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  1. Preserving narrative identity for dementia patients: Embodiment, active environments, and distributed memory.Richard Heersmink - 2022 - Neuroethics 15 (8):1-16.
    One goal of this paper is to argue that autobiographical memories are extended and distributed across embodied brains and environmental resources. This is important because such distributed memories play a constitutive role in our narrative identity. So, some of the building blocks of our narrative identity are not brain-bound but extended and distributed. Recognising the distributed nature of memory and narrative identity, invites us to find treatments and strategies focusing on the environment in which dementia patients are situated. A second (...)
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  • Domain Experts on Dementia-Care Technologies: Mitigating Risk in Design and Implementation.Jeffrey Kaye, George Demiris & Clara Berridge - 2021 - Science and Engineering Ethics 27 (1):1-24.
    There is an urgent need to learn how to appropriately integrate technologies into dementia care. The aims of this Delphi study were to project which technologies will be most prevalent in dementia care in five years, articulate potential benefits and risks, and identify specific options to mitigate risks. Participants were also asked to identify technologies that are most likely to cause value tensions and thus most warrant a conversation with an older person with mild dementia when families are deciding about (...)
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  • Matching values to technology: a value sensitive design approach to identify values and use cases of an assistive system for people with dementia in institutional care.Stefan J. Teipel, Antonia Kowe, Doreen Görß & Stefanie Köhler - 2022 - Ethics and Information Technology 24 (3):1-17.
    The number of people with dementia is increasing worldwide. At the same time, family and professional caregivers’ resources are limited. A promising approach to relieve these carers’ burden and assist people with dementia is assistive technology. In order to be useful and accepted, such technologies need to respect the values and needs of their intended users. We applied the value sensitive design approach to identify values and needs of patients with dementia and family and professional caregivers in respect to assistive (...)
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  • Embedded Ethics Could Help Implement the Pipeline Model Framework for Machine Learning Healthcare Applications.Amelia Fiske, Daniel Tigard, Ruth Müller, Sami Haddadin, Alena Buyx & Stuart McLennan - 2020 - American Journal of Bioethics 20 (11):32-35.
    The field of artificial intelligence (AI) ethics has exploded in recent years, with countless academics, organizations, and influencers rushing to consider how AI technology can be developed and im...
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  • How Can Ethics Support Innovative Health Care for an Aging Population?Katherine Wayne - 2019 - Ethics and Behavior 29 (3):227-253.
    The rapidly expanding aging population presents an urgent global challenge cutting through just about every dimension of worldly life, including the social, political, cultural, and economic. Developing innovations in health and assistive technology are poised to support effective and sustainable health care in the face of this challenge, yet there is scant discussion of the ethical issues surrounding AT for older persons with dementia. Demands for ethical frameworks that can respond to frontline dilemmas regarding AT development and provision, and how (...)
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  • Ethical concerns with the use of intelligent assistive technology: findings from a qualitative study with professional stakeholders.Tenzin Wangmo, Mirjam Lipps, Reto W. Kressig & Marcello Ienca - 2019 - BMC Medical Ethics 20 (1):1-11.
    Background Advances in artificial intelligence, robotics and wearable computing are creating novel technological opportunities for mitigating the global burden of population ageing and improving the quality of care for older adults with dementia and/or age-related disability. Intelligent assistive technology is the umbrella term defining this ever-evolving spectrum of intelligent applications for the older and disabled population. However, the implementation of IATs has been observed to be sub-optimal due to a number of barriers in the translation of novel applications from the (...)
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  • AWOSE - A Process Model for Incorporating Ethical Analyses in Agile Systems Engineering.Benjamin Strenge & Thomas Schack - 2020 - Science and Engineering Ethics 26 (2):851-870.
    Ethical, legal and social implications are widely regarded as important considerations with respect to technological developments. Agile Worth-Oriented Systems Engineering is an innovative approach to incorporating ethically relevant criteria during agile development processes through a flexibly applicable methodology. First, a predefined model for the ethical evaluation of socio-technical systems is used to assess ethical issues according to different dimensions. The second part of AWOSE ensures that ethical issues are not only identified, but also systematically considered during the design of systems (...)
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  • Aging 4.0? Rethinking the ethical framing of technology-assisted eldercare.Mark Schweda & Silke Schicktanz - 2021 - History and Philosophy of the Life Sciences 43 (3):1-19.
    Technological approaches are increasingly discussed as a solution for the provision of support in activities of daily living as well as in medical and nursing care for older people. The development and implementation of such assistive technologies for eldercare raise manifold ethical, legal, and social questions. The discussion of these questions is influenced by theoretical perspectives and approaches from medical and nursing ethics, especially the principlist framework of autonomy, non-maleficence, beneficence, and justice. Tying in with previous criticism, the present contribution (...)
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  • Ethical Perspectives of Japanese Engineers on Ambient Assisted Living Technologies: Semi-structured Interview.Jungen Koimizu, Minori Kokado & Kazuto Kato - 2018 - Asian Bioethics Review 10 (2):143-155.
    Ambient assisted living technologies are expected to solve a significant number of problems related to elderly care. However, in Japan, limited discourse on the ethical issues concerning their application is hindering the spread of AAL technologies. Against this background, this study explores the ethical perspectives of AAL technology engineers in Japanese companies and the circumstances influencing their perspectives. A qualitative study using semi-structured interviews was conducted. Nineteen Japanese AAL-technology companies were contacted, and nine of them and their engineers responded to (...)
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  • The concept of social dignity as a yardstick to delimit ethical use of robotic assistance in the care of older persons.Nadine Andrea Felber, Félix Pageau, Athena McLean & Tenzin Wangmo - 2022 - Medicine, Health Care and Philosophy 25 (1):99-110.
    With robots being introduced into caregiving, particularly for older persons, various ethical concerns are raised. Among them is the fear of replacing human caregiving. While ethical concepts like well-being, autonomy, and capabilities are often used to discuss these concerns, this paper brings forth the concept of social dignity to further develop guidelines concerning the use of robots in caregiving. By social dignity, we mean that a person’s perceived dignity changes in response to certain interactions and experiences with other persons. In (...)
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  • Embedded ethics: a proposal for integrating ethics into the development of medical AI.Alena Buyx, Sami Haddadin, Ruth Müller, Daniel Tigard, Amelia Fiske & Stuart McLennan - 2022 - BMC Medical Ethics 23 (1):1-10.
    The emergence of ethical concerns surrounding artificial intelligence has led to an explosion of high-level ethical principles being published by a wide range of public and private organizations. However, there is a need to consider how AI developers can be practically assisted to anticipate, identify and address ethical issues regarding AI technologies. This is particularly important in the development of AI intended for healthcare settings, where applications will often interact directly with patients in various states of vulnerability. In this paper, (...)
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  • Ethical and legal challenges of informed consent applying artificial intelligence in medical diagnostic consultations.Kristina Astromskė, Eimantas Peičius & Paulius Astromskis - forthcoming - AI and Society.
    This paper inquiries into the complex issue of informed consent applying artificial intelligence in medical diagnostic consultations. The aim is to expose the main ethical and legal concerns of the New Health phenomenon, powered by intelligent machines. To achieve this objective, the first part of the paper analyzes ethical aspects of the alleged right to explanation, privacy, and informed consent, applying artificial intelligence in medical diagnostic consultations. This analysis is followed by a legal analysis of the limits and requirements for (...)
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  • Conflicting Aims and Values in the Application of Smart Sensors in Geriatric Rehabilitation: Ethical Analysis.Christopher Predel, Cristian Timmermann, Frank Ursin, Marcin Orzechowski, Timo Ropinski & Florian Steger - 2022 - JMIR mHealth and uHealth 10 (6):e32910.
    Background: Smart sensors have been developed as diagnostic tools for rehabilitation to cover an increasing number of geriatric patients. They promise to enable an objective assessment of complex movement patterns. -/- Objective: This research aimed to identify and analyze the conflicting ethical values associated with smart sensors in geriatric rehabilitation and provide ethical guidance on the best use of smart sensors to all stakeholders, including technology developers, health professionals, patients, and health authorities. -/- Methods: On the basis of a systematic (...)
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