During the observation, I noted that because of the increased population of geriatric patients , the PT has to take into consideration about the physical ,cognitive and neurological status of these patients to ensure that dangerous accidents and injuries do not occur during the treatment session. In the skilled nursing facility most of the diagnosis I saw were fall, strokes ,arthritis ,osteoporosis, pain due to cancer ,dementia ,Alzheimer's and incontinence . PT can do better by improving their balance and making them independent by teaching their family ,nursing staff and caregiver how to do transfers, gait training, and balancing that helps to improve their cognitive impairment . Because most of the patients were wheelchair bound and used assistive devices to move around. Physical therapist at the skilled nursing facility follows a standard protocol for physical assessment ,which includes measuring range of motion , muscle force, reflex activity, sensation, soft tissue status , balance and coordination ,and posture.…