Advance Care Planning and Care Coordination for People With Parkinson's Disease

Inclusion Criteria

• •Capable to participate , meaning that the subject is able to:
• •* understand information about the decision
• •* remember that information
• •* use that information to make a decision
• •* communicate their decision by talking, using sign language or any other means
• •Able to provide informed consent;
• •Meeting the MDS clinical diagnostic criteria for PD, including Parkinsonisms;
• •Hoehn \& Yahr ≥ 3;
• •Progressive deterioration in physical and/or cognitive function despite optimal therapy, according to the primary physician; and
• •Availability of a family caregiver or informal caregiver.
• •Identified by the patient as the person closest to them;
• •Willing to provide written informed consent;
• •Willing and able to complete questionnaires;
• •Aging ≥ 18 years.
• •FC can only participate when the patient participates.