Logout

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Henrietta Champlin
DOX994 OPAS 1673 PWD

07924 010368 / 054055921650
bobbie_lubowitz@example.com
NHS Number: 6378454698
Demographics missing
Alzheimer's disease
AA: Not yet eligible
Council tax: Disregard granted
Driving: Declined to inform
Blue badge: Applied/applying
Health & wellbeing LPA: Alternative in place
Property & finance LPA: Declined to apply
Cared for
Adeline Rolfson (grandchild)
DOX995
OPAS 1674
046751435815 / 02630 938393
Health LPA Finance LPA

Case Summary

Edit
Download docx
Background

Dementia Symptoms Experienced

Medication

Referred to Trust on Tap
Physical Health and Mobility

Diet and Nutrition

Care and Support

Social Engagement

Financial / Legal / Future Planning

Notes / Comments

Edit case summary
Enter details

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?

Referred to Trust on Tap

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