Speaking skills to work on for effective communication include

Giving a person eye contact when you or they are speaking to you, speaking loud and clear.

Smoking damages the respiratory system by inhalation of a foreign substance, that is absorbed and residue is left behind on our lungs sponge like substance. the gas that is inhaled also increase your blood pressure and dilates your blood vessels. also the process of inhaling and exhaling the smoke it causes irritation to the throat and mouth. smoking can cause lung cancer and other respiratory and circulatory diseases. 

Adescription of  congestive heart  failure, its symptoms, risk factors, and treatment. to the  heart muscle  other than by artery or blood  flow  problems; signs of  heart  failure may not  meanthe patient has  heart  failure and they quit alcohol, or at least consume alcohol within the national recommended  limits.