Ok so I have a problem and I don't know how to go about it. My grandfather has ALS and I have been the one who has been telling them all that they need. They listen for the most part but he will not listen to me when it comes to using his alternative method of communication. So he still has the use of his hands so we bought him an I pad. He never wants to use it and I have tried setting goals for him. We have tried games, word searches. He will not pick that thing up. For the past 2 months he was able to communicate by slurring and we can pretty much understand him. The problem for me is that I know this is not going to be the case in the near future and that he will not be able to speak and that he will have to have another way of communicating. What should I do. If he will not use the I pad there is not way he will use eye gaze or anything else. how are we supposed to help him and know what is going on with him? I know this will be horrible for him not to be able to tell us what he needs or how he feels. Any advise on this?