right with open arms, suggesting confidence and self-control, (Underman Boggs 2011). This is mirrored by the patient, promoting a comfortable atmosphere and allowing the patient to disclose information about their health. Healthcare professionals should consider nonverbal cues expressed by their patients as a way of identifying emotions. For example a ‘slumped, head down posture might indicate low self-esteem’ states Underman Boggs, (2011, p.104). Equally, distances between communicators act as nonverbal messages but what is deemed socially acceptable varies between cultures. In the video the distance is continuously maintained at an equal level which erases perceptions of a power relationship, (Kraszewski and McEwen, 2010). However, in practice the proxemics between the nurse and patient are often broken, such as when giving physical care. In turn, patients of all cultures could misinterpret the actions of care, (Underman Boggs, 2011). Similarly, this relates back to gestures in that different hand movements and signs could be received in offence by other cultures, (Royal Collage of Nursing (RCN) 2004). Therefore, healthcare professionals should have an understanding of cultural diversity and value the differences, otherwise known as ‘respectful curiosity’, (Giger et al., 2007). Furthermore, the use of direct eye contact throughout the ‘Persuasion’ video creates a feeling of credibility and confidence in the speaker which is reinforced by Underman Boggs (2011, p.104) who states that ‘maintaining eye contact communicates honesty’. This therefore enables the patient to trust the speaker in the advice given on lowering sugar intake and strengthens the positive therapeutic relationship that has been identified. However, personal use of this communication in practice can be misjudged and for some cultures prolonged eye contact communicates aggression, (Sellman and Snelling, 2010). Similarly, barriers occur when communicating with patients who have sensory learning disabilities and those on the autistic spectrum who are inclined to avoid eye contact. Research carried out by Phoebe Caldwell (2010) has suggested that the observation and replication of body language, including vocal behaviour, can be used to initiate meaningful conversations, otherwise known as ‘Intensive Interaction’. As the interactions develop they supp