More handpicked essays just for you.
The principle of therapeutic alliance
Comfort concept compared to comfort theory
The principle of therapeutic alliance
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: The principle of therapeutic alliance
aspects include social isolation and unstable living arrangement. Sociocultural characteristics are defined by isolation form her friends and support network and differing views of the medication regime from her mother. For the purposes of the comfort theory we will focus on nursing interventions to address all four areas that effect comfort.
Nursing Outcome (NOC) Comfort status: Patient will report a positive perception of physical and psychological ease. There are three forms of comfort that exist. Relief would be attained if the antiemetic’s helped decrease the nausea and vomiting. Ease would be achieved if Laura has a reduction in her feelings of restlessness, depression and control over her treatment regime. Transcendence is the state
Comfort care or palliative care is when a terminal patient is placed in a quiet room, where no medical interventions are done except morphine. The patients are not placed on any monitors, no vital signs or given prescription medications. Only the presence of families, periodic turning, swabs for dampening the lips, and perhaps restful music is around the patient. Comfort care is meant to allow a dying person a peaceful end, thus, morphine drip is added for pain relief. Stephens (2012), states that it’s the same medications used to control pain and discomfort, could be used to “help” the patient to stop breathing. The concept of terminal sedation assumes death as an outcome of the intervention.
Physical pain is more easily addressed by the administration of medication or a non-pharmaceutical intervention like repositioning, or the application of heat or cold. Nursing care on a general medical unit is about patient and family centered care which is in alignment with Kolcaba’s Theory of Comfort. A large portion of the patients seen on this type of unit have multiple comorbidities and challenging social situations that require assessment of their past health history, their support system, and their current living situation. All of this is taken into consideration in multidisciplinary rounds where data that is collected is communicated to all disciplines and a plan of care developed for each patient. The unit which I currently manage assembles our multidisciplinary unit daily. Needs are identified and assigned to the team members who include social work, care management and therapies in addition to the nurses and the providers. Since the team meets daily there is an opportunity to evaluate the effectiveness of the interventions prescribed. Nursing care management is integral in this work as part of the assessment, planning, and coordination of care in the hospital
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
The Comfort Theory originated from a Masters Program assignment which was to diagram her nursing practice. At this time she worked on an Alzheimer unit and was head nurse and comfort was what she had in mind for these patients. This is when comfort became her center in research and her practice. This theory does not have one single publication but is the result of long work. This theory then later had the opportunity to be applied to other fields of nursing. According to Kolcaba, patient comfort is a very complex, rich,
Study Design: In the search for nursing literature, 34 publications were found to be relevant to be used in the study; out of these 34 publications, 22 studies exercise a qualitative design while 12 exercise quantitative design. The quantitative studies designs of this literature review included descriptive designs, cross- sectional designs, correlational designs, descriptive cross- sectional and correlational design. As for the qualitative studies included study designs: exploratory and descriptive, interpretative interactionism, hermeneutic, phenomenological design, ethnographic, feminist phenomenological design, and grounded theory approach,
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Have you ever been on an airplane where you were so desperate to use the lavatory that you rush out of your seat only to abruptly hail to a stop as you see the food trolley moving ever so slowly down the aisle? Nature calls and mentally all you want to do is push everyone out of your way, hurl the trolley against the wall and run like your life depends on it towards the lavatory. Of course, that would not be the action of a sane individual. Instead, they would wait patiently, trying to control their bodily excretion. Is that the kind of behavior airliners want to trigger in a client? I believe not. Such difficulties should and could be avoided by airlines willing to please their customers by providing them with a more innovative solution in serving food and beverages.
K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort. A- Value seeing health care situations “through patients’ eyes”.
According to the model, adaptation is defined as the process and outcome in which thinking and feeling persons use conscious awareness to create integration between human perception and their environment. The major concepts of Roy’s Adaptation Model are person, health, environment and nursing. Roy’s model sees the person as an open, adaptive system which uses coping skills to deal with stressors and is in constant interaction with a changing environment. Environment is the stimuli, which is divided into focal, contextual and residual stimuli. Roy defines environment as all conditions, circumstances and influences that surround and affect the development and behavior of the person. Health is the process of being and the outcome of adaptation. In the concept of nursing, Roy’s goal is to promote adaptation and contribute to the pers...
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Comfort is important to caring in nursing because it is the nurse 's job to try and help the patient feel at ease and be pain free.
Society and the environment are key components to the nursing metaparadigm. The place that allows nurses to be nurses and facilitates their interactions with others. The environment varies from nurse to nurse and place to place. Some environments shape more of the framework than others but facilitate the interaction between the patient, their culture, and their relationships. Speaking to Jose, he was in the hospital but his home environment and culture were very prevalent in his experience. He did not lose sight of his culture and his beliefs remained
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Two concepts at the heart of nursing are comfort and caring. The Meriam Webster dictionary defines comfort as easing grief or trouble, as well as giving hope or strength. The definition of caring is showing or feeling concern for others. Theorists Jean Watson and Katharine Kolcaba seek to enhance nurses understanding of caring and comforting patients through their respective theories. This paper will discuss their theories using a stepwise approach.
The main motive of this paper is to demonstrate how the nurse completes a health assessment of this family by using Gordon’s 11 identified functional health patterns approach in a holistic view of the family (GCU NRS-429V Lecture Note, 2011). Through open end questions, the nurse predicts potential problems in health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, coping, and evaluates the behavioral pattern within the family. Nursing diagnoses are formulated which will assist the nurse to design a care plan according to the family’s needs.