Thomas Koss
DOX1616 OPAS 2295 PWD

87 yrs (7/1/1938)

093993919537 / 0549443736

thomas_koss@example.com

NHS Number: 7816248393

Primary Progressive Aphasia (PPA), diagnosed Jun 2024

AA: Application declined

Council tax: Exempt

Driving: Informed and driving

Blue badge: Advised to apply

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Not discussed

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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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