Abstract: Methods for patients to communicate non-verbally with caregivers, including the steps of providing a communication device including a plurality of paddles and an organizing device, selecting a chosen message from the message set to communicate to a caregiver, selecting a selected paddle from the plurality of paddles corresponding to the chosen message, and communicating the message to a caregiver manipulating the selected paddle. Communication devices according to this disclosure include a support extending from a first end to a second end opposite the first end, a support opening proximate the first end of the support, and a banner member transversely mounted to the second end of the support, the banner member being configured to communicate a unique message, the plurality of unique messages on the plurality of paddles defining a message set. The organizing device is routed through the support opening of each paddle to moveably retain the plurality of paddles together.