Barcelona Alzheimer Treatment & Research Center

diagnostic unit

the diagnostic unit is a service for the diagnosis and follow-up of people who have cognitive disorders and/or dementia.

Dr. Isabel Hernández
chief clinician

 

Diagnosis is made through an interdisciplinary process, including five visits for integrated assessment and intervention proposal design, considering the person’s overall needs.

The follow-up visit consists in assessments and specialised monitoring performed by a doctor, psychologist or social worker, depending on the reason for the consultation.

The multidisciplinary team, which can perform assessment activities specific to each different typology, is made up of staff specialised in medicine, neurology, geriatrics, psychiatry, neuropsychology, nursing and social work.

With National Health System coverage

Using the CatSalut normalised referral sheet, available from professionals in the primary and specialised care network.

With the referral sheet, request an appointment:

Privately

Request an appointment:

Dr. Montse Alegret
chief neuropsychologist

Our working methodology guarantees high quality in:

  • The integrated assessment of the person: cognitive, psychological, physical and sociofamilial assessments.
  • The creation of an intervention plan, including the activities necessary to maintain the maximum level of social integration for the person and the conservation of their family, emotional and social relationships.
  • The explicit formulation of plans recorded in the care register, for care and therapeutic goals, and follow-up of said plans.
  • The administration as a whole takes special care in areas related to dignity, privacy, participation in decision-making, the right to information and anything else that may improve people’s quality of life.

Dr. Pilar Cañabate
chief of social work


Quality of care is increasing due to the fact that all referring doctors receive a written diagnostic report with all the assessments and examinations carried out in order to arrive at a diagnosis, as well as follow-up reports.

To guarantee fluid communication with referring Primary Care doctors and users, we offer a direct phone line, preferably staffed by a nurse, a neurologist or a social worker, whose purpose is the timely resolution of crisis situations, whether clinical or social, or to inform professionals or families who request it. This service, which occupies a very significant proportion of our time in care activities, reduces the burden on primary and specialised care services, 112 emergency services and especially on hospital accident & emergency units.

the process of diagnosis

Five hours of real time are dedicated to carrying out diagnosis, three of which consist in direct attention for the person and their family.

The process of diagnosis comprises five visits to evaluate the person’s cognitive state and assess socio-familiar matters:

  • Neurological examination: the neurologist examines the patient for 30 minutes, which along with the previous visit is used to assess the situation from a medical perspective.
  • Clinical interview: the neurologist spends 30 minutes interviewing the family in order to establish clinical history.
    Social work: the family is interviewed for 40 minutes by a social worker to situate the person in their socio-familiar context, in order that they have company throughout the progression of the disease.
  • Neuropsychological examination: the neuropsychologist runs a 50-minute cognitive examination, testing memory and other cognitive functions.
  • Diagnosis: the neurologist informs the family and/or main carer of the diagnosis, prognosis, treatment plan and the date for delivery of the report, which is also sent to the referring doctor. The patient is informed at the doctor’s discretion and at the family’s request.

Diagnosis and the treatment plan are reached as a consensus, putting together the neurological, neuropsychological, social and psychiatric evaluations, in addition, if necessary, to the results of complementary testing (neuroimaging and other laboratory tests).

the attention to contingencies service

The attention to contingencies service of Fundació ACE has been selected by the Department of Health of the Generalitat of Catalonia as a project of good practices. This service consists of questions concerning clinical or social contingencies that may arise in family or professionals from other institutions and organizations related to a patient Fundació ACE.

Each year the Department of Health chooses 15 best practice projects that hangs on your website and then presented at a conference. No details yet on when it will be this event but there are 15 selected website, including the information service contingencies.

To offer this service seven neurologists, one geriatrician and three social workers spend part of their time working to address these queries via phone, email or in person. Can resolve doubts from medication to issues relating to legal proceedings to request state aid, for example.

From 2012 to 2015 we have made 12,236 interventions; of which 6,062 have been phone calls, 3507 emails and 2667 one-to-one have been attended.

Draws attention to the fact that 1,150 queries come from health professionals and 728 from social technicians.

With this service, Fundació ACE has reduced the demand for follow-up visit, and clear the demand for primary care and specialized services to the emergency hospital.