Effective communication is a tool used in decision making, one has to rely on effective communication to be able to get the information required and make decisions based on the information recieved for example in order to obtain the medical history of a patient in need of assistance, you need to maintain good communication either between the patient and the caregiver... in this case the caregiver can approach the patient with knowledge of what medical assistannce the patient requires......: and decision making alters the life of the patient if there is miscommunication mistakes are going to be made and put the life of the patient at risk...