Further information review has been analyzed with the use of open-ended questions being crucial especially among the aging populations as evidence by Tampi, Tampi & Boyle (2018). Further analysis of verbal and none verbal skills has been clearly documented with limitations being observed for continuous management as supported by Mellilo & Houde (2011) and Bryne & Neville, 2010. Effective approaches on communication skills have been highlighted which are aimed to enhance positive patient relationships as supported by the various evidence displayed in the blog, (Johnson 2010;