Sarah Ellen is a 28-year-old female with Down Syndrome, she was the second born of three children. She resides in Cleveland, Ohio with her parents, where she works at her mother’s fabric and quilting shop and runs her own Etsy shop, Down Right Charming. Her first year of life came with many complications including, open heart surgery and a tracheotomy. As an adult, Sarah Ellen no longer has her tracheostomy tube, yet still deals with breathing issues that, at times cause her to collapse, she has a wheelchair available when she will be walking far lengths (Ely). Having Down Syndrome comes with, presenting hypotonia in the jaw and other muscles used for speech as well as a protruding tongue from a small mouth leading to inconsistent errors in