Problem: Patients are unable to speak when they have an ET tube in place. What is the recommended method to communicate with these patients? 1 Talk to patients as if they have a hearing loss by speaking very loudly. 2 Leave a pen and paper within reach to allow them to write comments. 3 Provide a communication board such as an alphabet board for family to communicate with patient. 4 Ask family members to explain the plan of care to the patient.