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Mozell Champlin
DOX358 OPAS 1928 PWD

67 yrs (15/8/1957)
07354 422241 / 04309 394109
mozell_champlin@example.com
NHS Number: 2274097003
Demographics missing
HIV and AIDS related dementia, diagnosed Nov 2024
AA: Alternative in place
Council tax: Declined to apply
Driving: Not driving
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: In place
Property & finance LPA: Declined to apply
Safeguarding Concern #SC409: opened 22nd May by Vicki Schmidt
Safeguarding Concern #SC2318: opened 14th Jun by Vicki Schmidt
Carer
Louis Metz (grandfather)
DOX359
OPAS 1929
95 yrs (30/3/1930)
062249001439 / 07740 892629
Health LPA Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Referred to Bereavement Support Services
Physical Health and Mobility

Diet and Nutrition

Care and Support

Social Engagement

Financial / Legal / Future Planning

Notes / Comments

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PWD's personal background e.g. who are they, what did they do, what do they enjoy etc.

What effect is dementia having on their memory and behaviours? Are they aware of the diagnosis (insight)?

What dementia medication are they taking? How are they finding it? Who assists? Do they have a blister pack?

Referred to Bereavement Support Services

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Will appear below list of carers. How are they coping? Is the support fit for purpose?

Also include any volunteer befrienders here

Will appear below 'Core Advice' on summary

Anything else to include on the case summary