Intelligent Assistive Technologies for Dementia: Clinical, Ethical, Social, and Regulatory Implications

by Fabrice Jotterand, Marcello Ienca, Tenzin Wangmo, Bernice Elger

Overview

The financial burden and the level of specialized care required to look after older adults with dementia has reached the point of a public health crisis. Older adults diagnosed and living with the disorder reached 35.6 million worldwide in 2010 and is expected to increase to 135.5 million in 2050, with costs soaring to $1.1 trillion.

In the face of the increasing burden this disorder poses to health care systems and the management of this patient population, intelligent assistive technologies (IATs) represent a remarkable and promising strategy to meet the need of persons suffering from dementia. These technologies aim at helping individuals compensate for specific physical and cognitive deficits, and maintain a higher level of independence at home and in everyday activities. However, the rapid development and widespread implementation of these technologies are not without associated challenges at multiple levels.

An international and multidisciplinary group of authors provide future-oriented and in-depth analysis of IATs. Part I delineates the current landscape of intelligent assistive technologies for dementia care and age-related disability from a global perspective, while the contributions in Part II analyze and address the major psycho-social implications linked to the development and clinical use of IATs. In the last section, essays examine the major ethical, social and regulatory issues associated with the use of IATs in dementia care. This volume provides an authoritative and comprehensive overview of how IATs are reshaping dementia care.

Product Details

ISBN-13:	9780190459802
Publisher:	Oxford University Press
Publication date:	10/02/2019
Pages:	320
Product dimensions:	6.20(w) x 9.40(h) x 1.10(d)

About the Author

Fabrice Jotterand is Associate Professor and Director of the Graduate Program in Bioethics at the Center for Bioethics and Medical Humanities, Medical College of Wisconsin and Senior Researcher at the Institute for Biomedical Ethics, University of Basel, Switzerland.

Bernice Elger Bernice Elger is internist and Head of the Institute for Biomedical Ethics (University of Basel) and full professor at the Center for Legal Medicine (University of Geneva) where she leads the Unit for Health Law and Humanitarian Medicine. She studied medicine and theology in Germany, France, Switzerland and the US.

Tenzin Wangmo is a Senior Researcher at the Institute for Biomedical Ethics, University of Basel, Switzerland. Her scholarship and research interests focus on issues including intergenerational relationship, aging and ethics, health of older prisoners, and empirical bioethics.

Marcello Ienca is a research fellow at the Swiss Federal Institute of Technology (ETH Zurich). His research focuses on the convergence of natural and artificial intelligence in the digital age with particular emphasis on the ethical and social implications of neurotechnology, machine intelligence, big data and digital health.

Table of Contents

Contributor Biographies ix

1 Introduction Fabrice Jotterand Marcello Ienca Tenzin Wangmo Bernice S. Elger 1

Part I Current Landscape of Assistive Technologies for Dementia Care

2 Dementia in an Aging World Thomas Fritze Anne Fink Gabriele Doblhammer 15

3 Dementia and Neurocognitive Disability Christophe J. Büla 35

4 Can Robots, Apps, and Other Technologies Meet the Future Global Demands of Dementia? Arlene Astell James Semple 48

5 Augmented Reality-Assisted Dementia Care Mengyu Y. Zhao S. K. Ong Andrew Y. C. Nee 71

Part II Psychosocial Implications

6 Caring for Older Adults with Dementia: The Potential of Assisted Technology in Reducing Caregiving Burden Tenzin Wangmo 95

7 The Predestined Nature of Assistive Technologies for Dementia Taro Sugihara Tsutomu Fujinami Osamu Moriyama 110

8 Shaping the Development and Use of Intelligent Assistive Technologies in Dementia: Some Thoughts Elisabeth Hildt 130

Part III Ethical and Regulatory Implications

9 Ethical Concerns About the Use of Assistive Technologies: How to Balance Beneficence and Respect for Autonomy in the Care of Dementia Patients Bernice S. Elger 147

10 Issues of Informed Consent from Persons with Dementia When Employing Assistive Technologies Peter Novitzky Cynthia Chen Alan F. Smeaton Renaat Verbruggen Bert Gordijn 166

11 Personal Identity, Neuroprosthetics, and Alzheimer's Disease Fabrice Jotterand 188

12 Developing Assistive Technologies for Persons with Alzheimer's Disease and Their Carers: The Ethics of Doing Good, Not Harm Diane Feeney Mahoney 203

13 Privacy and Security Issues in Assistive Technologies for Dementia: The Case of Ambient Assisted Living, Wearables, and Service Robotics Marcello Ienca Eduard Fosch Villaronga 221

14 Developing Ethical Web- and Mobile-Based Technologies for Dementia: Challenges and Opportunities Julie M. Robillard Tanya E. Feng 240

15 Dementia and the Regulation of Gerontechnology James Beauregard 265

Epilogue: Dementia in the Digital Age Tenzin Wangmo Marcello Ienca 294

Index 297