A lady dressed in red is standing at the head of the boat. Three people dressed in medical gear are sitting inside the main part. The boat is adrift heading towards land. There are houses with beachside views. There is a flag visible.
I think that Hellen Keller was a very loud and outspoken person for someone her age and with her conditions. My thought about this is that it is what she uses to try and comunicate with other people to make sure that they would still notice her.