Effective communication is the exchange of information between two or more people. The message must be clearly understood by all parties involved in the communication episode. Communication styles include verbal and non verbal techniques along with clarification of the message. According to Casey & Wallis, (2011), “Communication is central to human interaction. Without it, people cannot relate to those around them, make their needs and concerns known or make sense of what is happening to them” (p. 35). An example of effective communication is a nurse delegating to a CNA a task such as recording a weight on a patient. The CNA knows weights are done at a certain time, the patient is weighed and documented. The CNA completes the task and the nurse verifies it is completed. Ineffective communication is when one or more of the parties involved may not understand the message, including verbal and non verbal interactions. Ineffective communication can contribute toward obtaining incorrect or incomplete information, thus leading to inappropriate conclusions to the conversation. An example of ineffective communication would involve the aforementioned patient, and her parents. There have been multiple efforts in the past to educate the parents regarding proper trach cares, and allowing their patient's nurses to properly care for their daughter. The attempts were made in English, which is not the primary language of either parent. Subtle cultural nuances and colloquialisms were omitted because there was no Vietnamese translator to properly augment the communication process. Cultural perceptions, and cultural beliefs are not necessarily 'wrong', but they may need a better explanation of why they might best be incorporated with western medicine, or even eliminated for the sake of their daughter's health. When a Vietnamese translator was included in the educational