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Dementia – Assistive Technology Ethics — SCE Neurology MCQ

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ModerateNeurodegenerative DiseaseDementia – Assistive Technology EthicsSCE Neurology

A 60-year-old man with Alzheimer disease wanders from his care home and is found confused several miles away. His family ask about GPS tracking technology. What is the ethical framework for considering assistive technology that restricts a person's liberty in dementia?

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Correct answer: A — A best-interests assessment under the Mental Capacity Act should be conducted, considering the least restrictive option that maintains safety while respecting dignity and autonomy

The use of assistive technology (GPS trackers, door alarms, CCTV) for people with dementia who lack capacity to consent to these interventions must follow the Mental Capacity Act 2005 best-interests framework. The least restrictive option that achieves the safety goal should be chosen. A Deprivation of Liberty Safeguards (DoLS) assessment may be needed if the technology constitutes a deprivation of liberty. The person's wishes (past and present), values, and the views of family/carers must be considered. A: Technology can be appropriate when used within the legal framework. C: Court authorisation is not always required (DoLS process may suffice). D: Assessment is mandatory. E: Family views are considered but the decision must follow MCA principles.

Reference: Mental Capacity Act 2005; NICE NG97 Dementia; DoLS