Lecture, three hours; fieldwork, three hours. Requisites: courses 461, 462, 464, 465A, 465B, 465C. Pathophysiological and psychosocial concepts in acute life-limiting illness and nursing management of critically ill adults, with focus on effect of critical illness on individual and family health. Key diagnostic and therapeutic modalities that promote effective nursing management of individuals with complex critical illnesses addressed. Emphasis on rapid assessment, critical reasoning, prompt intervention, and outcome achievement with fluid replanning for rapidly changing disease conditions. Letter grading.