Transcript AARP Song

Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
1
Helen Keller National Center
Paige Berry, National Coordinator
Senior Adult Services
Helen Keller National Center for
Deaf-Blind Youths & Adults
Clinical Assistant Professor
Department of Rehabilitation Counseling
Virginia Commonwealth University
P O Box 980330
Richmond, VA 23298
[email protected]
804/827-0920
www.hknc.org
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
2
HKNC is the only national
residential vocational and
rehabilitation agency to
provide services exclusively
to youth and adults who
have combined vision and
hearing loss.
141 Middle Neck Rd
Sands Point, NY 11050
(516) 944-8900
www.hknc.org
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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HKNC’s mission… is to enable each
person who is deafblind, or who is
experiencing severe vision and
hearing loss, to live and work in
the community of his or her
choice
AARP Song
To commemorate her 69th birthday on October 1, 2007,
actress/vocalist, Julie Andrews made a special appearance
at Manhattan's Radio City Music Hall for the benefit of the
AARP.
AARP SONG
(tune “My Favorite Things”
Maalox and nose drops and needles
for knitting,
Walkers and handrails and new
dental fittings,
Bundles of magazines tied up in
string,
These are a few of my favorite things.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Cadillacs, cataracts, hearing
aids, glasses,
Polident, Fixodent, false
teeth in glasses,
Pacemakers, golf carts and
porches with swings,
These are a few of my
favorite things.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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When the pipes leak,
When the bones creak,
When the knees go bad,
I simply remember my
favorite things,
And then I don’t feel so
bad.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Hot tea and crumpets, and corn
pads for bunions,
No spicy hot food or food cooked
with onions,
Bathrobes and heating pads, hot
meals they bring,
These are a few of my favorite
things.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Back pains, confused brains,
and no fear of sinnin’,
Thin bones and fractures and
hair that is thinning’,
More of the pleasures
advancing age bringsWhen we remember our
favorite things.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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When the joints ache,
when the hips break,
When the eyes grow dim,
I simply remember the
great life I’ve had,
And then I don’t feel….so
bad!
The End!
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
12
.
“Deaf-Blind”
Basically – 4 categories
1.
Individuals who are hard of hearing and partially
sighted or visually impaired
2. Individuals who are deaf and partially sighted.
3. Individuals who are blind and hard of hearing.
4. Individuals who are deaf and blind. (Individuals in
this category are a minority. Many individuals retain
some useful vision or hearing, or both).
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Legal Blindness
Legal blindness is a level of vision loss that has been legally
defined to determine eligibility for benefits. The clinical
diagnosis refers to a central visual acuity of 20/200 or less in
the better eye with the best possible correction, and/or a
visual field of 20 degrees or less.
What a person with healthy eyes can see from 200 feet away,
a legally blind person can see only from 20 feet away.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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VISUAL IMPAIRMENT?
• 20/60 or worse, in the better eye with best correction
• Limitation of side vision, abnormal color vision, or
presence of double vision in one eye may also
determine visual impairment.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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State of Illinois Driving Requirements
Visual Acuity:
(in at least one eye)
Restrictions (if any)
> 20/40
No restrictions
20/41 - 20/70
No driving when headlights are required
20/71 - 20/100
< 20/100
Bioptic telescope required unless living in a town with a
population of 3000 or less
•Must achieve 20/40 or better with no more than a 3x
telescope
•Requires a vision specialist statement indicating the
individual has had the telescope a minimum of 60 days
and has been trained to use the telescope when driving
•Requires a behind the wheel test
•Must be approved by a medical review board
•No driving when headlights are required without a
special review
License denied
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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The Big Five
• Cataract
• Macular Degeneration
• Glaucoma
• Diabetic Retinopathy
• Retinitis Pigmentosa
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Vision with cataracts
• clouded, blurred or dim vision
• blocks light from reaching the retina.
• harder to see at night
• sensitivity to light and glare
• halos around lights
• fading or yellowing of colors
• double vision or multiple vision in one eye
Surgery is a common solution for
cataracts. Most cataracts can only be
detected with special instruments, so
encourage consumers to make an
appointment with their eye doctor if
he/she notices vision clouding.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Vision with Macular Degeneration
Age-related macular degeneration (AMD) occurs when tissue in your macula —
the part of your retina that's responsible for the center of your visual field —
deteriorates
• blind spot forms in the center of your vision
• AMD is one of the most frequent causes of vision loss in people age 60 and
older.
• usually can't be reversed, but caught early, might be able to reduce the extent
of your vision loss.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Normal
Cover one eye and look
Abnormal
at the black dot – lines
should be straight Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Charles Bonnet Syndrome
(visual hallucinations)
• Less frequently diagnosed – patients don’t tell
family/doctor/friends
• More common in elderly due to prevalence of vision loss
later in life. Seen most often in patients with Macular
Degeneration.
• May persist for a few days to many years
• The imagery is varied and may include groups of people or
children, animals, and panoramic countryside scenes
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Charles Bonnet Syndrome
Visual Hallucinations
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Glaucoma
“Sneak Thief of Vision”
Loss of peripheral vision. Like looking
through a tube. Often have problems
tripping over objects, or bumping into
things.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Glaucoma
 Glaucoma is a group of diseases
that are usually associated with an
elevated fluid pressure inside your
eyeball.
 Normal eye pressure ranges from
12-22
 Pressure can damage your optic
nerve — the millions of nerve
fibers that carry visual information
from your eye to your brain.
 As optic nerve deteriorates,
blind spots develop in your visual
field.
 detected early, glaucoma is
treatable with medication or
surgery.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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At Greater Risk
African Americans
After cataracts, glaucoma is the leading cause of blindness
among African Americans and people of African descent.
Glaucoma is six to eight times more common in African
Americans than in Caucasians.
People Over 60
Glaucoma is much more common among older people. You are
six times more likely to get glaucoma if you are over 60 years
old.
Family Members with Glaucoma
The most common type of glaucoma, primary open-angle
glaucoma, is hereditary. If members of your immediate family
have glaucoma, you are at a much higher risk than the rest of
the population.
Family history increases risk of glaucoma four to nine times.
.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Hispanics in Older Age Groups
Recent studies indicate that the risk for Hispanic populations is
greater than those of predominantly European ancestry, and that
the risk increases among Hispanics over age 60.
Asians
People of Asian descent appear to be at increased risk for angleclosure glaucoma. Angle-closure glaucoma accounts for less than
10% of all diagnosed cases of glaucoma. People of Japanese
descent are at higher risk for normal-tension glaucoma.
Steroid Users
Some evidence links steroid use to glaucoma. A 1997 study
reported in the Journal of American Medical Association
demonstrated a 40% increase in the incidence of ocular
hypertension and open-angle glaucoma in adults who require
approximately 14 to 35 puffs of steroid inhaler to control asthma.
This is a very high dose, Illinois
onlyDept.
required
in cases of severe asthma.
on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Eye Injury
• Injury to the eye may cause secondary open-angle glaucoma.
This type of glaucoma can occur immediately after the injury or
years later.
• Blunt injuries that “bruise” the eye (called blunt trauma) or
injuries that penetrate the eye can damage the eye’s drainage
system, leading to traumatic glaucoma.
• The most common cause is sports-related injuries such as
baseball or boxing.
Other possible risk factors include:
•High myopia (nearsightedness)
•Hypertension
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Diabetic Retinopathy – Bleeding in the
retina may cause vision to become hazy, blurry,
spotty or even disappear altogether.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Visual Impact of Diabetic Retinopathy
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Retinitis Pigmentosa
• Inherited eye disease that affects the retina
• most cases, linked to a recessive gene, a gene that must be inherited from both
parents
• progressive vision loss (tunnel vision – lose top to bottom as well as side vision)
• In some cases, a new mutation causes the disease to occur in a person who
does not have a family history of the disease.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Usher Syndrome
 hearing loss or deafness and progressive vision loss.
 loss of vision is caused by retinitis pigmentosa (RP),
which affects the layer of light-sensitive tissue at the
back of the eye (the retina).
 major cause of deaf-blindness in U.S.
Three Types of Usher
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Usher Syndrome
Type 1
Hearing
Vision
Vestibular
function
(balance)
Type 2
Profound
Moderate to
deafness in
severe hearing
both ears from
loss from birth
birth
Type 3
Normal at
birth;
progressive
loss in
childhood or
early teens
Decreased
night vision
before age 10
Decreased
Varies in
night vision
severity; night
begins in late
vision
childhood or problems often
teens
begin in teens
Balance
problems from
birth
Normal to
near-normal,
chance of later
problems
Normal
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Macular Degeneration
Diabetic Retinopathy
Cataract
Retinitis Pigmentosa/Glaucoma
Charles Bonnet Syndrome
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Fonts – which can you read with ease?
12 Point
14 Point
16 Point
18 Point
20 Point
24 Point
32 Point
36 Point
44 Point
54 Point
Times Roman
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Sun wear for indoors and outdoors
Low Vision Devices
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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These kinds of glasses may be helpful in
TV viewing and reading
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Writing Guides
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Check Writing Guide
Envelope Address Guide
Signature Guide
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Large Print
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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"Loss of vision means
losing contact with
things,
but loss of hearing
means losing contact
with people“.
-- Helen Keller
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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How We Hear
•
•
•
•
•
•
•
Sound travels through the air as vibrations or
waves.
The eardrum is similar to a drum; it is a
membrane that stretches across the ear
canal at the threshold between the outer
ear and middle ear.
When sound waves hit the eardrum, the
eardrum vibrates and sends the vibrations
to the middle ear, where they pass through,
in order, the hammer (malleus), anvil(incus),
and stirrup.
These three bones are the tiniest bones in
the human body.
Stirrup passes the vibrations along the
cochlea, in the inner ear.
The inner part of the cochlea is lined with
thousands of hair cells, called cilia (sil-eeuh).
When the cochlea vibrates, the cilia move,
stimulating the auditory nerve, which sends
the vibrations to the brain. The brain then
interprets them as sound.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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How is hearing loss measured?
•Audiogram: chart showing how well
you hear.
•Loudness (decibels) is plotted from
top to bottom.
•Frequency (tone) is plotted from left
to right.
•Hearing Loss (HL) is measured in
decibels (dB), not percentages.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Meet The Audiogram
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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1.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Hearing Aids
•
•
•
•
Do not create ‘20/20 hearing’
Tailor amplification to loss
Amplify all noises at those frequencies
Work best in 1:1, quiet situations
– intake interview
_ one-to-one visits
I can hear you
but I can’t understand you
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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In the ear hearing aid (ITE)
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Behind the Ear (BTE)
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Canal Aid
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Completely In the Canal (CIC)
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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What is a Telecoil or T-switch
• A telecoil is a small copper coil that is an option
on most hearing aids and is built into cochlear
implant processors.
• also known as t-coils and were originally used to
boost the magnetic signals from the telephone
handset.
• telecoil is activated by a t-switch on the hearing
aid or cochlear implant.
• All landline and some cell phones are designed
by law to be used with a telecoil.
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Telecoil/T-switch Functions
• Connects the listener directly to the sound source while most
back-ground noise is eliminated
• Increased amplification of speech from telephone through
hearing aid and eliminates background noise
• Can be used with Assistive Listening Devices (ALDs) such as:
– Pocket talker/Personal FM system
– Loop systems used at:
•
•
•
•
•
•
Auditoriums
Movie theaters
Airports
Banks
Churches
Workplace
- Infrared system
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Assistance to purchase hearing aids and
assistive listening devices:
Hearing Loss Association of America has an extensive list of programs and
foundations that assist with the purchase of hearing aids.
http://www.hearingloss.org/content/financial-assistanceprograms-foundations
Lions Affordable Hearing Aid Project (AHAP)
email: [email protected]
www.lionsclubs.org The AHAP is only available through local Lions
clubs. Contact a club in your town for more information.
Hear Now Program 6700 Washington Ave S., Eden Prairie, MN 55344
1-800-648-4327 V/TTY
Website: http://www.starkeyhearingfoundation.org/hear-now.php. Provides
recycled and used hearing aids to low-income persons.
Veterans Administration
Vocational Rehabilitation
Cochlear Implant
• A cochlear implant has
both internal and external
components:
• The external component
consists of a sound
BTE Headpiece
processor in the form of
either a behind-the-ear
(BTE) or box-shaped
device. This device is
connected by a cable to a
headpiece that rests on the
scalp above the ear. The
sound processor is
Speech processor
sometimes called a speech
processor
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Internal Component
• The internal component
consists of the actual
“cochlear implant”, which
nests within the mastoid
bone.
• The implant’s magnet
connects from beneath the
skin with a magnet in the
headpiece outside the skin.
The implant contains a
computer chip and an
electrode array, a very thin
wire that is lined with
electrodes and threaded
through the cochlea.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
61
Cochlear Implant vs Hearing Aid
• cochlear implant
bypasses the damaged or
missing cilia and directly
stimulates the auditory
nerve, enabling the
implant user to hear
sound.
• Hearing aids, by contrast,
depend on whatever cilia
are present and capable
of being stimulated. If
there are no cilia, or if
they all are damaged, the
auditory nerve cannot be
stimulated. In this event
no hearing aid will
enable an individual to
hear. The person can
then consider the option
of a cochlear implant.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
63
One to One Communication Devices-Wired
• Pocketalker
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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Personal frequency modulation (FM) systems
Wireless
• like miniature radio stations
operating on special frequencies.
• consists of a transmitter
microphone used by the speaker
(such as the teacher in the
classroom, or the speaker at a
lecture)
• a receiver used by the listener
• receiver transmits the sound to
your ears or, if you wear a hearing
aid, directly to the hearing aid.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
Use with Headphones;
Neckloop if equipped with
Telecoil (T-switch); Ear bud
65
Loop Systems
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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CART
Computer-Assisted Realtime Transcription
• What is it?
– Speaker’s words displayed
on screen or laptop
– Usually a verbatim readout
with disk/printout
available after class
• When is it used?
– Meetings, workshops,
presentations, training
classes
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
67
Voice Carryover with LVD
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
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CapTel USB™
View Large-print CapTel
Captions on a Computer
Monitor connects directly to
your computer to display
conversation captions on your
computer screen.
Illinois Dept. on Aging April 22, 2014
Helen Keller National Center-Paige Berry
CapTel phone conversations!
You control the size, color, and
font style of the captions on the
computer screen for easiest
reading. Choose large text
sizes, high-contrast colors, or a
special font to create optimal
viewing.
You can save and print
conversation captions on your
computer.
CapTel phone connects directly
to your computer via USB port.
Designed specifically for
users with low-vision
concerns.
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Interactive Text Communication Devices
Interpretype
UbiDuo
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