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66 yrs (5/11/1958)
0538528236 / 069517453881
jess_kiehn@example.com
NHS Number: 5151369644
Lives alone
Demographics missing
Mild cognitive impairment, diagnosed Dec 2024
AA: Application declined
Council tax: Declined to apply
Driving: Not discussed
Blue badge: Declined to apply
Health & wellbeing LPA: Alternative in place
Property & finance LPA: Advice given
Carer
Clora Jacobi (professional carer)
DOX1082
OPAS 1761
80 yrs (3/7/1944)
072228654844 / 0226214869
Health LPA Finance LPA
Carer
Clemente Feeney (father-in-law)
DOX1083
OPAS 1762
84 yrs (11/8/1940)
0486982879 / 04282 935097
Finance LPA
Cared for
Herlinda Graham (stepmother)
DOX1084
OPAS 1763
86 yrs (26/10/1938)
02638 402979 / 04084 340255
Finance LPA
Activity

Mar 2025 - ongoing

Referred to LDOX
Referred

DA Case #DC325
Amber

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Enter details

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