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Kirby Jast
DOX1403 OPAS 2082 PWD

70 yrs (12/7/1955)
07822 254294 / 0543538245
kirby_jast@example.com
NHS Number: 7815798888
Demographics missing
Dementia (origin non-specific), diagnosed Jun 2025
AA: Higher rate
Council tax: Not discussed
Driving: Informed and driving
Blue badge: Not discussed
Health & wellbeing LPA: Declined to apply
Property & finance LPA: Not got capacity
Cared for
Manual Jakubowski (client of professional carer)
DOX1404
OPAS 2083
91 yrs (25/12/1933)
060845240256 / 048984127514
Health LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Physical Health and Mobility

Referred to Banbury Cross Health Centre
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?

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

Referred to Banbury Cross Health Centre

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