Nursing at the Edge of Life

Narrated by Wang Yi-qin, deputy head nurse at Taichung Tzu Chi Hospital
Compiled by Cai Jia-qi
Translated by Wu Hsiao-ting
Painting by Wen Mu

The intensive care unit (ICU) is a truly unique place, where each day reveals both the strength and fragility of human life. Here, some patients lie unconscious. Others awaken as if by a miracle. Some have their loved ones holding their hands as they take their final breaths, deeply cherished and destined to be dearly missed. In this space, death isn’t a headline—it’s part of a daily reality.

For us ICU nurses, becoming familiar with death doesn’t mean growing numb. On the contrary, it teaches us to treasure every breath, every moment we can open our eyes and speak. I remember caring for a man in his 80s. He was intubated and unable to speak, yet his eyes conveyed a powerful desire to live. I also looked after a young father in his 30s who, despite multiple organ failures, fought on for nearly three weeks before passing. As we help our patients walk the fine line between life and death, we come to feel the weight of each life we encounter. We are reminded that the goal is not to fear dying, but to live more fully and sincerely.

After nearly a decade in this field, I’ve come to deeply understand just how vital and interconnected the ICU is. A well-functioning ICU depends on close collaboration across departments. Doctors, nurses, respiratory therapists, pharmacists, social workers, and dietitians all play essential, interconnected roles. We rely on mutual trust and timely communication to provide the best possible care.

Nurses serve as the team’s messengers. Because we’re closest to the patients, we can detect even subtle changes and quickly relay urgent information. We’re not only a bridge between the medical team and the patient—we’re also an emotional anchor for patients and their families. In the ICU, we accompany families through countless nights, staying by their side as they move from denial to grief, and eventually to peace and acceptance.

Since becoming a nursing supervisor, I’ve gained an even deeper appreciation for what makes a strong nursing team. It’s not just about expertise and experience—it’s about the ability to respect and support one another under pressure. I’ve seen colleagues who, even in the midst of chaos and demanding situations, find the gentleness to soothe patients with soft, reassuring words, and the steadiness to stand firm in their duty to care. I take great pride in them.

To all the nurses serving on the front lines: I want to express my heartfelt gratitude and deep respect. You carry the weight of life in your hands and protect each fragile hope with love and devotion. What you do may not always be seen by the public, but I believe it is held with lasting gratitude in the hearts of those you care for. May we all continue on this path of nursing with strength, compassion, and courage.

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