Deficits identified that require the skilled services of a therapist are addressed in the patient's individualized plan of care, where goals are set and therapeutic intervention is planned. The plan of care and all subsequent services are approved by and performed under the supervision of the attending physician. Therapy services in the general acute care hospital include physical therapy and speech language pathology. The goal is to address the patient's most immediate and critical rehabilitation needs and help plan for ongoing therapy needs after acute care discharge. Physical therapists assess the patient's physical abilities including strength, range of motion, balance, proprioception and safety awareness as it applies to their individual functional mobility. The speech language pathologist evaluates the patient's cognitive status and ability to communicate and swallow.