While active listening is a universal skill, you may need to adjust your communication style depending on the patient's background, culture, and preferences. For instance, if the patient speaks a different language or has limited English proficiency, you should use an interpreter, a translator app, or simple words and phrases to communicate effectively. Additionally, if the patient is from a different culture, you should be aware of their values, beliefs, and norms regarding health, illness, and treatment. You may also need to adapt your tone and vocabulary for patients of different ages and genders. Furthermore, when addressing someone of a different gender than you, it's important to use gender-neutral or inclusive language and pronouns. Lastly, always respect the patient's privacy, dignity, and autonomy in making health decisions.