nurse4theplanet, RN 1,377 Posts Specializes in Critical Care, Pediatrics, Geriatrics. Feb 28, 2007 I can definitely understand the part about being most interested in hands-on actions with clear results, as opposed to a very intimate relationship with a patient. (It's funny because just the other day I was talking about how I personally don't have a ton of interest in garnering social relationships with patients-- I mean it's not to say I'm cold/careless and don't want to talk at all, it's that it just won't really be my priority.) And from what I've learned, ICU and OR are pretty conducive to this preference, especially OR.What would make you think that you will not form many social relationsips with your ICU patients? Even if you can't form a relationship with the patient, you have the family to connect with. These patients are critically ill and having a therapeutic relationship with their caregivers is very much a priority. Just because we focus intently on maintaing homeostasis and hemodynamic monitoring does not mean we are lax on the psychosocial areas of nursing in ICU. Anxiety, grief, fear, denial....are all very common responses to illness that our ICU pt's experience or that the family may be experiencing. Alot of ICU patients have impaired communication r/t stroke, trauma, intubation, sedation, etc...this does not mean that their need for comfort and socialization is gone. Being alert and not being able to communicate verbally can be very frightening and the nurse must provide reassurance that their needs will be met, psychological support, and other ways to communicate nonverbally.Death is common in the ICU, and the nurse must be emotionally prepared to deal with a grieving family. This takes very good psychosocial skills and use of therapeutic communication. Some ICU pt's can remain on the unit for several weeks and you are with them constantly throughout your shift...you get to know them and their family members very intimately. They tell you their fears and look to you for hope and comfort. Please do not believe that forming social relationships is not a priority in critical care.