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Cheri Koelpin
DOX1315 DOX PWD

71 yrs (30/12/1954)
0708696453 / 030342911310
cheri_koelpin@example.com
NHS Number: 7857449830
Lives alone
Demographics missing
Downs Syndrome and Alzheimer's, diagnosed Mar 2025
AA: Alternative in place
Council tax: Applied/applying
Driving: Advised to inform
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: Alternative in place
Property & finance LPA: Advice given
Cheri Koelpin DOX1315
DOX
NHS: 7857449830
71 yrs (30/12/1954)
cheri_koelpin@example.com 070 8696453 / 03034 2911310 50851 Bergnaum Lake, Suite 447, New Syreeta, UZ60 0UQ

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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?

Referred to Cruse Bereavement Support

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