My mom has gone through periods of great sleep, then a period of no sleep. We threw every sleep aid at her. She tried Ambien - got her to sleep but didn't keep her there, next was Phenonbarbitol - 1 week in she broke out in hives-allergic, next was tremazapam - did nothing, next chlorylhexadine - made her "loopy" "loopy". Now we are back to what she used to use pre ALS. 1 tylenol PM, 2 ativan every 4 hours. Put aspercreme on all her achy areas and wrap them with towels ie: arms legs, etc.. Seems to be working. Her sleep is much better again.
As far as communication device. We don't qualify for any computer type program b/c we are on hospice. The hospice speech therapist put a board together with most used words/needs/pain scale, etc..My mom would have to use a pointer to tell us what she wants. Problem is she can use her hand for the laser pointer. So they rigged up a device on a head piece. Problem is she doesn't have much control with her neck. All in All she could care less. No interest in it. She just wants this misery to end.
Tracy