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03355 581403 / 0814389763
javier_tillman@example.com
NHS Number: 9169018316
Demographics missing
Alzheimer's disease
AA: Applied/applying
Council tax: Declined - No discount
Driving: Not discussed
Blue badge: Advised to apply
Health & wellbeing LPA: Declined to apply
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?

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Referred to Age UK Factsheet 29: Finding, chosing and funding a care home

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