Edie Gutkowski
DOX1458 OPAS 2137 PWD

68 yrs (6/6/1956)

068485709609 / 039040504318

edie_gutkowski@example.com

NHS Number: 0980556066

Alzheimer's disease, diagnosed Aug 2024

AA: Declined to apply

Council tax: Declined - No discount

Driving: Advised to inform

Blue badge: Applied/applying

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Not discussed

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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

Anything else to include on the case summary

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