Revises goals/plan of care with patient/family input * Provides ongoing patient/family education and training * Provides discharge instructions, follow-up and referral to community resources as appropriate * Acts as a referral source for staff, families, physicians on services and equipment related to rehabilitation services. Patient Assessment * In collaboration with the physician, responsible for the establishment and ongoing evaluation of treatment programs, plan of care, goals and discharge plans for the patients as related to speech, language, cognition, voice and swallowing.