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William Moen
DOX940 OPAS 1619 PWD

68 yrs (27/2/1957)
04195 305165 / 06296 645793
vincent_hauck@example.com Demographics missing
AA: Alternative in place
Council tax: Disregard granted
Driving: Awaiting assessment
Blue badge: Granted
Health & wellbeing LPA: Applied/applying
Property & finance LPA: In place
Activity

DA Case #DC278
New referral

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Referred to Faithworks
Acknowledged

Reference number: ratione
Manage

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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?

Referred to Faithworks

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