Ethical Tensions in the Use of Real-Time Location Systems in Dementia Care: Balancing Safety, Privacy, and Autonomy

With the increased use of technological supports in residential care homes, there is growing interest in the use of real-time location systems (RTLS) to enhance safety and streamline care. However, these technologies raise significant ethical concerns, particularly for vulnerable populations such as residents living with dementia. This paper critically examines the ethical tensions arising from RTLS implementation, focusing on autonomy, beneficence, non-maleficence, and justice. A feminist bioethics critique broadens the discussion, emphasizing relational autonomy and epistemic injustice. A composite case study illustrates the challenges faced by residents, staff, and families, revealing gaps in consent processes, data ethics, and the impact on compassionate care. Recommendations include continuous consent mechanisms, ethical data use policies, enhanced staff training, and strategies to counter epistemic injustice. By integrating principles from feminist bioethics, this paper offers a comprehensive framework for ethically integrating RTLS into dementia care, balancing technological innovation with human dignity and compassionate care.