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Creasey (Lucretia) Funk
DOX1014 OPAS 1693 PWD

0342555083 / 0690404197
shakia_funk@example.com Demographics missing
AA: Alternative in place
Council tax: Declined - No discount
Driving: Awaiting assessment
Blue badge: Granted
Health & wellbeing LPA: Advice given
Property & finance LPA: Not got capacity
Cared for
DOX1015
OPAS 1694
71 yrs (19/8/1953)
0621432784 / 02418 516779
Health LPA Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Physical Health and Mobility

Diet and Nutrition

Care and Support

Social Engagement

Financial / Legal / Future Planning

Notes / Comments

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

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

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

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

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

Also include any volunteer befrienders here

Will appear below 'Core Advice' on summary

Anything else to include on the case summary