NARRATOR: A title: Good Communication Practices. NARRATOR: In this video you will see Jake and his mom Dee discussing his budgeting chart and how much more money he needs to earn to purchase an electronic keyboard. Strategies that she uses to be an effective communication partner include: wait time, which allows him time to produce his desired response, asking clarifying questions to keep the reciprocal conversation moving, and to ensure that she's reading his communication accurately. And using his device her self. Which aids him in realizing the value of his device in getting his needs and thoughts met, as well as reminding him where some of the needed language is located on his device to continue the conversation. DEE: 85... 85 what? 85 what? What do you need 85 of? JAKE: Dollar. DEE: You need $85 right? Okay. So. How much? DEE [using device]: How much do you have now? NARRATOR: Dee stands up to get his printed budget to give him a visual queue of how much more money he needs to earn in order to purchase his keyboard. Understanding conceptual language is a challenge for learners with combined vision and hearing loss. Dee is working on the concepts of: all, now, and how much, with Jake. Having his visual chart available aids him in understanding these abstract concepts. DEE: Look, how much do you have right now? Do you have it all? No, you don't have it all. How much do you have now? Yes, I know. How much? How much is that? Yes. Listen, listen, how much is that? How much money do you have right now? Do you have all of it? No. You do not have all of it. How much do you have? JAKE: Four. DEE: Well, you're right, you have eighty-four. You have eighty-four. Eight, four. NARRATOR: Please take note of Dee's body positioning. She's seated next to Jake, at his eye level. Her body is close to his which allows him to have immediate access to her tactually and to know that she is focused on their conversation. She uses her arm to provide support to stabilize his arm to use his device. On occasion Dee uses a touch queue to Jake's shoulder to calm him and allow him to refocus his attention. DEE: Eight. Four. JAKE: Dollar. Dollars. How much do you have now? 84 dollars. DEE: Okay you have 84 dollars. How much more do you need? JAKE: How much more do you need? DEE: I love the way you're directing my hand to ask the question. How much more, how much more do you need? How many more dollars? How many more do you need? How many more? No, you tell me. How many more? Well, that one says one. Do you want me to read it to you? One. It says one. JAKE: One. DEE: One. JAKE: More DEE: One more dollar, huh? You have to do chores one more time. Good job. And then what are you going to buy with your eighty-five dollars? What are you going to buy? JAKE: I want DEE: Tell me.