“Smart Homes” for Patients at the End of Life
Open accessAbstract
Smart homes are residential settings equipped with sensors and other devices that enable the monitoring of residents, aiming to improve residents' quality of life and support their independence. Numerous initiatives worldwide have been developed to explore the use of motion sensors, radio frequency sensors, video cameras, wearable devices, and other applications that target older adults. As people approach the end of their lives, such settings may have the potential to support quality of life. This article presents existing smart home applications and discusses their potential for home hospice patients and their families. The concept of obtrusiveness of home technologies is reviewed and ethical considerations are discussed, such as a potential over-reliance on automation, the “medicalization” of the home environment (which may turn the residential setting into a “de-facto intensive care unit”), issues of privacy and security, and the challenge of informed consent for residents.
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The introduction of H-IoT may cause a gradual loss of personal privacy, particularly among smart home systems.
“The introduction of H-IoT may cause a gradual loss of personal privacy (Steele et al. 2009), particularly among smart home systems (Coughlin et al. 2007;Demiris 2009;Dorsten et al. 2009).”
From Ethics of the health-related internet of things: a narrative review (2017) · cites this paper as Demiris 2009
The perceived obtrusiveness and visibility of H-IoT devices affects user acceptance and long-term use.
“The perceived obtrusiveness and visibility of H-IoT devices affects user acceptance and long-term use (Demiris 2009;Demiris and Hensel 2009;De Bleser et al. 2011;Townsend et al. 2011).”
From Ethics of the health-related internet of things: a narrative review (2017) · cites this paper as Demiris and Hensel 2009
The perceived obtrusiveness and visibility of H-IoT devices affects user acceptance and long-term use.
“The perceived obtrusiveness and visibility of H-IoT devices affects user acceptance and long-term use (Demiris 2009;Demiris and Hensel 2009;De Bleser et al. 2011;Townsend et al. 2011).”
From Ethics of the health-related internet of things: a narrative review (2017) · cites this paper as Demiris 2009
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- Authors
- Demiris, G., & Hensel, B.
- Affiliations
- University of Washington (US)
- University of Missouri (US)
- ORCID
- Demiris, George
- Venue
- Journal of Housing For the Elderly
- Publisher
- Informa UK Limited
- Published
- 2009-02-20
- Volume
- 23
- Issue
- 1-2
- Pages
- 106-115
- ISSN
- 0276-3893 (ISSN-L)
- 1540-353X
- OpenAlex
- W2026006596
- Cited by
- 80
- References
- 23
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 15 · 2019: 4 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 2
- FWCI
- 8.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Housing for the Elderly (publishedVersion)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- home automation, end-of-life care, home hospice care, older adults, home monitoring, motion sensors, wearable devices, privacy and security, informed consent, quality of life, family caregivers
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