Features 5 different picture cards with symbolic representations of familiar items and conditions in 5 different languages. Easy to use format helps to evaluate whether a more sophisticated and expanded communication system is needed. Can be used in a variety of ways to meet individual needs such as for patients in isolation, intensive care or post surgery, foreign language patients or people who have neurological disorders. For temporary or long-term care use in home, hospital or rehabilitation settings. Multi purpose cards can be used in educational environments to help increase vocabulary, teach foreign language skills and encourage story telling. Cards are also helpful in teaching picture symbol identification to children and adults with learning disabilities. 8 1/2 x 11 (22 x 28 cm), spiral bound book contains 5 heavy stock, laminated cards each with 12 images. Designed by Angela Tipton Dikengil, M.S., CCC/SLP.