For example, PTAs need to able to explain about how a certain exercise will help them access a better living situation and also when speaking to others who are involved with the patient treatment such as the patient’s family, caregivers and other professionals involved. Listening and speaking effectively with the physical therapist on the patient’s case will benefit the patient in his or her treatment. For example, the PTA should speak and explain if a patient has a sudden change or if the PTA thinks the patient would benefit from a more challenging exercise in the pool. Listening to the patient is very important because it shows the patient they are valued, this will create goodwill with the patient in having a good relationship which will help in treatment. If the PTA is unable to organize their thoughts into words and not listen to their patients carefully it can really affect the progression of their