The recent boom of large language models (LLMs) has re-ignited the hope that artificial intelligence (AI) systems could aid medical diagnosis. Yet despite dazzling benchmark scores, LLM assistants have yet to deliver measurable improvements at the bedside. This scoping review aims to highlight the areas where AI is limited to make practical contributions in the clinical setting, specifically in dementia diagnosis and care. Standalone machine-learning models excel at pattern recognition but seldom provide actionable, interpretable guidance, eroding clinician trust. Adjacent use of LLMs by physicians did not result in better diagnostic accuracy or speed. Key limitations trace to the data-driven paradigm: black-box outputs which lack transparency, vulnerability to hallucinations, and weak causal reasoning. Hybrid approaches that combine statistical learning with expert rule-based knowledge, and involve clinicians throughout the process help bring back interpretability. They also fit better with existing clinical workflows, as seen in examples like PEIRS and ATHENA-CDS. Future decision-support should prioritise explanatory coherence by linking predictions to clinically meaningful causes. This can be done through neuro-symbolic or hybrid AI that combines the language ability of LLMs with human causal expertise. AI researchers have addressed this direction, with explainable AI and neuro-symbolic AI being the next logical steps in further advancement in AI. However, they are still based on data-driven knowledge integration instead of human-in-the-loop approaches. Future research should measure success not only by accuracy but by improvements in clinician understanding, workflow fit, and patient outcomes. A better understanding of what helps improve human-computer interactions is greatly needed for AI systems to become part of clinical practice.

As social robots increasingly enter dementia care, concerns about deception, intentional or not, are gaining attention. Yet, how robotic design cues might elicit misleading perceptions in people with dementia, and how these perceptions arise, remains insufficiently understood. In this scoping review, we examined 26 empirical studies on interactions between people with dementia and physical social robots. We identify four key design cue categories that may influence deceptive impressions: cues resembling physiological signs (e.g., simulated breathing), social intentions (e.g., playful movement), familiar beings (e.g., animal-like form and sound), and, to a lesser extent, cues that reveal artificiality. Thematic analysis of user responses reveals that people with dementia often attribute biological, social, and mental capacities to robots, dynamically shifting between awareness and illusion. These findings underscore the fluctuating nature of ontological perception in dementia contexts. Existing definitions of robotic deception often rest on philosophical or behaviorist premises, but rarely engage with the cognitive mechanisms involved. We propose an empirically grounded definition: robotic deception occurs when Type 1 (automatic, heuristic) processing dominates over Type 2 (deliberative, analytic) reasoning, leading to misinterpretation of a robot's artificial nature. This dual-process perspective highlights the ethical complexity of social robots in dementia care and calls for design approaches that are not only engaging, but also epistemically respectful.

Mild-stage dementia patients primarily experience two critical symptoms: severe memory loss and emotional instability. To address these challenges, we propose DEMENTIA-PLAN, an innovative retrieval-augmented generation framework that leverages large language models to enhance conversational support. Our model employs a multiple knowledge graph architecture, integrating various dimensional knowledge representations including daily routine graphs and life memory graphs. Through this multi-graph architecture, DEMENTIA-PLAN comprehensively addresses both immediate care needs and facilitates deeper emotional resonance through personal memories, helping stabilize patient mood while providing reliable memory support. Our notable innovation is the self-reflection planning agent, which systematically coordinates knowledge retrieval and semantic integration across multiple knowledge graphs, while scoring retrieved content from daily routine and life memory graphs to dynamically adjust their retrieval weights for optimized response generation. DEMENTIA-PLAN represents a significant advancement in the clinical application of large language models for dementia care, bridging the gap between AI tools and caregivers interventions.

This study explores a novel approach to advancing dementia care by integrating socially assistive robotics, reinforcement learning (RL), large language models (LLMs), and clinical domain expertise within a simulated environment. This integration addresses the critical challenge of limited experimental data in socially assistive robotics for dementia care, providing a dynamic simulation environment that realistically models interactions between persons living with dementia (PLWDs) and robotic caregivers. The proposed framework introduces a probabilistic model to represent the cognitive and emotional states of PLWDs, combined with an LLM-based behavior simulation to emulate their responses. We further develop and train an adaptive RL system enabling humanoid robots, such as Pepper, to deliver context-aware and personalized interactions and assistance based on PLWDs' cognitive and emotional states. The framework also generalizes to computer-based agents, highlighting its versatility. Results demonstrate that the RL system, enhanced by LLMs, effectively interprets and responds to the complex needs of PLWDs, providing tailored caregiving strategies. This research contributes to human-computer and human-robot interaction by offering a customizable AI-driven caregiving platform, advancing understanding of dementia-related challenges, and fostering collaborative innovation in assistive technologies. The proposed approach has the potential to enhance the independence and quality of life for PLWDs while alleviating caregiver burden, underscoring the transformative role of interaction-focused AI systems in dementia care.

In addition, while it is dementia, there is need for professional caregivers. Assistive robots in the interests of the care-giver to ensure that the cared-for is given have been proposed as a solution to this, as they can assist people sufficient care (such as ensuring hygiene is maintained, and that both physically and socially. However, caregivers often need to use cared-for are safe) delusions from cognitive decline may conflict acts of deception (such as misdirection or white lies) in order to with these needs and cause distress. These equally would lead to ensure necessary care is provided while limiting negative impacts care-givers potentially using techniques that are in some way acts on the cared-for such as emotional distress or loss of dignity.

Current ethical debates on the use of artificial intelligence (AI) in health care treat AI as a product of technology in three ways: First, by assessing risks and potential benefits of currently developed AI-enabled products with ethical checklists; second, by proposing ex ante lists of ethical values seen as relevant for the design and development of assisting technology, and third, by promoting AI technology to use moral reasoning as part of the automation process. Subsequently, we propose a fourth approach to AI, namely as a methodological tool to assist ethical reflection. We provide a concept of an AI-simulation informed by three separate elements: 1) stochastic human behavior models based on behavioral data for simulating realistic settings, 2) qualitative empirical data on value statements regarding internal policy, and 3) visualization components that aid in understanding the impact of changes in these variables. The potential of this approach is to inform an interdisciplinary field about anticipated ethical challenges or ethical trade-offs in concrete settings and, hence, to spark a re-evaluation of design and implementation plans. This may be particularly useful for applications that deal with extremely complex values and behavior or with limitations on the communication resources of affected persons (e.g., persons with dementia care or for care of persons with cognitive impairment). Simulation does not replace ethical reflection but does allow for detailed, context-sensitive analysis during the design process and prior to implementation. Finally, we discuss the inherently quantitative methods of analysis afforded by stochastic simulations as well as the potential for ethical discussions and how simulations with AI can improve traditional forms of thought experiments and future-oriented technology assessment.

Dementia and other related diseases are becoming increasingly diagnosed and are placing a serious strain on the healthcare system. Robotic technology research is currently underway to provide the much needed support to patients, caregivers, and health providers. This includes examining the ethical implications of robots use in healthcare. This scoping review explores the current state of the literature regarding robotics and dementia with a special lens on ethics. More specifically, this paper strives to gain an understanding of the current ethical considerations, and propose an intervention for evaluating ethical considerations prior to implementation.

A study finds that artificial intelligence for dementia diagnosis is as accurate as medical professionals with expertise in treating neurologic illnesses. More individuals are surviving into old age globally thanks to improvements in public health over the last several decades. Dementia, notably Alzheimer's disease, and other conditions that are often linked to aging are as a result seeing a major rise. This might impede the ability to provide prompt treatment to individuals in need, especially in light of a predicted physician shortage in the next decades. According to a recent study by researchers at the Boston University School of Medicine (BUSM), computational techniques (artificial intelligence/AI) may be able to help alleviate some of the challenges associated with delivering dementia care to an aging population.

Background: The dementia epidemic is progressing fast. As the world's older population keeps skyrocketing, the traditional incompetent, time-consuming, and laborious interventions are becoming increasingly insufficient to address dementia patients' health care needs. This is particularly true amid COVID-19. Instead, efficient, cost-effective, and technology-based strategies, such as sixth-generation communication solutions (6G) and artificial intelligence (AI)-empowered health solutions, might be the key to successfully managing the dementia epidemic until a cure becomes available. However, while 6G and AI technologies hold great promise, no research has examined how 6G and AI applications can effectively and efficiently address dementia patients' health care needs and improve their quality of life.

Mindset takes people through three "fun" cognitive tasks with the aim of creating a significant dementia database and one day screen for the syndrome. A group of UK medical students have released medical app Mindset which hopes to become the "world's largest dementia AI initiative". The brain syndrome – which can cause memory loss and changes in behaviour – is a significant and growing problem, particularly for people over the age of 65. It is thought that around 62% of individuals suffering from dementia are undiagnosed. By 2050, the number of people who suffer from the condition is expected to triple, mostly because of an aging population.