Critical Care Unit (CCU) or Intensive Care Unit (ICU) is designed to meet the special needs of acutely and critically ill patients in a hospital setting. In many acute care setting, the concept of ICU care has expended from delivering care in a standard unit to bringing ICU care to patients wherever they might be. The electronic or virtual ICU is designed to augment the bedside ICU team to monitoring the patient from a remote location. The ICU staff includes critical care physician, respiratory therapist team, critical care nurses, and advanced practice nurses (APN). The capability exists to continuously monitor ECG, blood pressure, oxygenation saturation, mechanical ventilation, cardiac output, intracranial pressure, and temperature. More advanced monitoring devices allow for the measurement of cardiac index, stroke volume, ejection fraction, end-tidal carbon dioxide (CO2), and tissue oxygen consumption (Lewis et al., 2007). The ability to communicate well with professional colleagues, patients, and their relatives is a fundamental clinical skill in intensive care medicine and central to good medical practice. Doctors with poor communication skills are unlikely to achieve success and are more likely to face complaints and litigation.1 Although developments in the drugs and technology of critical care receive close attention, best practice in non-technical skills is relatively neglected; this is despite the fact that attention to this area can improve measures of patient outcome, psychological recovery, and family satisfaction with the care received. The opportunity to demonstrate advanced skills in communication is a daily feature of intensive care practice: when managing clinical crises, during family meetings, and when co-ordinating complex case management with colleagues.Despite the primary goal of intensive care being to assisst patients to survive critical illness ,death is inevitable for many intensive care units patients ans seldom unexpected.(E) Inspite of continuing medical advances ,mortality following a critical admission is around 20% ,with 60% of these death occuring after the decision to withdraw active treatment. Communication refers to an organized, patterned system of behavior that may be verbal or nonverbal. Verbal communication includes not only the language or dialect, but also the voice tone, volume, timing, and one’s ability to share thoughts and feelings. Nonverbal communication may take a form of writing, gestures, body movements, posture, and facial expressions. Nonverbal communication also includes eye contact, use of touch, body language, and style of greeting. Other variables to consider include the role of gender, age, acculturation, status, or position on what is considered to be appropriate eye contact. For example, Muslim Arab women exhibit modesty when avoiding eye contact with men other than their husbands and when in public situations (Lewis et al., 2007).
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