Harland Mertz
DOX1466 OPAS 2145 PWD

93 yrs (6/3/1932)

07343 780355 / 0572310503

harland_mertz@example.com

NHS Number: 0557339197

Lives alone

Primary Progressive Aphasia (PPA), diagnosed May 2024

AA: Advised to apply

Council tax: Waiting for AA

Driving: Informing

Blue badge: Not discussed

Health & wellbeing LPA: Not got capacity

Property & finance LPA: In place

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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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