Big Picture Caregiving Communication Book UPDATED!

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  • Big Picture Caregiving Book cover and sample page
  • Example Meal Time communication board
  • Bathing choice board from Big Picture Caregiving Notebook
  • Blank page that can be customized with words or pictures
  • Big Picture Caregiving Notebook Cover showing Table of Contents


New, updated edition! Big Picture Caregiving Communication Book benefits adults who need help with personal care due to stroke, brain injury, dementia, cerebral palsy, other neurological disorders

This Big Picture Caregiving Communication book takes the guesswork out of trying to understand the physical and emotional care needs of someone who cannot speak. Picture-based communication boards help adults with speech and cognitive challenges communicate their needs and feelings with caregivers, family, nursing and home care professionals. We've expanded our popular Portable Adult Communication  book and made it focus on the essential aspects for improving care. Bigger pages and bigger pictures make it easier for adults with visual and fine motor challenges to make choices and direct their care. Users simply point to the pictures using a finger or stylus to indicate a choice.

Our Big Picture Caregiving Communication book was designed specifically for adults who require assistance with personal care. Each topical communication board includes 12 - 2" adult-appropriate pictures with words, as well as core vocabulary words to expand the user's meaning. The back side of each page features a blank template so you customize the board with personal favorites. The book is spiral bound so it opens flat to the page you want to use.  

Our communication book is ready to use including 350+ picture symbols on 30 communication choice boards related to caregiving including personal care, socializing, basic needs and more. Topical boards cover commenting, feelings, questions, weather, visitors, places to go, activities, music, sports, personal care, assistive tech, bathing, body parts, medications, grooming, meal time needs, hot and cold drinks, breakfast and lunch foods. An instructional guide on how to introduce and use our picture communication book with adults is included on the inside covers.

Click to see more sample pages

Also available for professionals and individuals: Printable version


Comments/Social - comments, WH questions, feelings, weather and more

Activities - indoor activities, outdoor activities, places to go, visitors, music, sports

Care - personal care, bathing, oral care, women's grooming, men's grooming, dressing, body pain, medications, sleeping, assistive devices

Mealtime - hot drinks, cold drinks, snacks, breakfast, lunch


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1 Review

  • 5

    Posted by LM on Feb 04, 2021

    Very useful. Mom had a stroke and it is helping her to identify items, emotions, and needs. The caregiver speaks another language. The book also helps them to communicate.

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