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首页> 外文期刊>The Journal of the American Board of Family Practice >Ethical Considerations in Electronic Monitoring of the Cognitively Impaired
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Ethical Considerations in Electronic Monitoring of the Cognitively Impaired

机译：认知障碍者电子监控中的伦理考虑

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摘要

Cognitive impairment afflicts an estimated 16 million people in the United States. Wandering is a concerning behavior associated with cognitive impairment, as it may threaten patient safety. The risks posed by wandering place severe burdens on both professional and informal caregivers, as well as law enforcement institutions throughout the United States. As such, location trackers that could reduce this burden have become increasingly prevalent. As with many assistive technologies, the substantial promise of location trackers is counterbalanced by potential pitfalls with respect to loss of privacy and autonomy. This article reviews the ethical issues raised by electronic monitoring of cognitively impaired persons, with the goal of transcending a narrow focus on decisional capacity in favor of a patient-centered framework that is applicable and adjustable at different stages of cognitive decline. Balancing the ethical principles of beneficence and respect in treating cognitively impaired persons goes beyond the necessary step of evaluating decision-making capacity to include partnering with families, caretakers, and cognitively impaired individuals who wander in a collaborative coalition of care. An approach emphasizing the individual needs of patients and caretakers is best suited to finding solutions that implement tracking technologies in ways that both protect and empower the cognitively impaired.
机译：在美国，认知障碍困扰着大约1600万人。游荡是与认知障碍相关的令人担忧的行为，因为它可能威胁患者的安全。流浪带来的风险给全美的专业护理人员和非正式护理人员以及执法机构带来了沉重负担。这样，可以减轻这种负担的位置跟踪器变得越来越普遍。与许多辅助技术一样，位置跟踪器的巨大希望被隐私和自治权丧失方面的潜在陷阱所抵消。本文回顾了对认知障碍者进行电子监控所引发的伦理问题，其目的是超越对决策能力的狭focus关注，而转向以患者为中心的框架，该框架在认知能力下降的不同阶段都适用并可以调整。在治疗认知障碍者中平衡慈善和尊重的道德原则，已经超出了评估决策能力的必要步骤，包括与家人，看护人和在协作护理联盟中徘徊的认知障碍者的伙伴关系。强调患者和护理人员的个人需求的方法最适合于找到以保护和增强认知障碍者的方式实施跟踪技术的解决方案。

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