Marisela Krajcik
DOX1280 OPAS 1959 PWD

93 yrs (8/7/1931)

047185088890 / 0759755945

marisela_krajcik@example.com

NHS Number: 5665081159

HIV and AIDS related dementia, diagnosed May 2024

AA: Not discussed

Council tax: Applied/applying

Driving: Informed and driving

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Not discussed

Property & finance LPA: Applied/applying

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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

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Financial / Legal / Future Planning

Will appear below 'Core Advice' on summary

Notes / Comments

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