The patient cannot talk. She cannot use her hands. She shows the required cognition to use such a device. Give it to her!
See? Pretty simple.
I hope I don't sound ungrateful. We have been so blessed. Whenever we really need something for Abby, we have been able to find a way to get it. Its just that I think this will be the closest thing to hearing Abby talk. We've already been waiting a long time to hear what Abby has to say and she's been waiting a long time to express herself in a way that others understand. Can you tell I'm a little anxious?!?