Hattie (Harriet) Hickle
DOX1004 OPAS 1683 PWD

87 yrs (23/4/1938)

037196828109 / 083651582632

AA: Declined to apply

Council tax: Disregard granted

Driving: Informing

Blue badge: Granted

Health & wellbeing LPA: In place

Property & finance LPA: In place

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Cared for

Annie (Hannah) Brakus (niece)

DOX1005

OPAS 1684

04354 150143 / 095263436178

Health LPA

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Background

PWD's personal background e.g. who are they, what did they do, what do they enjoy etc.

Dementia Symptoms Experienced

What effect is dementia having on their memory and behaviours? Are they aware of the diagnosis (insight)?

Medication

What dementia medication are they taking? How are they finding it? Who assists? Do they have a blister pack?

Physical Health and Mobility

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Diet and Nutrition

Care and Support

Will appear below list of carers. How are they coping? Is the support fit for purpose?

Social Engagement

Also include any volunteer befrienders here

Financial / Legal / Future Planning

Will appear below 'Core Advice' on summary

Notes / Comments

Anything else to include on the case summary

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