Causes of critical illness the chief categories of causes of critical illness and thus admission to icu are shown in the figure severe infection remains the most common and concerning problem in the care of seriously ill patients in hospital. Nursing critically ill patients can sometimes be overwhelming because there is so much to think about nursing frameworks such as kirbys rule of 20 can be useful to give direction and enhance efficacy and efficiency barton 2009 . Nursing judgments about appropriate interventions when managing secondary brain injury in critically ill tbi patients are influenced by worsening values for oxygen saturation intracranial pressure icp cerebral perfusion pressure cpp and nursing shift. The importance of skilled nursing in the management of critically ill patients cannot be overemphasized assessment continuous monitoringdrug administrationcomfort eganalgesiatoilette psychological support assistance with communication advocacy skin care positioning feeding and early detection of compli. Critically ill patients have many variables that must be monitored and critical care nurses must be constantly aware of processes occurring with these patients
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