Question

How can a patient and nurse effectively interact and communicate when that patient has a tracheostomy? 2. What are three nursing interventions when treating someone with MRSA? 3. What are the nutritional challenges for patients with a tracheostomy

Answer 1

1.Some of the best way to establish effective communication and interaction with a patient who has tracheotomy are

• Using sign language of patient understands
• Simple gesturing can be used to communicate
• Writing is the best way to interact and communicate with these types of patient
• In certain cases speaking valves can be used by the patient to speak out their needs.

2.The nursing interventions for a patient who has MRSA (Methycillin Resistant Staphylococcus Aureus) are

• Meticulous hand washing before and after touching a patient to prevent cross infection
• Isolating the patient from other patient to prevent spreading
• Administration of antibiotics as per order to destroy the microorganisms
• Following the protocol to apply T. Bact ointment around mares, axillary and groin thrice a day with M4 bath daily for five days and then checking the patient on seventh day for negative results and stopping the treatment
• Use of personal protective equipment to prevent contamination and infection

3.A patient who has tracheotomy can have the following nutritional challenges

• Inability to swallow food due to tracheotomy
• High risk for aspiration because of vomiting and difficult to swallow food
• Lack of nutrition during to decreased intake