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Earnestine Cummerata
DOX923 OPAS 1602 PWD

0358000096 / 0386360888
elisha_robel@example.com
NHS Number: 5877151835
Demographics missing
Creutzfeld-Jakob disease (CJD)
AA: Not discussed
Council tax: Waiting for AA
Driving: Informed and driving
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: Advice given
Property & finance LPA: Declined to apply
Carer
Cecilia Stamm (spouse)
DOX924
OPAS 1603
67 yrs (18/2/1958)
04496 379357 / 0335008499
Health LPA Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

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?

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