Ethically Integrating Robots in Elder Care

Authors: Suresh Lokiah, Samarth Suresh, Yashaswini Vismaya, Sudha Jamthe

Abstract:

The emerging trend of integrating robots into elderly care, particularly for assisting patients with dementia, holds the potential to greatly transform the sector. Assisted living facilities, which house a significant number of elderly individuals and dementia patients, constantly strive to engage their residents in stimulating activities. However, due to staffing shortages, they often rely on volunteers to introduce new activities. Despite the availability of social interaction, the residents are in desperate need of additional support. Robots designed for elder care are categorized based on their design and functionality. These categories include Companion Robots, Telepresence Robots, Health Monitoring Robots, and Rehab Robots. However, the integration of such robots raises significant ethical concerns, notably regarding privacy, autonomy, and the risk of dehumanization. Privacy issues arise when robots need to continually monitor patient activities. There is also a risk of patients becoming overly dependent on these robots, potentially undermining patients’ autonomy. Furthermore, the replacement of human touch with robotic interaction can lead to the dehumanization of care. This positional paper delves into the ethical considerations of incorporating robotic assistance in eldercare. It proposes a series of guidelines and strategies to ensure the ethical deployment of these robots. These guidelines suggest involving patients in the design and development process of robots and emphasize the critical need for human oversight to respect the dignity and rights of elderly and dementia patients. The paper also recommends implementing robust privacy measures, including secure data transmission and data anonymization. In conclusion, this paper offers a thorough examination of the ethical implications of using robotic assistance in elder care. It provides a strategic roadmap to ensure this technology is utilized ethically, thereby maximizing its potential benefits and minimizing any potential harm.

Keywords: Robots for eldercare, ethics, human-robot interaction, assisted living.

References:

[1] D. Reslock, “Coping with the Death of Old Friends and Siblings as We Age,” Next Avenue, Apr. 04, 2017. https://www.nextavenue.org/death-old-friends-siblings/
[2] “Older Adults’ Health and Age-related Changes,” https://www.apa.org, Sep. 13, 2021. https://www.apa.org/pi/aging/resources/guides/older
[3] “Staffing shortages create challenges for senior living facilities,” Agency Forward® - Nationwide, Nov. 09, 2023. https://agentblog.nationwide.com/commercial-insights/specialty-care/staffing-shortages-create-challenges-for-senior-living-facilities/
[4] D. Haa, “Global Elderly Care Services Market Size, Industry Trends, Historical Data, Growth Analysis Forecast to 2030,” Aug. 29, 2023. https://www.linkedin.com/pulse/global-elderly-care-services-market-size-industry-trends-divine-haa/
[5] “Providing Care to a Diverse Older Adult Population,” National Institute on Aging. https://www.nia.nih.gov/health/health-care-professionals-information/providing-care-diverse-older-adult-population
[6] S. O. California, “Home Page | California Department of Aging - State of California.” https://aging.ca.gov/
[7] Jarrahi MH. Artificial intelligence and the future of work: Human-AI symbiosis in organizational decision making. Business horizons. 2018 Jul 1;61(4):577-86
[8] Paula, “Machine Learning and AI in Robotics: Shaping the future of digital advancements - Stefanini,” Stefanini, Nov. 28, 2023. https://stefanini.com/en/insights/news/machine-learning-and-ai-in-robotics-shaping-the-future-of-digital-advancements
[9] N. Sahota, “Emotional AI: Cracking the Code of Human Emotions,” Oct. 31, 2023. https://www.linkedin.com/pulse/emotional-ai-cracking-code-human-emotions-neil-sahota-jqfsf/
[10] Williams, K. N., & Warren, C. A. (2009). Communication in Assisted Living. Journal of aging studies, 23(1), 24–36. https://doi.org/10.1016/j.jaging.2007.09.003
[11] Bolin, Göran & Skogerbø, Eli. (2013). Age, generation and the media (2013). Northern Lights: Film & Media Studies Yearbook. 11. 10.1386/nl.11.1.3_2.
[12] B. Mittelstadt, “Ethics of the health-related internet of things: a narrative review,” Ethics and Information Technology, Jul. 04, 2017, https://link.springer.com/article/10.1007/s10676-017-9426-4
[13] Hung, L., Mann, J., Perry, J., Berndt, A., & Wong, J. (2022). Technological risks and ethical implications of using robots in long-term care. Journal of rehabilitation and assistive technologies engineering, 9, 20556683221106917. https://doi.org/10.1177/20556683221106917
[14] A. Eldakak, A. Alremeithi, E. A. R. Dahiyat, M. El-Gheriani, H. Mohamed, and M. I. A. Abdulla, “Civil liability for the actions of autonomous AI in healthcare: an invitation to further contemplation,” Humanities and Social Sciences Communications, Feb. 23, 2024. https://www.nature.com/articles/s41599-024-02806-y
[15] F. Chandran, “The Rise of Domestic Robots: A New Era in Home Living,” Feb. 08, 2024. https://www.linkedin.com/pulse/rise-domestic-robots-new-era-home-living-felix-chandran-49uhc/
[16] M. Nagy, G. Lăzăroiu, and K. Valášková, “Machine Intelligence and Autonomous Robotic Technologies in the Corporate Context of SMEs: Deep Learning and Virtual Simulation Algorithms, Cyber-Physical Production Networks, and Industry 4.0-Based Manufacturing Systems,” Applied sciences, Jan. 28, 2023. https://www.mdpi.com/2076-3417/13/3/1681
[17] Holland et al., “Service Robots in the Healthcare Sector,” Robotics, Mar. 11, 2021. https://www.mdpi.com/2218-6581/10/1/47
[18] Bear, Julia B., and Todd L. Pittinsky, 'The Robots Are Coming', The Caregiving Ambition: What It Is and Why It Matters at Home and Work (2022; online edn, Oxford Academic, 24 Mar. 2022), https://doi.org/10.1093/oso/9780197512418.003.0007, accessed 14 Mar. 2024.
[19] B. Bear and T. L. Pittinsky, “The Robots Are Coming,” Oxford University Press eBooks, Mar. 08, 2022. https://academic.oup.com/book/41386/chapter-abstract/352669073
[20] “How can you balance sensor security with data collection in robotics?,” www.linkedin.com, Dec. 02, 2023. https://www.linkedin.com/advice/0/how-can-you-balance-sensor-security-data-collection-robotics-f7bqf
[21] M. Hersh, “Overcoming Barriers and Increasing Independence – Service Robots for Elderly and Disabled People,” International Journal of Advanced Robotic Systems, Jan. 01, 2015. https://journals.sagepub.com/doi/full/10.5772/59230
[22] T. Pittinsky, “Taking Care with Caregiving Robots - IEEE Technology and Society,” IEEE Technology and Society, Oct. 03, 2022. https://technologyandsociety.org/taking-care-with-caregiving-robots/
[23] K. Johnson, “How to Stop Robots from Becoming Racist,” WIRED, Aug. 18, 2022. https://www.wired.com/story/how-to-stop-robots-becoming-racist/
[24] G. Cortellessa, R. De Benedictis, F. Fracasso, A. Orlandini, A. Umbrico, and A. Cesta, “AI and robotics to help older adults: Revisiting projects in search of lessons learned,” Paladyn, Jan. 01, 2021. https://www.degruyter.com/document/doi/10.1515/pjbr-2021-0025/html?lang=en
[25] E. Ackerman, “When Robots Enter the World, Who Is Responsible for Them?,” IEEE Spectrum, Sep. 20, 2023. https://spectrum.ieee.org/when-robots-enter-the-world-who-is-responsible-for-them