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Giuseppe D'Amore
DOX1153 OPAS 1832 PWD

063154431239 / 067776031206
leandro_bernhard@example.com
NHS Number: 3153815992
Demographics missing
AA: Higher rate
Council tax: Not discussed
Driving: Declined to inform
Blue badge: Granted
Health & wellbeing LPA: Not discussed
Property & finance LPA: Declined to apply
Carer
Cheri (Cheryl) Hayes (brother in law)
DOX1154
OPAS 1833
02862 574607 / 04468 927460
Health LPA Finance LPA
Cared for
Belle (Sybil) Koepp (civil partner)
DOX1155
OPAS 1834
91 yrs (16/7/1934)
06663 803368 / 061525006854
Carer
Roscoe Reilly (partner)
DOX1156
OPAS 1835
93 yrs (6/8/1932)
07535 845131 / 07529 373299

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