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Emory Nicolas
DOX15 OPAS 1585 PWD

93 yrs (22/12/1931)
0245835044 / 022881332886
emory_nicolas@example.com
NHS Number: 8400014286
Demographics missing
Creutzfeld-Jakob disease (CJD), diagnosed May 2024
AA: Advised to apply
Council tax: Waiting for AA
Driving: Advised to inform
Blue badge: Declined to apply
Health & wellbeing LPA: Advice given
Property & finance LPA: Not discussed
Safeguarding Concern #SC212: opened 22nd May by Vicki Schmidt
Safeguarding Concern #SC915: opened 25th May by Vicki Schmidt
Safeguarding Concern #SC1486: opened 10:06 by Vicki Schmidt
Cared for
Cassaundra Mraz (daughter)
DOX16
OPAS 1586
71 yrs (14/12/1953)
0315491205 / 0208230590
Health LPA Finance LPA
Carer
Mckenzie Brown (daughter-in-law)
DOX18
OPAS 1588
71 yrs (19/7/1953)
045855497682 / 08452 278793
Health LPA
1 ended relationship: Marilou Boyer (wife)
Number Completed at
1 17th May edit

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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?

Referred to Move Together

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

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