What are some of the most common ethical dilemmas encountered in critical care nursing?

Yes, I think end of life care.

That's quite a common ethical dilemma.

I think when there's situations of perhaps ceilings of support where you've reached the maximum level of support that we can give to patients.

And having those conversations and discussions can be quite challenging.

Decisions about withdrawal of treatment as well, knowing when is it best to withdraw treatment, when is it actually futile and this patient isn't going to survive and it's cruel to carry on.

I think capacity and best interest decisions, that was certainly seen during COVID as well, where senior clinicians had to make decisions over who to accept to intensive care and who not to, purely because of capacity.

What has changed since then and what challenges are nurses and teams still carrying?