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Travis Emard
DOX1174 DOX PWD

79 yrs (15/8/1946)
046284144493 / 0742563289
travis_emard@example.com
NHS Number: 8788374432
Demographics missing
Other, diagnosed May 2025
AA: Applied/applying
Council tax: Advised to apply
Driving: Declined to inform
Blue badge: Advised to apply
Health & wellbeing LPA: Advice given
Property & finance LPA: Not got capacity

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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?

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