I always thought it was my complex, higher order thinking that makes my brain hurt. Last night's example:
"what are nursing interventions I can use to get my lung transplant's pCO2 down without her needing to go on BiPAP/CPAP again tonight, because she always wakes up at some point, has a huge panic attack, rips it off, has a huge incontinent episode because of said anxiety, and without fail never gets back to sleep because she's stressed, embarrassed and exhausted?" (Answer: walking, IS, sitting more upright, sleeping in chair).
0600 ABG: pCO2 dropped from 70 to under 60, goal. She slept for the first time ever from 2300 to 0600 right through several IV pump alarms and whatever I was doing, was able to get to the commode in ample time, and practically hopped out of bed and was walking laps when I left.