Background: Ventilator-Associated Pneumonia (VAP) was the leading cause of death in Healthcare-Associated Infections (HCAI) requiring treatment in its specific prevention. Prevention of VAP had not been done optimally. such as nurses had not done hand hygiene and oral care according to procedure. head elevation not yet done as indicated. https://www.markymarkscott.com/product-category/karite-nutri-shampoo-very-dry-hair/