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AN ELDERLY WOMAN with a severe vision impairment (low vision) is assigned to a rehabilitation professional's caseload. The client is 75 years old, arthritic, and suffering from cataracts and macular degeneration. Because of her poor vision, she is no longer able to read her own mail, has difficulty identifying faces, balks at traveling by herself, and is fearful of falling and breaking her hip. This individual poses a number of unique problems and challenges for the rehabilitation professional due to the combination of her physical and sensory impairments.