Emerald Marks
DOX1386 OPAS 2065 PWD

73 yrs (2/6/1952)

039430096127 / 044314729968

emerald_marks@example.com

NHS Number: 2185111086

Alzheimer's disease, diagnosed Sep 2024

AA: Advised to apply

Council tax: Advised to apply

Driving: Advised to inform

Blue badge: Granted

Health & wellbeing LPA: Applied/applying

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?

Referred to Cruse Bereavement Support

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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