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Jeromy Stamm
DOX1363 OPAS 2042 PWD

74 yrs (3/4/1951)
08697 181890 / 0549901364
jeromy_stamm@example.com
NHS Number: 6772763572
Demographics missing
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia, diagnosed Jan 2025
AA: Higher rate
Council tax: Declined - No discount
Driving: Declined to inform
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: Not discussed
Property & finance LPA: Not got capacity
Cared for
DOX1364
OPAS 2043
84 yrs (17/6/1941)
092458088357 / 023957479234
Health LPA Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Referred to Trust on Tap
Physical Health and Mobility

Diet and Nutrition

Care and Support

Social Engagement

Financial / Legal / Future Planning

Notes / Comments

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

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

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

Referred to Trust on Tap

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

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

Also include any volunteer befrienders here

Will appear below 'Core Advice' on summary

Anything else to include on the case summary