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Josefine Metz
DOX910 OPAS 1589 PWD

08104 511218 / 06561 885717
annis_harvey@example.com
NHS Number: 2134921048
Demographics missing
AA: Application declined
Council tax: Advised to apply
Driving: Not driving
Blue badge: Granted
Health & wellbeing LPA: Advice given
Property & finance LPA: Alternative in place
Cared for
Esther Eichmann (cousin)
DOX911
OPAS 1590
81 yrs (14/1/1944)
02706 341648 / 08736 564996
Health LPA
Josefine Metz
DOX
NHS: 2134921048
annis_harvey@example.com 0810 4511218 / 0656 1885717 2447 Jenkins Extensions, Apt. 738, Ernserberg, HX38 9HB

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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 Age UK Factsheet 74: Challenging welfare benefit decisions

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