Ace 18 April 2026

Is the patient still at the center of the system? 5 key rights in Alzheimer’s and dementia

April 18th, European Patients’ Rights Day, is not just another date on the healthcare calendar. It is a reminder that a diagnosis of Alzheimer’s or any form of dementia does not mean giving up rights, autonomy, or the ability to make decisions.

In a context where neurodegenerative diseases are on the rise, guaranteeing patients’ rights is not only an ethical issue: it is a cornerstone of the healthcare system.

However, the answer to a key question remains uncomfortable: is the patient truly at the center of the system?

Despite the growing impact of Alzheimer’s as a public health challenge, there are still not enough specific resources for affected individuals and their caregivers beyond those available to the general population. Many rights recognized on paper are still not translated into real protection in everyday life.

At Ace Alzheimer Center Barcelona, we believe that scientific excellence must always go hand in hand with respect for the individual. That is why, in 2026, we highlight five fundamental rights that every person with Alzheimer’s, and their family, should know and be able to exercise.

1. Right to information and informed consent

Understanding what is happening, and having that knowledge respected, is the foundation of all other rights.

Informed consent and advance directives are key tools to preserve patient autonomy in healthcare decisions.

This right goes beyond early diagnosis. It includes:

  • access to medical records
  • data confidentiality
  • clear understanding of risks and benefits

When a person can no longer decide, consent must be validated by a relative or legal representative.

However, the system still does not always ensure that this information flow works clearly and efficiently.

2. Right to progressive autonomy

A dementia diagnosis does not mean losing all decision-making capacity.

Cognitive decline is not uniform. Total legal incapacitation may violate dignity and freedom.

A progressive autonomy model is needed:

  • personalized
  • partial and adaptable
  • focused on preserving independence as long as possible

Key tools:

  • advance directives
  • legal self-guardianship

3. Right to non-paternalistic legal protection

Legal frameworks exist but are not always accessible.

Paternalism still limits real autonomy.

The approach should be:

  • avoid paternalism
  • intervene only when necessary
  • tailor decisions to each person

4. Right to personalized and holistic care

Care must go beyond the disease.

It should consider:

  • cognitive and emotional status
  • social environment
  • daily responsibilities
  • personal values

Alzheimer’s care is not only medical. It is also social, economic, and legal.

5. Right to caregiver support

Alzheimer’s affects entire families.

Support systems remain insufficient.

A system that does not support caregivers is not truly patient-centered.

Rights, dignity and future

On European Patients’ Rights Day, talking about Alzheimer’s also means talking about dignity, autonomy and equity in access to healthcare.

Research, early diagnosis and innovation are essential, but they only make sense if they translate into real rights for people.

At Ace Alzheimer Center Barcelona, we work with a clear goal: to ensure that every scientific advance becomes a tangible improvement in the lives of people with neurodegenerative diseases and their families.

Because science without rights is just technique.
But science with rights is human progress.