Independent Living For Older Blind Individuals | Time To Be Bold

About Services

About Services

Vision Rehabilitation services give you the tools to accomplish what you want to. 

It is helpful to be familiar with these terms when requesting services.

Most service providers will ask you questions in an initial interview that is designed to assess your needs and future goals. 

O&M provides instruction in safe and efficient indoor and outdoor movement, with or without a white cane with individuals who are blind or have low vision.  It may include training in the use of residual vision and the use of optical aids and/or technology related to wayfinding.  Although O&M instructors do not prescribe support canes, rollators, or wheelchairs, they will work with individuals who use them to determine the best technique for independent movement when there is also vision impairment. 

ILS services encompass all activities of daily living including safe movement and self-protective techniques for use within the home and other indoor spaces. Strategies are taught for managing the home (cleaning, cooking, organization, financial management) and for looking after yourself (clothing care and identification, personal grooming, health management). ILS includes anything to do with communication skills (reading and writing, keyboarding, using a computer or smartphone) and may include braille instruction as one of the tools used for increased independence or use of magnification and other low vision strategies.  

This area of instruction is also known as Vision Rehabilitation Therapy. 

Make the most efficient use of your usable vision for distance or near tasks with Low Vision services. In addition to visual skills training, services commonly include instruction on how to use magnification, add better lighting, and consider color contrast for reading, writing, and activities of daily living. 

Embrace the assistance that technology can give when you want to use your smart phone, shop online, or use your computer for any task.  Assistive Technology training teaches people basic to advanced skills for using computers, tablets, smartphones, and other devices specifically for people with vision loss such as refreshable braille notetakers. 

Case Study

Mrs. Aziz is a 74-year-old woman who loves to cook for her family but has recently lost some vision. She is afraid of cutting or burning herself. She cannot tell when the food is cooked through. She has no way to get to the grocery store. She tried writing a grocery list but could no longer read her own handwriting. 

The orientation and mobility skills specialist would teach her how to move safely around her kitchen, teach her how to get to the grocery store and then orient her to the layout of the store.  Mrs. Aziz might learn how to use a rideshare app to get her groceries home or learn to take public transportation. 

The independent living skills specialist would assess her current level of safety when working in the kitchen, work on an accessible method for creating a grocery list, self-advocate for assistance when shopping, and manage payment independently. Then once home, teach her adaptations for completing cooking tasks and organizing her pantry so that she could locate ingredients without asking for help from family. 

The low vision specialist would teach strategies for using her remaining vision to use magnification to read her recipes and package directions.  This may also be instructed by the independent living skills instructor. 

The assistive technology instructor, depending on Mrs. Aziz’s level of vision or preferences, might teach her how to use technology to search for new recipes on the internet or do her grocery shopping online and have it delivered. 

All specialists would teach Mrs. Aziz to advocate for herself and her needs for any assistance from drivers, store staff, and family members in a way that promotes her choices and her definition of independence. 

There are professionals who have the expertise to help you be independent.

Vision Rehabilitation Professionals teach skills that help people live and work with limited vision, which includes mild vision impairments through blindness.  A vision rehabilitation professional will assess a person’s needs and create a plan of intervention based on individual goals.  Vision Rehabilitation Professionals have different, but overlapping, areas of specialty and they often work together as a team to provide a holistic and comprehensive approach.   

Although individuals with expertise in teaching people with vision loss the skills they need have existed alongside agencies for the blind for over 100 years, university level professional preparation programs have existed for much less time and nationally recognized certification has existed only since the year 2000.  Due to a shortage of university-trained and certified professionals, not all agencies employ these professionals.

Learn more about vision rehabilitation professional certifications and scopes of practice