Discuss how you as critical care nurse ensure your patients and their family are cared for in your service using Tiriti-led, trauma informed approach .Examine the influences that positively and negatively impact on how care and support for the patient and their family are undertaken in your service /unit.Use evidence to support your views and then outline how you as a clinical leader can ensure that your patient receives effective care that aims at reducing post traumatic stress in what has now been labelled post intensive care syndrome.