Harry Kihn
DOX1115 DOX PWD

83 yrs (19/6/1942)

0278672677 / 046117043889

harry_kihn@example.com

NHS Number: 7758961339

Lives alone

Huntingdon's disease, diagnosed Feb 2025

AA: Applied/applying

Council tax: Not discussed

Driving: Informing

Blue badge: Advised to apply

Health & wellbeing LPA: Applied/applying

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

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

Referred to Silver Line

Notes / Comments

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