scholarly journals Aligning Patient’s Ideas of a Good Life with Medically Indicated Therapies in Geriatric Rehabilitation Using Smart Sensors

Sensors ◽  
2021 ◽  
Vol 21 (24) ◽  
pp. 8479
Author(s):  
Cristian Timmermann ◽  
Frank Ursin ◽  
Christopher Predel ◽  
Florian Steger

New technologies such as smart sensors improve rehabilitation processes and thereby increase older adults’ capabilities to participate in social life, leading to direct physical and mental health benefits. Wearable smart sensors for home use have the additional advantage of monitoring day-to-day activities and thereby identifying rehabilitation progress and needs. However, identifying and selecting rehabilitation priorities is ethically challenging because physicians, therapists, and caregivers may impose their own personal values leading to paternalism. Therefore, we develop a discussion template consisting of a series of adaptable questions for the patient–physician encounter based on the capability approach. The goal is to improve geriatric rehabilitation and thereby increase participation in social life and well-being. To achieve this goal, we first analyzed what is considered important for participation on basis of the capability approach, human rights, and ethics of care. Second, we conducted an ethical analysis of each of the four identified dimensions of participation: political, economic, socio-cultural, and care. To improve compliance with rehabilitation measures, health professionals must align rehabilitation measures in an open dialogue with the patient’s aspiration for participation in each dimension. A discussion template based on the capability approach allows for a proactive approach in patient information and stimulates a critical assessment of treatment alternatives while reducing the risk of imposing personal values.

Author(s):  
Flavio Comim

AbstractThe paper introduces a poset-generalizability perspective for analysing human development indicators. It suggests a new method for identifying admissibility of different informational spaces and criteria in human development analysis. From its inception, the Capability Approach has argued for informational pluralism in normative evaluations. But in practice, it has turned its back to other (non-capability) informational spaces for being imperfect, biased or incomplete and providing a mere evidential role in normative evaluations. This paper offers the construction of a proper method to overcome this shortcoming. It combines tools from poset analysis and generalizability theory to put forward a systematic categorization of cases with different informational spaces. It provides illustrations by using key informational spaces, namely, resources, rights, subjective well-being and capabilities. The offered method is simpler and more concrete than mere human development guidelines and at the same time it avoids results based on automatic calculations. The paper concludes with implications for human development policies and an agenda for further work.


2018 ◽  
Vol 10 (7) ◽  
pp. 2485 ◽  
Author(s):  
Rafaela Hillerbrand

This paper reflects on criticisms raised in the literature on the UN’s Sustainable Development Goals (SDGs). These have been criticized as creating a dichotomy between the environment and human beings that fails to address the multiple interconnections between the two. This paper focuses on SDG7—“affordable and clean energy”—and suggests that there is in fact a tripartite distinction between the environment, human beings and technology underlying the SDGs. This distinction, we argue, does not adequately represent the multiple interconnections among the various SDGs and hampers their implementation. We contend that the formulation of SDG7 produces a circular definition of sustainability, a difficulty that is currently resolved at the level of the targets and indicators in a way that regards energy technologies primarily as artifacts. By contrast, the literature on ethical aspects of energy systems largely agrees that energy is a paradigmatic example of a sociotechnical system. We contend that, by not considering this sociotechnical nature, the SDGs run the risk of implicitly defending a certain variant of technological optimism and determinism. We argue that this is disadvantageous to the environment, human well-being and technological development. In line with recent critical evaluations of the SDGs, we argue that these (and other) shortcomings can be addressed by better connecting the SDGs to human well-being. Building on recent literature that expands the scope of the Capability Approach as an alternative measure of well-being so as to include considerations of sustainability, we articulate a framework that allows us to elucidate this connection and thus to take advantage of synergies between human well-being and the environment. On the basis of the Capability Approach, we argue that equating sustainable energy with renewable energy—as is done in the transition from SDG7’s goal to its targets—is indefensible because, as part of the overarching energy systems, energy technologies cannot be classified as simply right or wrong. Rather, the indicators and targets within a framework focused on sustainability need to be (more) context sensitive, meaning that, among other things, they may vary by country and with the available technology.


2006 ◽  
Vol 59 ◽  
pp. 83-110 ◽  
Author(s):  
Mozaffar Qizilbash

Philosophical accounts of human well-being face a number of significant challenges. In this paper, I shall be primarily concerned with one of these. It relates to the possibility, noted by Martha Nussbaum and Amartya Sen amongst others, that people’s desires and attitudes are malleable and can ‘adapt’ in various ways to the straitened circumstances in which they live. If attitudes or desires adapt in this way it can be argued that the relevant desires or attitudes fail to provide a reliable basis for evaluating well-being. This is, what I shall call the ‘adaptation problem’. Nussbaum and Sen have—in different ways used this argument to motivate their versions of the ‘capability approach’. However, questions remain about the implications of adaptation for philosophical accounts of well-being.


2021 ◽  
pp. 61-78
Author(s):  
Icy Fresno Anabo ◽  
Iciar Elexpuru-Albizuri ◽  
Lourdes Villardón-Gallego

Author(s):  
Mario Biggeri ◽  
Jose Antonio Cuesta

Abstract Multidimensional child poverty (MDCP) and well-being measures are increasingly developed in the literature. Much more effort has gone to highlight the differences across measurement approaches than to stress the multiple conceptual and practical similarities across measures. We propose a new framework, the Integrated Framework for Child Poverty—IFCP––that combines three main conceptual approaches, the Capability Approach, Human Rights, and Basic Needs into an integrated bio-ecological framework. This integrated approach aims to bring more clarity about the concept and dynamics of multidimensional poverty and well-being and to disentangle causes from effects, outcomes from opportunities, dynamic from static elements, and observed from assumed behaviours. Moreover, the IFCP explains the MDCP dynamics that link the resources (goods and services), to child capabilities (opportunities) and achieved functionings (outcomes), and describes how these are mediated by the individual, social and environmental conversion factors as specified in the capability approach. Access to safe water is taken as a conceptual illustrative case, while the extended measurement of child poverty and well-being among Egyptian children ages 0 to 5 as an empirical example using IFCP. The proposed framework marks a step forward in understanding child poverty and well-being multidimensional linkages and suggesting desirable features and data requirements of MDCP and well-being measures.


2018 ◽  
Vol 29 (3) ◽  
pp. 328-345 ◽  
Author(s):  
Farah Naz ◽  
Dieter Bögenhold

Disenchantment with traditional income-based measures of well-being has led to the search for alternative measures. Two major alternative measures of well-being come from subjective well-being research and the objective capability approach. The capability approach has been largely discussed in the context of development studies and economics and is mainly used within quantitative frameworks, but it also raises many questions that are worthy of discussion from a sociological perspective as well. This study opts for a qualitative approach to transpose capability approach in order to assess the well-being of female homeworkers in the football industry of Pakistan. The aim of this empirical research is to focus on the capabilities of homeworkers in accessing economic, individual, social and psychological aspects of well-being.


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