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Theory of comfort theory analysis
Kolcabas ”comfort theory” (Wilson & Kolcaba, 2004)
Kolcabas ”comfort theory” (Wilson & Kolcaba, 2004)
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Recommended: Theory of comfort theory analysis
Comfort theory by Katheryn Kolcaba is the experience of having Physical, Psychospiritual, Environmental and sociocultural needs met by the relief, ease, or transcendence of each problem. For example pain is the physical issue, Low self-esteem would be a psychospiritual, being in a noisy room can be environment, and not having sufficient finances for sociocultural problems. To relieve any of these problems is to meet each need and solve the problem. Ease is to calm the problem reducing or taking it away, and transcendence is rise above the needs or outgrow the needs (Flood, 2013). This theory addresses how one would identify and solve problems related to care, it also is used in nursing assessment. Identification of the problem is the first …show more content…
If one is lacking then it brings down the others and the opposite occurs if they advance together. This chart explains the theory in a way that research can be conducted. Based on the article “A practical application of Katharine Kolcaba’s comfort theory to cardiac patients” by Robin Krinsky two case studies were used to test the theory. The first case study was using the theory to state what went wrong in a situation. The patient had a poor outcome in this case study, the theory was applied to see what could have been done to increase the patients comfort and care.
A patient who was experiencing a MI went to the ER and remained there for 12 hours with no rest and no contact with wife. Normal precautions for MI were completed, labs drawn appropriately, EKG’s taken, Oxygen and Nitro administered. However, the patient had no quiet time and was transferred to cardiac floor after relief of chest pain. Without nursing staff attending to any needs other than immediate pain the patient was admitted into a 4 bed room. Unable to relax and worrying about being in the hospital alone the patient starts feeling angina again. They are upset and uncertain about what is happening. (Krinsky, 2014) Using the comfort model on this situation it is easy to see that a few things could be done to help. This can be simply put with the taxonomic structure of comfort
As an RN whose specialties have included Medical, Geriatric and Pediatrics, I am drawn to learn more about Katherine Kolcabas Theory of Comfort. It is also the theory from which my organization based its pain and comfort documentation requirements upon.
I find The Behavioral model similar to the hospice philosophy, in which the focus is on holistic care. Johnson's model is influenced by the biological, psychological and social factors and focuses on the needs that are common to people. Therefore, the importance to maintain and restore the balance in stressful situations can be challenging! The model's subsystems, structural and functional components all integrate enabling the nurse to understand the patient's behavior. As an example, some dying patients will present hostility and resentment toward nurses and doctors. Then, it is obvious to understand that these dying patients are displacing a defense mechanism as a protection for the fears that they cannot express.
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
An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen
As explained in the presentation, the model consists of an individual’s ability to carry out self-care tasks such as functional mobility, self-feeding, personal hygiene and grooming (Roper, Logan & Tierney, 1980). Thus, any change in these may be considered a deteriorating patient. However, this approach not only lacks objectivity, but it also fails to acknowledge the abnormal physiology that precedes this breakdown in self-care. For instance, it has been reported that 70% of patients preceding cardio-pulmonary arrest had a physiological decline in respiratory or mental function (Schein et al. 1990). Observing deterioration in activities of daily living alone does not accurately mirror underlying physiological deterioration occurring in patients....
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.
With my clinical placement being in the cardiology unit at Hamilton General I have been exposed to a variety of acute circumstances that required continuous critical thinking skills. Thus, with periods of such high demand and acute care situations it becomes undoubtedly difficult at times to acknowledge the patient as a whole and understand their story. Dealing with an acute patient population and continuous turn over rate it was visible to me that providing therapeutic relationship was not a priority on this unit, displaying empathy was easily missed and consequently, affecting
on which types of emotions we are feeling. When an individual is thinking about comfort
There are three types of nursing theories, when it comes patient well-being all three types
70). I believe that the patient’s needs always take priority. A good nurse-patient relationship is important when taking care of patients. If a patient can trust the nurse taking care of him or her and they have a good rapport, the patient’s experience will be positive. Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolve[s] around the relationships nurses form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient, he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the time to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and healing
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
70). I believe that the patient’s needs always take priority. A good nurse-patient relationship is important when taking care of patients. If a patient can trust the nurse taking care of him or her and they have a good rapport, the patient’s experience will be positive. Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolve[s] around the relationships nurses form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient, he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the time to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and healing
With heart attack, a patient can get worse by the minute with their 90 minutes or less strategy, they can save a patient’s life rapidly. This can help decrease the amount of damage to their heart muscles. It is also important that the employee’s work habits should match the team culture. For example, if just one doctor or nurse has a disagreement with another co-worker over treatment or does not let the other employee’s weigh in on the outcome of a patient can damage the trust of the team. Then the teamwork of the staff in the hospital could decrease and make that environment more vulnerable to mistakes causing a patient to die. With having a well culture work place employees share the same values of treating the patient in a timely matter to make sure they do less damage than they have to (Ivancevich, Konopaske, & Matteson, 2011).
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).
In the practice of nursing, needs are an everyday phenomenon and are a common theme among many nursing theories accessible today. These nursing theories help implement care planning of the patient needs for the best possible outcome. Some examples of need theories include Virginia Henderson’s Nursing Needs Theory and Abraham Maslow’s Hierarchy of Needs (McEwen & Wills, 2011).