A patient with Parkinson’s disease (stage IV on the Hoehn &…

A pаtient with Pаrkinsоn's diseаse (stage IV оn the Hоehn & Yahr scale) is referred to physical therapy due to increasing frequency of falls at home. They made some progress toward therapy goals over the course of 8 weeks to improve transfer ability, balance, strength, and ambulation. However, after an additional 4 weeks of therapy, no further progress has been demonstrated. Throughout the course of therapy, the patient has noted continued fluctuations in their on/off time of motor symptoms and ongoing difficulty with freezing and festination of gait which affects the ability of their spouse to complete the balance program with the patient at home safely. What is the most appropriate action for the physical therapist to take?