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MARIANA IRIGOYEN, LUCIANO MONZA – PARTNERS, ARQUISALUD BUILDING DESIGN


Designing buildings for peoplewithAlzheimer’s


Healthcare buildings should be fit for purpose; that is to enable healthcare and related therapeutic activities to be carried out there and to serve the patients who visit them. Therefore, the physical characteristics of the buildings determine the therapies that can be carried out in them and potentially their effectiveness and outcomes.


Despite the emergence of new diseases and increases in the prevalence of existing conditions, buildings must also be designed to respond to future care needs and the needs of staff as well as patients must be considered. The user must be central to the design. At the same time, the development of new technologies allows us to explore new architectural solutions in response to these care needs. Epidemiological changes at the turn of


the last century as a result of the control and/or cure of many diseases and an overall increase in life expectancy have changed patients’ medical and physical requirements. A significant change is the increase in degenerative pathologies and the number of people they affect, which includes Alzheimer’s disease. The Integral Centre for Alzheimer’s


Disease Treatment (CITEA) in Buenos Aires is the second biggest Alzheimer’s disease treatment centre in Argentina. It was designed by architect ArquiSalud to meet the specific needs of people


with Alzheimer’s at every stage of the development of the disease. The four storey building is divided


according to therapeutic criteria, which follow the course of the disease. The disease is considered to be composed of several stages; during the early


Mariana Irigoyen


Mariana Irigoyen is a partner at ArquiSalud. She graduated from the Specialization Career on Health Facility Planning (CIRFS),


Facultad de Arquitectura, Diseño y Urbanismo, Universidad de Buenos Aires. She is a postgraduate teacher in the same faculty and lectures at conferences in Argentina, Chile, Colombia and in the Dominican Republic.


Luciano Monza


Luciano Monza is a partner at ArquiSalud. He graduated from the Specialization Career on Health Facility Planning (CIRFS), Facultad de Arquitectura, Diseño y Urbanismo, Universidad de Buenos Aires and the Program of Social Sciences and Health (CEDES-


FLACSO). He is former president of the Asociación Argentina de Arquitectura e Ingeniería Hospitalaria (Argentine Association of Hospital Architecture and Engineering; AADAIH). He is a postgraduate teacher at the AADAIH, FADU-UBA, UOC


Barcelona and IAHCS Porto Alegre, and lectures at conferences in Argentina, Brazil, Chile, Colombia, Peru, Uruguay and Norway. He was the president of the International Federation of Hospital Engineering (IFHE) Congress 2014.


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stages there is less neurodegenerative deterioration, which allows the patient to stay with his or her family while attending the centre only for diagnoses and ambulatory treatment. As the disease progresses, the neurological impact worsens and people with the condition may require hospitalisation.


Stages of the disease The organisation of the building was conceived according to the different stages of the disease. Therefore, the doctors’ offices are located on the ground floor, as are the day centre, reception, access points and administrative areas for patients who still live at home but need treatment in an outpatient setting. The hospitalisation units are located on the three upper floors and are organised in ascending order, according to the phase of clinical development of the disease. These units have two main purposes: the therapeutic hospitalisation of patients who require inhouse treatment and respite hospitalisation for patients whose families may wish to take a holiday or need a break – this is generally for no more than two weeks. The day centre, which is used both by


ambulatory and hospitalised patients, occupies the rear section of the building


IFHE DIGEST 2018


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