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Acknowledgement

We would like to thank our Faculty Guide, Dr. DeepaSethi, Assistant Professor, Humanities and Liberal Arts in Management, Indian Institute of Management, Kozhikode for her valuable guidance and continual encouragement throughout the project.
We are also thankful to the doctors and paramedics staff of Nirmala Hospital and Nursing College, Calicut with special thanks to Dr. Sibin, ENT Surgeon, Nirmala Hospital and Dr. Johnson, private ENT Surgeon, Calicut for their support and guidance.
We are heartily thankful to teachers of Rahmania School for Handicapped, Calicut under Association for Welfare of the Handicapped for their cooperation and support extended. We also extend our sincere gratitude to all the survey respondents.
We would also like to acknowledge Ms ShindyaKumari M D, Teaching Assistant, Humanities and Liberal Arts, Indian Institute of Management, Kozhikode for her constant efforts and support given to us.
Executive Summary

Communication is something many of us take for granted. We communicate to express our feelings, thoughts and opinions, to ask questions, and to give information. We do this with lots of people and for many different reasons.
People with profound and multiple disabilities can communicate but not usually with words. They use non-verbal gestures in day-to-day behaviour. Their communication is personal to them and hard to interpret for people who do not know them well. They will have severely limited understanding due to their disabilities. Most of them require support from their family members and care takers.
People with disabilities are just people who may happen to have difficulty with basic life activities, such as walking, moving, talking, learning, breathing, seeing, or hearing. Some of the biggest barriers faced are lack of understanding and assumptions of people with disabilities. People with disabilities are often wrongly perceived as helpless, confined, sick, needy or

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