Dawne Baumbach
DOX1445 OPAS 2124 PWD

75 yrs (8/5/1949)

07654 923517 / 0548596234

dawne_baumbach@example.com

NHS Number: 6345664561

Primary Progressive Aphasia (PPA), diagnosed Dec 2024

AA: Lower rate

Council tax: Exempt

Driving: Advised to inform

Blue badge: Applied/applying

Health & wellbeing LPA: Alternative in place

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?

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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