The main purpose of this paper is to make a case analysis on Mrs. Joan Woods who is a 68 years old lady suffering from acute pancreatitis. She had been suffering from acute respiratory failure, and had a size 7 Portex oral ET tube in Situ. The paper makes an analysis on the given data of Mrs Woods and gives the reasons that why Mrs Woods is at high risk patient for development of ventilator associated pneumonia. The paper also makes an analysis on the nursing and medical priorities of care and the treatment required. ...