Rose Bergnaum
DOX1229 DOX PWD

73 yrs (4/1/1953)

08444 112539 / 069085976212

rose_bergnaum@example.com

NHS Number: 2671499590

Corticobasal Degeneration (CBD), diagnosed Feb 2025

AA: Lower rate

Council tax: Not discussed

Driving: Declined to inform

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Applied/applying

Property & finance LPA: In place

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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?

Referred to Age UK Factsheet 38: Property and paying for permanent residential care

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

Notes / Comments

Anything else to include on the case summary

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