare Technologies Reconfigure the Idea Of Care?mentioning

confidence: 94%

“…How people who refused technological solutions were dealt with returned to broader, circuitous, comments on the best interests of the client being met, without further detail. Older people"s care needs -especially dementia -often change significantly over short periods of time (see Eccles et al, 2013 for a fuller discussion) and thus the appropriateness of technology-based care would need to be under regular review by health and social care professionals. This is not a given, in the current fiscal climate.…”

Section: Issues In Social Sciencementioning

confidence: 99%

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The Complexities of Technology-Based Care: Telecare as Perceived by Care Practitioners

Eccles

2013

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Telecare, which offers "care at a distance" (Pols, 2012) through a variety of remote monitoring technologies, has developed rapidly across health and social care policy in many developed countries. Nonetheless, approaches to this development differ; the focus of this paper is the United Kingdom, where implementation has been particularly rapid and ambitious in scope. The paper argues that, while there are clear and tangible benefits from the use of some telecare technologies, there is insufficient research about the complexities of implementation with end users. These complexities include ethical questions raised by the use of monitoring and surveillance equipment, the ability to fine tune technologies to the needs of individuals, and the way in which care relationships may be altered by remote care mediated through technologies. This paper addresses these issues through a particularly under researched area; that is, the perceptions of care practitioners who assess for, and interact with, these technologies. The research was conducted with practitioners using qualitative research methodology. The paper concludes that Telecare practice is uneven in the way it addresses complexities and that more needs to be done to understand the way in which technologies are discussed and utilised by those charged with their implementation.

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Section: Do Telecare Technologies Reconfigure the Idea Of Care?mentioning

confidence: 94%

Section: Issues In Social Sciencementioning

confidence: 99%

The Complexities of Technology-Based Care: Telecare as Perceived by Care Practitioners

Eccles

2013

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“…Tanım olarak geronteknoloji, yaşlanmış yetişkinlere yönelik destekleyici cihazların ve yazılım sistemlerinin tasarlanmasını konu almaktadır. Bu sistemler akıllı bina sistemleri, tele tıp uygulamaları, mobil uygulamalar, çeşitli sensörler, güvenlik sistemleri, alarm ve hatırlatma sistemleri olabilmektedir (1).…”

Section: Teknoloji Ve Yaşlılıkunclassified

Yaşlılıkta teknolojinin kullanımı

Ekici¹,

Gümüş²

2016

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ÖzTeknoloji büyük bir hızla gelişmektedir ve birçok alanda oldukça olumlu çözümler getirmektedir. Ülkemiz Türkiye de dahil olmak üzere gelişmekte olan ve gelişmiş ülkelerin giderek önemi artan sorunu olan yaşlı nüfus artışı, teknolojinin bu konu üzerine daha fazla eğilmesini gerekli kılmaktadır. Doğrudan yaşlıları ve yaşlı sorunlarını hedefleyen birçok çalışmaların bulunduğu gibi doğrudan yaşlıları hedeflemeyen, ancak dolaylı olarak yaşlı bireylerin hayatına olumlu katkı sunabilecek çalışmalar ve teknolojik ürünler de bulunmaktadır. Çalışmaların yoğunlaştığı alanlar yaşlı bireylerin bağımsız yaşamasına yardımcı olacak öneriler, sağlık konusunda ilerleme sağlayacak projeler ve güvenlik temalı projeler olarak sıralanabilir. Geronteknoloji; yaşlı kullanıcılara yönelik destekleyici sistem yazılım ve cihazlar ortaya koymayı amaçlayan, gerontoloji ve teknolojiyi birleştiren multidisipliner bir alandır. Bu derlemede "geronteknoloji" kapsamına giren teletıp, telebakım ve sosyal medya gibi teknolojiler ve çalışmalar incelenmektedir.Anahtar Sözcükler: Geronteknoloji, teletıp, telesağlık, telebakım, demans, sosyal medya. Abstract Technology develops in a very fast pace and creates a lot of promising solution in various domains. Developing and developed countries including Turkey faces increasingly important aging population issue which requires

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“…Should monitoring equipment be installed regardless, on the grounds that this is the only service available given cost constraints? As has been noted, 21 there are instances where telecare was the only option available to people in their own homes, with institutional care the only alternative. We thus have a number of complexities here, from which three key issues emerge.…”

mentioning

confidence: 95%

“…To make such a direct claim is questionable; there may be indicators of quality of life which can be facilitated by telecare technologies, but such are the variables here that claims of a direct correlation are best avoided. 21 In practice terms this is a distinction which may require a nuanced understanding of what constitutes loneliness for individuals which may not always be afforded by the time set aside for an assessment of telecare deployment. The replacement, by monitoring equipment, of care workers whose role, inter alia, was to check-in with vulnerable people in their own homes has been resisted by some clients.…”

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confidence: 99%

Telecare technologies and isolation: some ethical issues

Eccles¹

2015

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Telecare technologies involve the remote monitoring of patients who have health, rehabilitation or social needs. These technologies, although deployed unevenly in developed countries, represent a shift in the ways in which care is practiced. Research on the consequences of this shift away from more traditional "hands-on" care has focused primarily on quantitative measurement (for example cost savings) with less attention paid to how recipients themselves experience these new care practices. This paper discusses two aspects of telecare technologies which are under researched; the potential for loneliness which may arise as a result of the use of these technologies, and the ethical issues raised by this. The primary locus of the discussion is the UK, where a major public policy shift towards telecare is under way and where telecare research based on randomized control trials has been particularly well funded by the government. The discussion concludes that there is indeed the potential for loneliness, a condition increasingly recognized as a significant factor in reducing overall health and well-being, in the use of these technologies. The ethical implications of this are not being sufficiently considered, in part because the ethical frameworks in use do not adequately address the issue of loneliness itself, given their bio-medical, rather than relational focus. The paper suggests two ways of redressing this. First, the addition of approaches to ethics other than bio-medical -particularly those with a relational and contextual focus -or greater exploration of how the two approaches might interact. Second, it suggests that a paradigm shift towards solutions other than technology-based care is overdue. This shift would not underplay the importance of technological contributions to care needs. It would, however, be an argument to suggest we proceed with some caution, advance the research evidence on the complexity of users' experiences of these technologies, and explore potentially simpler -and ethically more relational -approaches to care, such as shared or intergenerational living.

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Assistive Technologies: Ethical Practice, Ethical Research, and Quality of Life

Cited by 8 publications

References 31 publications

The Complexities of Technology-Based Care: Telecare as Perceived by Care Practitioners

The Complexities of Technology-Based Care: Telecare as Perceived by Care Practitioners

Yaşlılıkta teknolojinin kullanımı

Telecare technologies and isolation: some ethical issues

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