Javier Franecki
DOX1631 OPAS 2310 PWD

89 yrs (17/4/1936)

035901593154 / 06946 012272

javier_franecki@example.com

NHS Number: 5018484535

Lives alone

Progressive Supranuclear Palsy (PSP), diagnosed Feb 2025

AA: Declined to apply

Council tax: Applied/applying

Driving: Advised to inform

Blue badge: Applied/applying

Health & wellbeing LPA: Not got capacity

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?

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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