Eleanor Collier
DOX958 OPAS 1637 PWD

88 yrs (1/8/1937)

05299 957633 / 087494237486

nicolette_torphy@example.com

NHS Number: 7821225592

diagnosed Jul 2025

AA: Not yet eligible

Council tax: Declined to apply

Driving: Awaiting assessment

Blue badge: Declined to apply

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Alternative in place

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Carer

Edmund Miller (nephew)

DOX959

OPAS 1638

77 yrs (19/11/1947)

0664437452 / 0886430790

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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 MCLV

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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