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Ethan Gerlach
DOX1302 DOX PWD

66 yrs (1/10/1959)
02488 819333 / 0330368489
ethan_gerlach@example.com
NHS Number: 7202787407
Lives alone
Demographics missing
Mixed dementia, diagnosed Sep 2024
AA: Applied/applying
Council tax: Advised to apply
Driving: Awaiting assessment
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: Advice given
Property & finance LPA: Not discussed
Cared for
Kris Turcotte (grandson)
DOX1303
86 yrs (30/1/1939)
08376 425552 / 079224610764
Finance LPA
Ethan Gerlach DOX1302
DOX
NHS: 7202787407
66 yrs (1/10/1959)
ethan_gerlach@example.com 0248 8819333 / 033 0368489 958 Mitchell Ramp, Apt. 442, Wendyfurt, KZ7 9UW

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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