A/HRC/36/48
machine learning, there is a risk that the system could adopt the attitude of abusive
caregivers, either through imitation or manipulation in the learning phase. 20 Technologies
need to be able to recognize abuse, effectively intervene to avoid additional harm and make
sure not to duplicate abusive behaviour.
10.
Safety and physical integrity
85.
Ambient-assisted technology and alarms are widely seen as helping to avoid
unintentional bodily harm. Mobility monitoring, voice response, fire and flood detection,
wandering detection and prevention, automatic locking/unlocking of doors and switching
off of devices can prevent falls and other hazards, ensure intervention in a case of
emergency and make an older person feel more secure.
86.
While harm prevention is one of the fields of application of assistive and robotics
technology, such technology also raises some safety concerns. Robots operate side by side
with humans in an environment that is usually not well defined, such as the home, and are
used by non-specialists, who may in addition have declining abilities or cognitive
impairments. Malfunctioning technology can also constitute a hazard for older persons.
Damage caused by assistive devices or robots can usually be attributed either to a machine
defect or to faulty usage. With progress in machine learning, the risks of that technology are
hard to predict. Another potential source of harm are cyberattacks, which could have an
impact on the system and indirectly cause harm. Safety regulations and premarket
assessments need to take account of these specificities to ensure older persons’ physical
integrity.
IV. Conclusions and recommendations
87.
A worldwide aging population will increase the demand for assistive technology
and robots in the care of older persons, as they may perform tasks that human beings
cannot do, do not wish to do, or cannot do as well or as efficiently. This trend will
particularly affect home care in line with the wish of older persons to stay in the home
for as long as possible.
88.
Whereas most assistive technology and many of the currently deployed robots
represent automatic systems that act according to a preprogrammed script, emerging
technology operates with far greater levels of autonomy, ranging from systems that
remain supervised by a human to fully autonomous robots enabled through artificial
intelligence, which determine independently and dynamically if, when and how to
execute a task.
89.
The use of assistive technology and robots has great potential to increase the
ability of older persons to live independently and autonomously, and to fully exercise
their human rights on an equal basis with others. Effectively designed robots could
help meet the increasing demand for care in a safer and more responsible, sustainable
manner by reducing the prevalence of elder abuse and violence against older persons.
There may be a preference for robots over humans in home care, 21 not only because of
their greater physical capacity, but also for their potential to provide emotional care
and support.22 Even if interactions with robots, for instance social companion robots,
might be beneficial for the physical and emotional well-being of older persons, the
extent to which they may replace reduced or missing interactions with humans, and
any potential risks in this regard, should be thoroughly assessed. As robots will carry
20
21
22
16
Tay for instance was as an artificial intelligence chatbot, which soon after its release on Twitter in
March 2016 began to post inflammatory and offensive tweets through its Twitter account,
https://arstechnica.co.uk/information-technology/2016/03/tay-nazi-millennial-chatbot/.
Jason Maderer, “How would you like your assistant — human or robotic?”, 29 April 2013. Available
from www.news.gatech.edu/2013/04/29/how-would-you-your-assistant-human-or-robotic.
Barbara Peters Smith, “Robots and more: technology and the future of elder care”, 27 May 2013.
Available from www.heraldtribune.com/news/20130527/robots-and-more-technology-and-the-futureof-elder-care. See, e.g., PARO the therapeutic robot (www.parorobots.com).
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