A 66-year-old man 6 weeks post left hemispheric stroke (Righ…

A 66-year-old man 6 weeks post left hemispheric stroke (Right Hemiplegia) is referred to physical therapy to improve functional independence. He is ambulating independently using a quad cane held in his left hand, with markedly decreased gait speed and decreased stride length. Observation of his gait pattern reveals decreased weight shift toward the right, increased stance time on the left, lack of dorsiflexion at right heel strike, hyperextension of the right knee in midstance, and circumduction of the right leg during swing. On examination he has full passive ROM in the lower extremity. Manual muscle strength testing is not performed due to spasticity. The patient is living in a two-story home with his partner and is dependent in ADLs and community access. Which of the following concerns should be addressed at his initial visit?