Earnestine Altenwerth
DOX921 OPAS 1600 PWD

0623538894 / 07505 407614

oswaldo_kris@example.com

NHS Number: 7423099201

AA: Not yet eligible

Council tax: Declined - No discount

Driving: Awaiting assessment

Blue badge: Not discussed

Health & wellbeing LPA: In place

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)?

Referred to In Friendship PA support

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

Anything else to include on the case summary

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