Dennis Friesen
DOX1344 OPAS 2023 PWD

81 yrs (25/1/1944)

0625270944 / 0888356944

dennis_friesen@example.com

NHS Number: 0844966568

Creutzfeld-Jakob disease (CJD), diagnosed May 2025

AA: Advised to apply

Council tax: Exempt

Driving: Informing

Blue badge: Applied/applying

Health & wellbeing LPA: Advice given

Property & finance LPA: Not got capacity

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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?

Referred to Age UK Factsheet 10: Paying for permanent residential care

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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