Ezequiel Jacobi
DOX1270 OPAS 1949 PWD

76 yrs (13/9/1948)

080987379631 / 0710269529

ezequiel_jacobi@example.com

NHS Number: 8659271904

Other mixed dementia, diagnosed Sep 2024

AA: Application declined

Council tax: Disregard granted

Driving: Awaiting assessment

Blue badge: Declined to apply

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Alternative in place

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Carer

Anton Zulauf (client of professional carer)

DOX1271

OPAS 1950

78 yrs (24/10/1946)

0559539050 / 05592 688406

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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

Anything else to include on the case summary

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