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72 yrs (23/7/1953)
0901107152 / 0642985718
luigi_d'amore@example.com
NHS Number: 8088832233
Demographics missing
Fronto-temporal lobe dementia, diagnosed Apr 2025
AA: Advised to apply
Council tax: Advised to apply
Driving: Informed and driving
Blue badge: Does not currently meet threshold
Health & wellbeing LPA: In place
Property & finance LPA: In place
Cared for
Danna Rice (daughter)
DOX1590
94 yrs (20/12/1931)
05988 918061 / 03699 305507
Number Completed at
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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

Referred to DWP

Anything else to include on the case summary