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Hal (Henry) Macejkovic
DOX1086 OPAS 1765 PWD

085013238871 / 0371263897
bernardo_macejkovic@example.com Demographics missing
AA: Advised to apply
Council tax: Exempt
Driving: Awaiting assessment
Blue badge: Applied/applying
Health & wellbeing LPA: Not discussed
Property & finance LPA: In place
Cared for
DOX1087
OPAS 1766
03802 299597 / 090032847770
Health LPA
Carer
DOX1088
OPAS 1767
74 yrs (4/8/1951)
047680327579 / 04127 568956
Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Referred to Enrych
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 Enrych

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