Adolph Ward
DOX1184 OPAS 1863 PWD

70 yrs (13/3/1955)

070916272233 / 031446105776

adolph_ward@example.com

NHS Number: 2339729483

Lives alone

Creutzfeld-Jakob disease (CJD), diagnosed Aug 2024

AA: Declined to apply

Council tax: Exempt

Driving: Advised to inform

Blue badge: Granted

Health & wellbeing LPA: Advice given

Property & finance LPA: Alternative in place

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Background

PWD's personal background e.g. who are they, what did they do, what do they enjoy etc.

Dementia Symptoms Experienced

What effect is dementia having on their memory and behaviours? Are they aware of the diagnosis (insight)?

Medication

What dementia medication are they taking? How are they finding it? Who assists? Do they have a blister pack?

Physical Health and Mobility

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Diet and Nutrition

Care and Support

Will appear below list of carers. How are they coping? Is the support fit for purpose?

Social Engagement

Also include any volunteer befrienders here

Financial / Legal / Future Planning

Will appear below 'Core Advice' on summary

Notes / Comments

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