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76 yrs (17/11/1949)
039507149863 / 029053123507
nereida_rolfson@example.com
NHS Number: 2403866091
Demographics missing
Mixed Alzheimer's and vascular, diagnosed Jun 2025
AA: Lower rate
Council tax: Applied/applying
Driving: Declined to inform
Blue badge: Applied/applying
Health & wellbeing LPA: Applied/applying
Property & finance LPA: Applied/applying
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?

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

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