Alfred Maggio
DOX979 OPAS 1658 PWD

03092 672310 / 05275 563959

nathanial_lakin@example.com

NHS Number: 1544917325

Corticobasal Degeneration (CBD)

AA: Applied/applying

Council tax: Applied/applying

Driving: Awaiting assessment

Blue badge: Granted

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Declined to apply

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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 Small Good Stuff

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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