The document discusses challenges faced by two students, Donald and Evelyn, who have visual and hearing impairments. Donald, age 9, has limited vision in one eye from childhood illness and struggles in school with reading small text, math, sports, and fatigue. Evelyn, age 12, lost her hearing at age 8 but remains determined to pursue a career in music against advice. The document provides guidance on supporting students with visual and hearing impairments.