faculty of arts and social sciences (department philosophy) 1 social dimensions ike kamphof...
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Faculty of Arts and Social Sciences (department Philosophy) 1
Social dimensions
Ike Kamphof
Technologically mediated care
© Arjan Born
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Faculty of Arts and Social Sciences (department Philosophy) 2
Research project
On Identity of People with Dementia
Case study:Activity Monitoring Technology for vulnerable elderly people living alone
Methodology:(Post)phenomenological analysis of how technology mediates careEthnographic observation of technology as used in homecare (NL) and in development (B)
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Faculty of Arts and Social Sciences (department Philosophy) 3
What is activity monitoring?
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Faculty of Arts and Social Sciences (department Philosophy) 4
QuietCare
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Faculty of Arts and Social Sciences (department Philosophy) 5
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Faculty of Arts and Social Sciences (department Philosophy) 6
Social dimensions of activity monitoring
• Compounds of human and non-human, – technologies extend human bodies– technologies and human beings co-constitute
each other– but the actors also differ…
• Concerns and experiences of various groups of users: developers, (care-management), formal and informal caregivers, clients
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Faculty of Arts and Social Sciences (department Philosophy) 7
1st story: Concerns of developers
- How to organize care for frail elderly people in an ageing and more individualised society?
- “secure appropriate care intervention, at appropriate time by appropriate person…”
– support independence – enhance quality of life– keep care manageable
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Faculty of Arts and Social Sciences (department Philosophy) 8
How?
• Need to know! about frail person’s selfcare
Technology! But: • Easy to use• Person should not feel threatened
unobtrusive design• What can and what do we want to make?
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Faculty of Arts and Social Sciences (department Philosophy) 9
Some observations
• What is independence? – Living at home– ADL, IADL + technological-practical possibilities– Active support?Quality of interdependencies!
• Quality of life is narrowly defined • Threat of technology driven projects• For whom is unobtrusive design?
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Faculty of Arts and Social Sciences (department Philosophy) 10
2nd story: Caregiver’s concerns
• Need to know? Caregivers worry
Technology offered as a solution:• Will technology replace human care?• How difficult, time consuming is the use?• Is this intruding too much into my client’s
space?
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Faculty of Arts and Social Sciences (department Philosophy) 11
How?
• Caregivers receive “extra eyes”
• and alerts that set limits to worry• and categories that shape concerns
• they receive data in graphs and tables
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Faculty of Arts and Social Sciences (department Philosophy) 12
Some observations
• Is it knowledge they receive?– Need for interpretation and familiarity– Shared decision and negotiation
• No replacement for human care• Some worry is relieved,
and new dilemma’s are introduced:need to know or ought to know?
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Faculty of Arts and Social Sciences (department Philosophy) 13
3rd story: client’s concerns
Is there a need to be known?
• Desire to stay at home• Fear of having an accident unnoticed• Fear of being a burden• Need for support and fear of interference• Concern for stigma
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How?
• Technology extends the body of frail person, and speaks – for person when incapable of speaking– in place of person
• The information is registered and sent out of the house to be interpreted, and read elsewhere
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Some observations
• Is this technology for me?• Limited support for independence/
quality of life• Built in inequality Caregivers need to secure privacy,
good sensing, trust
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Faculty of Arts and Social Sciences (department Philosophy) 16
Concluding remarks
• Social dimensions display tensions• Design matters!• The context set by healthcare politics
and management needs to support trust, sensitive reading and careful response
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Faculty of Arts and Social Sciences (department Philosophy) 17
Needed is a rich ethics that deals with
- the quality of relationships
- how to secure composite care acts and values.
© Arjan Born
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Faculty of Arts and Social Sciences (department Philosophy) 18
Thank you!
© Arjan Born