Gabriella Cartwright
DOX913 OPAS 1592 PWD

85 yrs (5/2/1940)

0481839415 / 05325 477819

siobhan_bins@example.com

NHS Number: 7277455231

Downs Syndrome and Alzheimer's

AA: Not yet eligible

Council tax: Declined to apply

Driving: Informed and driving

Blue badge: Not discussed

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Advice given

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Cared for

Corinne Runolfsson (civil partner)

DOX914

OPAS 1593

74 yrs (5/8/1951)

048731836250 / 09572 629328

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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

Referred to Age UK Factsheet 29: Finding, chosing and funding a care home

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

Anything else to include on the case summary

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