Temple Armstrong
DOX1635 OPAS 2314 PWD

79 yrs (12/4/1946)

02661 843953 / 089903457000

temple_armstrong@example.com

NHS Number: 4860173767

Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia, diagnosed Jun 2025

AA: Lower rate

Council tax: Not discussed

Driving: Declined to inform

Blue badge: Not discussed

Health & wellbeing LPA: Not got capacity

Property & finance LPA: 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

Signposted to Citizens Advice Banbury

Financial / Legal / Future Planning

Will appear below 'Core Advice' on summary

Notes / Comments

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