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03826 276683 / 0723327502
carlo_maggio@example.com
NHS Number: 1544917325
Demographics missing
Corticobasal Degeneration (CBD)
AA: Not discussed
Council tax: Disregard granted
Driving: Not driving
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: Not got capacity
Property & finance LPA: Applied/applying
Carer
DOX1081
OPAS 1760
03962 391909 / 044754902633
Health LPA Finance LPA
Cared for
Heloise Friesen (niece/nephew)
DOX1082
OPAS 1761
84 yrs (1/12/1940)
06137 509831 / 05353 662844
Health LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Referred to Safe and Well Check
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?

Referred to Safe and Well Check

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