Dementia Care: A Test Case for the Humanity of AI in Health and Nursing Care
摘要
This chapter explores the situation of people living with dementia as a test case to examine the possibilities for implementing AI in health and social care in a manner that fully respects the humanity of all involved. People living with dementia unfortunately already often experience dehumanising attitudes and (often inadvertently) dehumanising treatment. This means that examining the treatment and care of this particular group may alert us to issues that may be present for others but less visibly so. Moreover, there exists a body of work which attempts to counter dehumanising attitudes and treatment for this group which can be drawn upon in considering the use of AI, and there are many existing and proposed uses of AI for the care and treatment of those living or at risk of dementia. We consider the use of AI in dementia diagnosis, and also draw on ethnographic observations within hospital of the care of people living with dementia, from a team focused upon improving the quality and humanity of care and on understanding the patterns of dehumanisation found on the hospital ward. The hospital can be used as a ‘small society’ to examine institutional forces which affect the provision of care and to identify factors to consider when implementing AI in such a setting. Themes focused on include the observation of people using AI and data; control via AI; and the identification of tasks and goals, as well as the general themes of time and efficiency.