Darius Ullrich
DOX1495 OPAS 2174 PWD

66 yrs (30/7/1959)

0756757719 / 07318 939161

darius_ullrich@example.com

NHS Number: 3856484647

Lives alone

Corticobasal Degeneration (CBD), diagnosed Feb 2025

AA: Not yet eligible

Council tax: Declined to apply

Driving: Awaiting assessment

Blue badge: Advised to apply

Health & wellbeing LPA: In place

Property & finance LPA: Declined to apply

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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?

Referred to Volunteer Drivers

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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