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I am a geriatric psychologist working at an Assisted Living facility in Sun City, Arizona.The nature of our population, senior citizens requiring assistance with daily living activities includes about 5 people who are PDers. Most support system programs required the members to transport themselves to the meetings. Unfortunately our residents were unable to do that, so we started our own program. We have affiliated ourselves with APDA and the University of Arizona, APDA Arizona Chapter. Our program consists of weekly meetings with the facilities Activities Director, who assists the members with their program, which includes exercises, talks by group invited professionals and review of selected articles from PD foundations and information exchange networks. We have had additional education programs for staff, including our Certified Nursing assistants. This leads me into the area that I need help. There is a need for our staff to be able to document the status of our PD residents. Sort a like the progress notes nurses keep on their patients in hospital or skilled care centers. The format should provide a check mark system that allows for easy marking and easy visual review, something like the temperature and blood pressure readings. I think it should also include information on gait, degree of tremors, speech etc. It would seem to me that this kind of reporting would make information transmittal to the resident's neurologist more specific and easier for staff . The report system must be sensitive enough to catch early warning signs rather than to respond after the resident has demonstrate a more severe symptom. Often times, we are not catching the subtlety of medication changes, until sometimes it has negatively affected the resident. I can think of no better group of people to help us than members of this list. I have been a member for over 4 months and have learned a lot from the postings. Although I am in the senior years, I have not had daily experience with PD until the last year and a half. I would appreciate any information you all would like to submit to me, either through the list or my own email address, [log in to unmask] With much appreciation, Bernie Barber