Table 5.

Summary of Proposed Evaluation and Recommendation in Physical Function

Subjective Questionnaire: In The Past Three Months, Have You Had Difficulty With	Specific Exam Maneuver	Referral Services as Indicated by Subjective and/or Physical Exam
Taking care of yourself (bathing, toileting, dressing)?	See the cognitive function section, strength testing, and balance testing as below	Occupational therapy
Walking, balancing, or falling?	Tandem stance < 10 s or single leg stance < 5 s, visuospatial neglect (letter cancellation test), 10MWT (gait speed < 0.7 m/s)	Physiatry (physical medicine and rehabilitation) and/or physical therapy
Taking medications without assistance?	Fine motor coordination in addition to cognitive screening.	Occupational therapy (fine/gross motor coordination, functional cognition) and/or speech therapy (swallow and/or cognitive therapy)