A 54-year-old man was recently diagnosed with amyotrophic lateral sclerosis (ALS). His speech is still fully intelligible, and he uses no AT. Which recommendation best anticipates his future communication needs?
Show answer & explanation
Answer: B
Wait until speech becomes hard to understand: Waiting loses the chance to record his natural voice and leaves little time for training before speech fails.
Begin message and voice banking now: Correct. While speech is intelligible he can record personal messages and bank his voice for later use in a speech-generating device, planned for a progressive condition.
Provide a low-tech letter board only: A letter board may be a useful backup but does not plan for the full range of future needs or preserve his voice.
Order an eye-gaze device immediately: Equipment choice should follow assessment of current and anticipated access needs; immediate eye-gaze is premature and may not be funded.
For progressive conditions, plan ahead: introduce AT early, bank messages or voice while speech is clear, and choose systems that can adapt to changing access methods.