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How to apply comfort theory in nursing
Why patient comfort is important in nursing
How to apply comfort theory in nursing
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Concept Analysis: Comfort Concept analysis is essential in nursing to produce a more in-depth understanding of the concept being analyzed; thus, improving nursing practice. The foundation for research and theory is built from concept analysis. The concept being analyzed in this paper is comfort. Comfort is the desired goal in nursing practice. All nursing care, including the nursing process (assessment, planning, implementation, and evaluation) is implemented to obtain the outcome of comfort ("Kolcaba's Theory of Comfort," n.d.). The purpose of this concept analysis is to define comfort, determine the defining attributes, create a conceptual definition, identify antecedents and consequences, identify a model, borderline, and contrary case, …show more content…
She conceptualized comfort as existing in three forms: relief, ease, and transcendence. Relief is experienced when the comfort needs of a patient are met. Ease is achieved through a state of contentment, when anxiety is relieved. Transcendence occurs when patients overcome their challenges in achieving comfort. Kolcaba states four contexts in which comfort can occur: physical (pertaining to one’s body), psycho-spiritual (one’s relationship to a higher power), environmental (surroundings of the patient), and socio-cultural (pertains to one’s relationships with family, society, etc.). Kolcaba’s theory presents comfort as an outcome of purposeful, patient-centered, quality care (Kolcaba's Theory of Comfort, …show more content…
The defining attributes that delineate the concept of comfort are pain-free and ease. Ease is defined as “a state of being comfortable: relief from discomfort or obligation” (Ease, n.d.). A dictionary definition of pain-free did not exist; therefore, the terms pain and free were defined independently. Pain is “usually localized suffering associated with bodily disorder such as disease or an injury; acute mental or emotional distress or suffering” (Pain, n.d.). Free means "relieved from or lacking something and especially something unpleasant or burdensome" (Free, n.d.). Non-health care workers, health care workers, and the dictionary cited the terms pain-free and ease frequently when defining the terms. Ease also occurs as an aspect of Kolcaba’s definition of comfort. Pain-free and ease are the characteristics of comfort that consistently occur when analyzing uses of the
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.
When I graduated high school, I really gave a lot of thought about what I wanted to do with my future and who I wanted to be. During this time, I read that psychologist often suggest people revisit the activities they enjoyed as a child. They claim that children spend their time participating in activities that bring them the greatest delight. Children do not think about salaries and retirement plans, they simply do what makes them happiest. This made me think back to how I spent my childhood and what I did in those years solely for the sake of it bringing me joy. That is when I realized that care giving and nurturing has been a part of my happiness since I was a child. Whenever a family member or friend was injured or ill, I would be the first in line to administer a Band-Aid or bring them soup in bed. When I was blessed enough to have everyone in my life be in good health, I would find an outlet for care giving in my stuffed animals. I would come up with fictional illness and ailments and find a way to care for them; whether it was constructing a tourniquet out of my hair ribbons, a cast out of duct tape or an oxygen mask out of sand which bags. When I allowed my imagination to run wild, I always found my greatest joy in nurturing. As I grew older I gave up my imaginary patients, but I never lost the happiness I felt when caring for another person.
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”.
Katherine Kolcaba is a nursing theorist who developed the Theory of Comfort in 1990. It is a “middle range theory for health practice, education and research” (Kolcaba, 2011) with a focus on comfort. The three forms of comfort that Kolcaba describes are relief, ease and transcendence. It is these terms that my organization utilizes in documentation of pain and comfort in the electronic health record.
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
Weaver , K., & Mitcham, C. (2008). Nursing Concept Analysis in North America State of the
Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
Nursing behaviors that improve patient comfort are as simple as positioning and repositioning, knowing patients special comfort habits, and advocating for family presence (Kolcaba & DiMarco, 2005). It is important to use a measurement tool to assess comfort and remember to reassess for a positive outcome or plan a new intervention. Comfort is associated with the pursuit of healthy behavior, increased patient satisfaction, and better cost-benefit ratios (Kolcaba & DiMarco, 2005). Although Watson’s caring model is a broad philosophy that applies to nursing practice in general, nurses utilizing this theory would find Kolcaba’s middle-range comfort theory aligns well within the framework those
Pain and suffering is something that we all would like to never experience in life, but is something that is inevitable. “Why is there pain and suffering in the world?” is a question that haunts humanity. Mother Teresa once said that, “Suffering is a gift of God.” Nevertheless, we would all like to go without it. In the clinical setting, pain and suffering are two words that are used in conjunction. “The Wound Dresser,” by Walt Whitman and “The Nature of Suffering and Goals of Medicine,” by Eric J Cassel addresses the issue of pain and suffering in the individual, and how caregivers should care for those suffering.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
Attention Attention is defined as “notice taken of someone or something; the regarding of someone or something as interesting or important”. Attention is an important characteristic of caring in nursing because it helps the patient feel important and acknowledged. Comfort Comfort is defined as “a state of physical ease and freedom from pain or constraint” by the Oxford online dictionary (2016).