Jeremy Turner
DOX1605 OPAS 2284 PWD

80 yrs (17/12/1944)

06197 767801 / 032018327485

jeremy_turner@example.com

NHS Number: 5564864166

Lives alone

Vascular dementia, diagnosed Jan 2025

AA: Alternative in place

Council tax: Exempt

Driving: Awaiting assessment

Blue badge: Advised to apply

Health & wellbeing LPA: Not discussed

Property & finance LPA: Applied/applying

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Cared for

Jarred West (father)

DOX1606

OPAS 2285

75 yrs (20/9/1949)

021521702043 / 046586055596

Health LPA Finance LPA

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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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