Dyslexia and Cognitive Diversity Center
Environment for Cognitive Inclusion aims at designing and demonstrating the value of feasible interventions on business models in elderly care enabled by ICTs, to be scaled across National Healthcare Systems. Dyslexia and Cognitive Diversity Center will propose ways to evolve traditional care organization models, through the support of a digital environment model targeted at elderly with Cognitive Impairment, based on innovative technologies, information sharing, data interoperability and replicable logics.
Care pathways for patients with mild cognitive impairment and dementia:
All the three care providers play a role in the care pathway for these patients. The primary care centres are responsible for the initial examination of patients with suspected MCI or dementia. The basic assessment aims to involve multiple perspectives on the patients’ current condition including his or her social situation:
- A structured anamnesis including interviews with nearest and dearest
- An assessment of the physiological and psychological condition of the patient
- Cognitive tests including MMT and the Clock test
- A structured assessment of patient activities of daily life and level of activity
In addition, tests to include other conditions include:
- A CT scan
- Relevant neuropsychological tests
- Blood tests to exclude hyperkalaemia, high levels of homocystein as well as of thyroid hormones
- In case of clinical suspicion, the basal investigation also includes liquor tests for Borrelia and Syphilis
The physician and a specialized nurse at the primary care unit continuously monitor patients with MCI. The monitoring includes at least yearly visits to the physician, including a pre-visit to the specialized nurse according to the Swedish National Guidelines for dementia care. Moreover, patients can contact the specialized nurse at request at any time between visits to the physician. If patients with MCI or mild dementia deteriorate and develop moderate/severe dementia, the aid assistance coordinator, who belongs organizationally to the community, designs an individual care plan for those patients together with representatives from the hospital and the Primary Care Centre. Based on the care plan, community care resources are made available for the patient, including basic home care. Basic, long-term care of patients with dementia is provided by cross-professional teams under the management of the community. These teams are also led by a specialized community nurse with the support from the general practitioner and the specialized nurse at the primary care centre. The primary care physician has always the overall medical responsibility for the patient.
A Co-Creation Workshop is a participative session involving both members of the Project and external subjects, tackling Project themes from the different points of view of the various involved participants. The Workshop follows a pre-determined protocol to guide a multidisciplinary brainstorm and discussion among involved stakeholders, in order to stimulate out-of-the-box thinking and feed following research activities.
Pilot Sites

ITALIAN PILOT

ISRAELI PILOT

SWEDISH PILOT

SPANISH PILOT