The unreachable thing in tending to care for Neurosurgery patients: Can that ‘fingerspitzengefühl’ be learned? Patients that under go neurosurgery are usually labeled as complex patients. These patients cannot tell the nurse adequately how they feel or how they are faring. Clinical observations are therefore very important. Sometimes you see that the state of the patient had changed or sometimes you feel that ‘something’ has changed in/with the patient. Usually it is the feeling of the nurse.