Pre-work: Nancy Gilbert
1. You are the nurse caring for a patient with a
tracheostomy. What communication strategies can you
promote with your patient in order to effectively interact
and communicate?
Patients with a tracheostomy may have difficulty speaking, so alternative communication
methods should be encouraged. The nurse can provide tools such as a communication board, pen
and paper, or electronic devices to allow the patient to express needs. Asking yes or no questions
and encouraging the patient to respond by nodding or shaking their head can also be helpful.
Maintaining eye contact, speaking clearly, and allowing extra time for responses promotes
effective communication. If appropriate, a speaking valve may also be used to help the patient
verbalize.
2. You are the nurse caring for a patient with methicillin-
resistant
Staphylococcus aureus
(MRSA).
a) What is MRSA?
MRSA is a type of bacteria that is resistant to many commonly used antibiotics, particularly
methicillin and other beta-lactam antibiotics. It can cause infections in the skin, wounds,
bloodstream, lungs, and other parts of the body. MRSA infections are often more difficult to treat
due to antibiotic resistance.
b) Describe the precautions required when providing care to this patient.
Patients with MRSA require contact precautions. Healthcare providers should wear gloves and a
gown when entering the patient’s room or when in contact with the patient or their environment.
Hand hygiene must be performed before and after patient contact. Equipment used for the patient
should be dedicated or properly disinfected before being used for another patient. The patient
may also be placed in a private room when possible to prevent the spread of infection.
c) List topics to include in the patient and family education.
Patient and family education should include the importance of proper hand hygiene, completing
all prescribed antibiotics, and keeping wounds clean and covered. They should also be instructed
