An Mayert
DOX1614 OPAS 2293 PWD

73 yrs (3/1/1952)

029534582632 / 09328 121234

an_mayert@example.com

NHS Number: 0799665509

Other, diagnosed Mar 2025

AA: Not yet eligible

Council tax: Exempt

Driving: Informing

Blue badge: Declined to apply

Health & wellbeing LPA: Applied/applying

Property & finance LPA: Alternative 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

Anything else to include on the case summary

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