Cognition in a Monolithic System: A Case Study in Architectural Failure and Adaptive Care
Year: 2025
Type: preprint
Abstract: This paper introduces the Modular Pod System (MPS), a next-generation healthcare architecture designed to replace monolithic, protocol-locked designs with adaptive, human-scaled care units. Through a lived case study—a misfiring bed alarm, a blocked PT reassessment, a camera threat framed as “safety,” and a self-directed exit—it demonstrates how modern healthcare institutions routinely misclassify patients whose bodies are impaired but whose cognition remains intact. The paper proposes an alternative design: pod-based authority structures, real-time cognitive profiling, PT-driven mobility reassessment, and a bedside AI companion. The counterfactual model shows that within MPS, the misclassifications described here would be architecturally impossible.
Author: Kruse, Christopher Grant
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7106493106
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