I am a registered nurse in a long term care setting.  We recently admitted a patient with advanced ALS.  She has no movement in her arms or legs and we were recently utilizing a call light system that was activated by moving her head.  She has since lost that ability and we switched to a call light system that was activated by blowing into a mouth piece.  This has also failed as she does not have enough pressure behind her breaths to activate this particular system.  Are there any other devices you are aware of that would benefit this patient?

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