Ethics of monitoring

Open your materials, follow the steps, then turn in your work.

Debate whether wearables and continuous monitoring help or harm patients, and defend your view.

2. Start the work

Read the prompt: Does constant health monitoring make us healthier or more anxious?

Show all 5 required steps
  1. Read the prompt: Does constant health monitoring make us healthier or more anxious?
  2. List one benefit and one harm of continuous wearable monitoring.
  3. Choose a side and connect it to patient autonomy.
  4. Argue your claim in your group with one reason and one example.
  5. Post a written CER with your position and reasoning.

Lost your place? Lost your place? You are building a written CER. Check that you have one benefit and one harm listed (step 2), that you picked a side and tied it to patient autonomy (step 3), then write your position with one reason and one example and post it (step 5).

Check your work before submitting

  • I can weigh benefits and harms of health monitoring.
  • I can defend a position with reasoning.

3. Turn in your work

DueCheck Schoology
Hand in
Written CER (3-5 sentences) arguing whether continuous wearable monitoring helps or harms patients, with a reference to patient autonomy in the reasoning.
How to submit and name your file

Post your CER to the discussion board or hand in the written copy before leaving.

In Schoology, open your course and the assignment for this lesson. Attach your file, select Submit, and check that it appears in the submission.

PDF upload help

You get two school days for every day you were absent, so this deadline moves with you.

Find this lesson's Schoology assignments

These are existing assignments for your section. Follow the directions in the assignment you are working on; this list does not add new work. Check Schoology for each deadline.

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How this lesson connects

Keep using what you learned last class: Should terminally ill patients be offered medical aid in dying in order to decrease antibiotic use? Today: Continuous monitoring produces more data, but that data improves health only when someone interprets and acts on it correctly, so the benefit depends on interpretation, not on the amount of data collected.

Print or open for todayActivity 2.1.5 Telehealth

Check you have the right sheet: the top of it prints today's portal day, Ethics of monitoring. The PLTW activity itself is in myPLTW and is not posted here.

Unit 4 extra creditNine items open when we finish Unit 2. Read the cover sheet now so you know what is coming.Cover sheet (6 pages)See all nine
Optional: listen or watch a unit review
Optional unit study notebook
Bloodwork and reference ranges: what lab panels measure and how they flag chronic disease.
Open the notebook
Optional review video
Audio overviewVideo overviewMind mapStudy guideFlashcardsQuizData table
Need help? Warm-up, timing, and directions

💡 Big idea: Continuous monitoring produces more data, but that data improves health only when someone interprets and acts on it correctly, so the benefit depends on interpretation, not on the amount of data collected.

  1. 0:00Hook: show a real smartwatch alert that turned out to be a false alarm vs. one that caught a real arrhythmia
  2. 0:10Introduce patient autonomy concept; contrast with beneficence (what the doctor thinks is best)
  3. 0:20Read the ethics prompt; list one benefit and one harm of continuous monitoring
  4. 0:32Small-group debate: connect position to patient autonomy
  5. 0:54Individual CER writing: position, evidence, reasoning
  6. 1:10Share two CERs; preview Tuesday bloodwork content
Mr. Mendoza's 5-minute intro
  • Smartwatches can now detect atrial fibrillation, track blood oxygen, and estimate sleep quality. Does that make people healthier? Or does it make them obsess over numbers that do not actually mean much?
  • This is the ethics of data. The technology exists. The question is whether using it improves patient outcomes or whether it creates anxiety, drives unnecessary medical visits, and shifts decision-making from doctors to algorithms.
  • Patient autonomy means you have the right to choose whether you are monitored. But does a patient who opts out of monitoring get worse care? That is where the tension is.
  • Pick a side and defend it. Wednesday we will work with actual longitudinal data and see what trends look like over time.
Know by the end
  • Patient autonomy is the right of a competent individual to make informed decisions about their own healthcare, including the decision to be monitored or not.
  • Wearable data can detect early warning signs, improve chronic disease management, and reduce emergency visits, but it can also generate false alarms and increase health anxiety.
  • Data from wearables is self-reported or algorithmically interpreted, which introduces accuracy limitations not present in clinically validated instruments.

PLTW connection and today's work

In myPLTW, open Lesson 2.1 Talk to Your Doc and go to Activity 2.1.5 Telehealth. Read the whole activity before you pick a side in today's debate.

Today's stopping point: You finished the vital-signs work on Tuesday. Today starts the clinical-data half of Lesson 2.1 Talk to Your Doc with Activity 2.1.5 Telehealth. Read it and take a position by the end of today.

PLTW activity titles identify the course connection. If your account will not open, use the posted materials for today and tell Mr. Mendoza. Do not mark an online activity complete unless you completed it.

Course connection

  • Activity 2.1.5 Telehealth
Open Activity 2.1.5 Telehealth in myPLTW

Use the turn-in directions at the top of this page. Do not create a second submission unless your teacher asks for one.

Show another explanation or a smaller first step

Need help? Choose a starting point

Need a running start
Warm up by listing two ways a doctor could use daily heart-rate data, and two ways a person might feel if their watch buzzed every hour, so you have raw material for both sides of the debate.
On track
Take a clear side on whether constant monitoring helps or harms, back it with one benefit and one harm, and connect your position to a patient's right to choose being monitored.
Stuck? Get unstuck
If you are catching up, write a short CER answering only this: does constant monitoring make people healthier or more anxious? Give one reason and one real example (a smartwatch alert, a diabetic's glucose monitor).
Push me further
Argue the harder middle position: monitoring helps some patients and harms others. Name what makes the difference (the condition, whether a clinician reviews the data, the patient's anxiety level) instead of picking a simple yes or no.
Lesson resources: reading, slides, and vocabulary
Socratic teaching slide deck

The deck carries the prior idea forward, lets you inspect an analogy, maps the rule to biology, and ends with the same evidence decision and exit ticket used on this page.

Generated from this lesson's canonical data with a red-team citation check.

Carry forward

Should terminally ill patients be offered medical aid in dying in order to decrease use?

Daily take-home

Continuous monitoring produces more data, but that data improves health only when someone interprets and acts on it correctly, so the benefit depends on interpretation, not on the amount of data collected.

Inspect the analogy

A review board sorts scientific evidence, stakeholder needs, possible benefits, possible burdens, and uncertainty before choosing a policy.

  1. Which statements are scientific evidence?
  2. Which statements express a value or priority?
  3. Who receives the benefit and who carries the burden?
Rule

Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.

Where it breaks

A review-board model organizes reasoning but does not make one ethical principle automatically outweigh every other principle.

Map the analogy to biology
  • Evidence cards map to source-backed findings.
  • Stakeholder cards map to affected people and priorities.
  • The recommendation maps to an explicit tradeoff with a named uncertainty.
Read this first

Driving question: If a smartwatch pings you at 2 a.m. saying your heart rhythm looks off, has it saved your life or robbed you of sleep, and who gets to decide whether you keep wearing it?

What you already know: Should terminally ill patients be offered medical aid in dying in order to decrease use?

New idea: Continuous monitoring produces more data, but that data improves health only when someone interprets and acts on it correctly, so the benefit depends on interpretation, not on the amount of data collected.

Visual or model: F1. F1. A lesson illustration or teaching diagram for Ethics of monitoring. Use it with E1-E3; it is a model or context image, not experimental or patient data. What to notice: Trace the labeled observation or evidence sequence before choosing an explanation.

  1. Observe or measure the relevant feature in ethics of monitoring.
  2. Organize the observation with a stable evidence ID.
  3. Apply this rule: Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.
  4. Choose the option the evidence supports and state the limit of the conclusion.

Real biomedical example: If a smartwatch pings you at 2 a.m. saying your heart rhythm looks off, has it saved your life or robbed you of sleep, and who gets to decide whether you keep wearing it?

What the evidence supports: E1-E3 and F1 support the daily take-home when the response meets the stated success criteria.

What it cannot prove: The package does not support claims beyond this lesson's or any real patient diagnosis.

Vocabulary:
  • : The amount of sugar dissolved in the blood, the body's main fuel, normally about 70 to 99 mg/dL when fasting and tightly controlled by .
  • : A waxy, fat-like substance that the body uses to build cell membranes and make hormones, but too much in the blood can clog arteries.
  • : Anything that raises a person's chance of developing a disease, such as smoking, family history, or high , without guaranteeing it.
  • telehealth: Delivering healthcare remotely using video calls, phone, or digital tools so patients and providers can connect without being in the same place.
  • wearable: A small electronic device worn on the body that continuously senses and records health data such as heart rate, steps, or oxygen level.
  • monitoring: The ongoing measurement of a patient's vital signs or condition over time to track changes and catch problems early.
  • : The span of values for a lab test or measurement seen in healthy people, used as a reference to flag results that may signal a problem.

Use it now: Choose one decision option. Cite E1 and E3, then explain how the rule connects the evidence to your choice.

Go further, optional: The source links below are optional enrichment. Every fact required for today's local evidence decision appears in this lesson package.

Evidence set and decision
E1 · Source fact

A defensible biomedical decision separates scientific evidence from value judgments, identifies who may benefit or be burdened, and states the uncertainty and tradeoffs that remain.

Limit: Scientific evidence can inform the options and likely consequences, but it cannot choose a single value-neutral answer.

E2 · Teaching model

Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.

Limit: A review-board model organizes reasoning but does not make one ethical principle automatically outweigh every other principle.

E3 · Task criterion

You can weigh benefits and harms of health monitoring.

Limit: E3 defines the classroom product or success criterion. It is not independent scientific evidence and cannot justify a clinical or causal claim.

PLTW-PBT-2026-10-16 · Simulated classroom evidence scenario

Your role: biomedical investigator

Decision: Your team must decide what the evidence from ethics of monitoring supports before submitting the claim-evidence-reasoning response named on today's page.

  • Conclude the classmate has a disease, because 104 sits outside the while 96 stays inside it.
  • Hold the comparison until we know the lab's measurement error for glucose, since 8 mg/dL may sit inside it.
  • Flag the 104 as above the , then repeat the test, because ranges catch disease early.

Response: State one choice, cite at least two evidence IDs, explain the rule that connects them, and add one limitation. Submit it as the claim-evidence-reasoning response.

Claim ceiling: Today's evidence supports a classroom claim about ethics of monitoring. It cannot prove causation, diagnose a real patient, or justify action outside this room.

Composite case file · PLTW-PBT-2026-10-16

Reason for review: Your team must decide what the evidence from ethics of monitoring supports before submitting the claim-evidence-reasoning response named on today's page.

Context: More data is not the same as better care; data only helps when someone interprets it correctly and acts on it, and the patient always has the right to decide whether to be monitored at all.

Timeline:
  • T1: Read the prompt: Does constant health monitoring make us healthier or more anxious?
  • T2: List one benefit and one harm of continuous wearable monitoring.
  • T3: Choose a side and connect it to patient autonomy.
  • T4: Argue your claim in your group with one reason and one example.
  • T5: Post a written CER with your position and reasoning.
Evidence records:
  • E1: A defensible biomedical decision separates scientific evidence from value judgments, identifies who may benefit or be burdened, and states the uncertainty and tradeoffs that remain.
  • E2: Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.
  • E3: You can weigh benefits and harms of health monitoring.

Measurements: Use only the measurements, units, graph, or counts supplied in today's task. No additional patient measurement is implied.

Figure finding: Teaching diagram for Ethics of monitoring. Trace the labeled observation or evidence sequence before choosing an explanation. This is a teaching model, not patient or experimental data.

Uncertainty: This is a composite classroom scenario. Missing history, measurements, or confirmation tests remain unknown and limit the conclusion.

Math moment
Formula or setup

Mean = sum of values / number of values. Median = middle ordered value. Range = maximum - minimum.

Worked parallel example

For 2, 4, 4, and 10: mean = 20 / 4 = 5, median = 4, and range = 10 - 2 = 8.

Units and reasonableness

Mean, median, and range keep the measurement unit. Order the values before finding the median.

Try it with today's data

Calculate the requested summary for today's supplied values, then write what it reveals and what it hides.

Watch the trap

Students often think Students assume that because a wearable produces a number, that number is as trustworthy as a hospital lab test.. The trap: Wearable data is estimated by an algorithm from sensors on your skin, not measured in a validated lab, so it can be wrong; treating a watch reading as clinical truth can lead to false alarms or false comfort.

Worked example · a parallel case (guides, does not reveal)
Worked CER on a parallel case
Completes: A short written argument taking a side on whether a home blood glucose monitor that automatically shares readings with a care team helps or harms patients, with the reasoning grounded in informed consent and data privacy.

Claim: A home blood glucose monitor that automatically uploads readings to a patient's care team helps patients more than it harms them, but only when the patient gives informed consent to that data sharing.\n\nEvidence: Automatic uploading lets a nurse or doctor spot dangerous highs and lows between visits and adjust insulin sooner, which can prevent emergencies for people with diabetes. The same feature also sends a stream of personal health data outside the home, where it could be seen by more people than the patient expects or used in ways the patient never agreed to.\n\nReasoning: The deciding factor is informed consent, which means the patient understands what data is collected, who can see it, and how it will be used before agreeing to share it. If the patient knows those terms and still chooses to share, the benefit of faster medical response outweighs the loss of some privacy. A limitation is that uploaded readings are only numbers without context, so a sudden low value could reflect a device error rather than a real emergency. Because of this, the care team should confirm an unusual reading with the patient before changing treatment.

Why this matters

This model shows the level of evidence and organization needed to complete: A short written argument taking a side on whether a home blood glucose monitor that automatically shares readings with a care team helps or harms patients, with the reasoning grounded in informed consent and data privacy.

Build yours step by step
  1. Write one defensible claim.
  2. Choose specific evidence that supports the claim.
  3. Explain the scientific rule that connects the evidence to the claim.
Change it for a new task

Keep the structure. Replace the question, facts, measurements, and evidence. Then recheck units, vocabulary, and whether the conclusion goes beyond the evidence.

Also due today: Post the CER to Schoology discussion or hand in the written copy before leaving.

See the full worked example
Portal terms
CER:
Claim, Evidence, Reasoning: make a claim, back it with evidence, explain your reasoning.
SOP:
Standard Operating Procedure, the exact steps to follow (especially in a lab).
Tracker:
Your PLTW progress log where you record completed evidence.
myPLTW:
The PLTW course site where you do the online activities. Find it in Clever with your Microsoft sign-in, right next to Schoology.
This unit's vocabulary

Tap the speaker to hear a term. Add two of these to your notebook glossary with a definition and an example in your own words.

Build your vocabulary · optional, for extra credit

Pick just 2 or 3 words from today and make them yours: write what each one means in your own words, name the context clue or evidence that helped, then give one example from what you actually did in Ethics of monitoring. Try your own words first; the glossary is there if you get stuck. This is voluntary and counts as extra credit, so keep it short.

blood glucose
cholesterol
risk factor
telehealth
wearable
monitoring

Saved on this device. Show Mr. Mendoza or add these to your notebook glossary to claim the extra credit.

Resources & readings

Hand-picked readings and interactives for this lesson, from authoritative open organizations and PLTW's own public course outline.

Practice: try a question, then check your answer

Claim ceiling for this check: Today's evidence supports a classroom claim about ethics of monitoring. It cannot prove causation, diagnose a real patient, or justify action outside this room.

Quick self-check · commit, then reveal

A smartwatch says your resting heart rhythm looks abnormal, but your doctor's EKG comes back completely normal. Why might the watch and the EKG disagree?

How sure are you?

Write an answer and pick a confidence to unlock the key.

Cumulative WebXam review · flash practice

Fast retrieval with instant answers, not the commit-then-reveal check above. Try each from memory first: write what you remember about the earlier units, then check yourself here.

Tap an answer to check it · nothing is recorded or graded
[Review: Master the Morgue: body systems, tissues, and toxicology evidence] Before handling a specimen under the microscope, which practice best maintains a contamination-free workspace?
[Review: Open Investigation: building the evidence board and the report] A company finds a drug lowers cholesterol. What must they do before selling it?
[Review: Talk to Your Doc: clinical communication and vital signs] What is the purpose of an experiment measuring blood glucose after a drug or a placebo?
In the blood glucose drug-versus-placebo experiment, what is the dependent variable?
Missed class or ready for more?
Where this leads: careers
What to do if you were absent
Today was a debate: do this instead

Watch the recorded monitoring-ethics prompt and post a written CER on whether continuous wearable monitoring helps or harms patients.

John Carroll Philosophy for Children

Post your CER to the discussion board or hand in the written copy before leaving.

If MR. MENDOZA is absent

Class still runs. Complete the online activity above (it's self-guided). Need the concept taught without a teacher? Use this authoritative explainer:

MedlinePlus: Laboratory Tests
How this is graded
For: CER: Written CER (3-5 sentences) arguing whether continuous wearable monitoring helps or harms patients, with a reference to patient autonomy in the reasoning.
  • Complete
    Every required part of the artifact is present, nothing left blank.
  • Accurate
    The science and the data are correct and match the evidence.
  • Scientific reasoning
    You explain your claim with evidence and reasoning (CER), not just an answer.
  • Professional communication
    Clear, organized, labeled, and written the way a clinician or scientist would.
  • Submitted
    Go to Schoology to turn this in. Submit one PDF. Put your first and last name in the document header. Name the file: FirstName LastName - Assignment Title - YYYY-MM-DD.pdf. If you cannot get in, see Mr. Mendoza. Do not skip the work.