This learning activity teaches certified nursing assistants how to recognize and report changes in a resident's or patient's condition using structured communication tools such as SBAR, Stop and Watch, and closed-loop communication, while reinforcing therapeutic communication techniques, teamwork and psychological safety principles, and strategies for handling common communication barriers like cognitive impairment, language differences, and challenging behaviors. It also addresses privacy and confidentiality obligations under HIPAA and facility policy, and closes with a self-reflection exercise to help CNAs assess and strengthen their own communication habits. Throughout, the content emphasizes that CNAs observe and report - rather than assess or diagnose - positioning clear, prompt communication as a core clinical skill essential to patient safety and person-centered care.