Introduction In this assignment I will look at four cases, which will require a range of different communication skills focusing mainly on; develop a therapeutic relationship, communicate assertively, communicate effectively with an individual with a disability/impairment, and communicate with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient.Part 1: Developing a Therapeutic RelationshipA therapeutic relationship is a professional and interpersonal alliance in which the nurse and client join together for a defined period to achieve goals health-related therapeutics (Chauhan & Long, 2000), which may only last for a short period of time but is important and significant (Arnold & Boggs, 2011) to build trust, respect and create an environment between the nurse and the patient vital to the patient's recovery. process and overall experience during the healthcare setting. I will build a therapeutic relationship with Regina for her pre-, peri- and post-operative periods, having an interdependent relationship known as an I-Thou relationship, based on equality, mutuality and reciprocity (Buber, 1958). The purpose of therapeutic communication skills is not to treat or cure an illness or disorder, rather to provide a sense of well-being to patients by making them feel relaxed and safe (Arnold and Boggs, 2011). As a nurse I will become familiar with Regina's past private and personal medical history, provide a private and safe environment for patient-centered communication that is strictly confidential to the medical team. Communication can involve verbal and nonverbal skills. Verbal communication involves having in-depth conversations with...... middle of paper ......oral proficiency: A conceptual framework for teaching and learning. Med Educ. 2009;43(3):229–237.Skillsyouneed.com.2014. Nonverbal Communication [online] Available at: http://www.skillsyouneed.com/ips/nonverbal-communication.html [Accessed: March 26, 2014].Skillsyouneed.com.2014.Verbal Communication Skills.[online] Available at: http://www.skillsyouneed.com/ips/verbal-communication.html [Accessed: 25 March 2014]. Sully, P., Dallas, J. (2010) Essential Communication Skills for Nursing & Midwifery, 2nd ed., China: Mosby Elsevier.Swann, J. (2008) “Mechanics of vision and common visual disorders”, Nursing and Residential Care, 10(1), 633-636.Swann, J. (2008) “Visual dysfunctions : assistive devices", Nursing and Residential Care, 10(3), 138-139. Swann, J. (2008) 'Visual dysfunctions: environmental considerations', Nursing and Residential Care, 10(2), 90-92.