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Earnest Murazik
DOX1162 OPAS 1841 PWD

82 yrs (27/7/1942)

0702564907 / 091462473480

earnest_murazik@example.com

NHS Number: 2668086507

Demographics missing

Alzheimer's disease, diagnosed May 2024

AA: Declined to apply

Council tax: Waiting for AA

Driving: Advised to inform

Blue badge: Applied/applying

Health & wellbeing LPA: Alternative in place

Property & finance LPA: Applied/applying

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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

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Earnest Murazik (the "Subject")

Summary of concern

Factual account of what was said or observed. Include dates, times and locations, the person's own words, descriptions of signs/symptoms etc. Refer to Policy for full guidance on recording.

Summary of any immediate actions taken

Eg. Were emergency services called? Any practical support offered etc.

Does the subject have care and support needs?

Eg. Physical or mental health condition

Notes about care and support needs

Do you feel the subject is able to make their own decisions about what happens next?

Notes about decision capabilities

What support / outcome does the subject want?

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Earnest Murazik DOX1162 OPAS 1841 PWD

Case Summary

Safeguarding Concern Form About the concern

Earnest Murazik
DOX1162 OPAS 1841 PWD

Safeguarding Concern Form

About the concern