Nursing Council New Zealand, Competency 1.5, Indicator 1 (NCNZ, 2007) - Applies the principles of cultural safety in own nursing practice was met by trying our best to ensure Max was always kept covered to give him privacy and comfort while we waited for paramedics to arrive in order to help keep him calm. Also by giving Max a pillow to rest his head and keep him comfortable helped to show how met this Nursing Council competency on cultural safety was met. Respecting the client’s privacy decreases the patient’s emotional discomfort during personal cares; this can be done by draping something over the client to ensure privacy and warmth (Brookside Associates, 2007).
Level and Scope of the The concepts of the comfort theory are clearly defined and the relationships are easily understood. This theory is simple and basic to nursing care. The taxonomic structure of comfort facilitates researchers’ development of comfort instruments for new settings (Kolcaba,1991).The first assertion of the theory stating that effective comfort interventions leads to increased comfort for patients , has been tested and supported with women with breast cancer (Kolcaba & Fox, 1999), persons with UI (Dowd, Kolcaba, & Steiner, 2000), persons in hospice (Kolcaba, Dowd, Steiner, & Mitzel, 2004). And stressed college students (Dowd, Kolcaba, Steiner, & Fashinapaur, 2007). Also, the second assertion was supported in the UI study, when patients with enhanced comfort showed increased HSBs.
Concept Analysis Carrie G. Alexander Chamberlain Concept Analysis The concept of comfort is one that nurses provide every shift; however, it is not always easy to define. Katherine Kolcaba’s Comfort Theory will be used. Walker and Avant’s method for concept analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the
Environment It is my personal belief that environment plays a considerable role in the patient’s short term and long-term wellbeing. When nurses acknowledge the environment that the patient is interacting in while receiving their care we know this greatly impacts the overall successfulness of the care plan. The patient’s feelings must be
Trossman (2006) states that at least 50% of patients are suffering from moderate to severe pain at their time of death, that 70 million Americans experience pain throughout their activities of daily living and that nurses hold the keys to pain management. According to Abdalrahim et al. (2010) there have been countless evidence-based studies regarding pain management; nevertheless, the inability to control the patients’ pain has increased due to nurses often devaluing the information they receive from the patients about their current pain level, these actions are directly related to a withholding of
D. Florence Nightingale’s nursing theory is probably the most well known in the nursing profession. “Patients are to be put in the best condition for Nature to act on them. It is the responsibility of nurses to reduce noise, to relieve patients’ anxiety, and to help them sleep” (Theories of Florence Nightingale, 2012). This theory emphasizes that environmental factors and adaptation is the basis of holistic nursing care. This theory is important in my opinion because it ensures that the center of focus is on the patient. When patients are hospitalized making them comfortable in a new and strange environment is important to me. Eliminating noise at the nursing station and turning down the lighting in the hallways at night are just a few ways that nurses can improve the environmental factors surrounding patients. During hospitalizations I strive to eliminate any anxiety that my patient may be experiencing. Upcoming procedures and treatments can cause tremendous stress. Simply by providing sufficient information regarding treatments or procedures can be beneficial in reducing anxiety or
Comfort Care: A Concept Analysis From a patients' point of view, comfort is multidimensional, characterized by relief from physical discomfort and feeling positive and supported in one's ability to cope with the trials of their illness, injury and/or disability. Nursing is a field driven by the act of providing care and comfort for patients and their families. Comfort is central to patient experience but the concept of comfort is poorly defined (Wensley, Botti, McKillop, & Merry 2017).
Understanding Leininger’s Theory of Transcultural Nursing Garensha Cazeau Curry College April 2015 RN Transitions Professor: Sanford
I interviewed Beverly Stark. She works for Health Partners Hospice and Palliative Care as a hospice registered nurse (RN). The setting of her work varies. It is wherever her patient lives, which can range from a hospital, long term care, or in the patient’s home. She emphasized the importance of
Hi Lisa, you have stated well, often, we (nurses) get in the way of our patients’ independence by thinking that we have to make all their decisions for them; it should never be like that. We are our patient’s helpers, we need to listen to their concerns, determine their weaknesses and figure out what we can do to enhance those weaknesses so that they can have the feeling of being “complete” instead of allowing them to fully depend on us. I agree with you that the nurse should work with Mr. R and his family to determine on how they want to deal with the “cancer” and we must respect whichever choices they make without interfering with them. I wouldn’t want any nurse to make all my decisions for me, I will always ask questions whenever things
Comfort: A Concept Analysis Cheryl Pineo Rivier University Comfort: A Concept Analysis Comfort is defined by Merriam-Webster’s dictionary (2014) as “a state or situation in which you are relaxed and do not have any physically unpleasant feelings caused by pain, heat, cold, etc.” or as “a state or feeling of being less worried, upset, frightened, etc., during a time of trouble or emotional pain.” Dictionary.com (2014) defines comfort as “a feeling of relief or consolationm” or “a person or thing that gives consolation,”or “ a state of ease and satisfaction of bodily wants, with freedom from pain and anxiety.” Dictionary.com (2014) lists the origin of the word comfort as coming from the 13th century Old French term confort, meaning “source of alleviation or relief.” One can see there are multiple meanings and interpretations of the word comfort. This paper will set forth to discuss the word comfort as a concept and its interpretation and use in many disciplines, including its significance in nursing.
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.
VOLUME 49 • NUMBER 2 Nurs Outlook 2001;49:86-92. Copyright © 2001 by Mosby, Inc. 0029-6554/2001/$35.00 + 0 35/1/110268 doi:10.1067/mno.2001.110268 86 Kolcaba NURSING OUTLOOK Evolution of the Mid Range Theory of Comfort for Outcomes Research Kolcaba that directs human behavior.4 Patients have implicit and explicit comfort needs that, when met, strengthen them and motivate them to perform better in therapy, rehabilitation, and learning/adhering to new health regimens.2 Second, needs are a force that is driven by social and cultural politics.4 Patient comfort needs are driven by expectations, and patients
Hospice is a component of palliative care. A person does not necessarily have to be dying in order to see a palliative care specialist. This is where the service is often underutilized in the hospital. In the 18 months I have been a nurse, I have cared for many patients with chronic illnesses who have dealt with symptoms that have severely impacted their quality of life. Most of the time, it seems as though the patient’s care providers are interested in treating the patient’s acute problems. My experience has been that the symptoms are often overlooked or are being treated in a manner that is to the dissatisfaction and discomfort of the patient.
The case study based on the palliative patient Mrs. Mavis looks at issues both the family and the patient are dealing with in regards to the end of life treatment Mrs. Mavis is receiving. Mrs. Mavis is a palliative patient, currently unconscious, who is dying and only wants comfort measures within her nursing care. This was made clear through her advanced care directive, which was made weeks before beginning to receive her end of life care. Mrs. Mavis’ comfort measures include pain relief, hygiene and keeping her comfortable. Mrs. Mavis’ family want her to have fluids and medications to help improve her health. They also want oxygen and pain relief to help with her breathing. Issues such as educating and supporting the family, pain management, the effectiveness of having an advanced care directive and pain assessment will be evaluated to determine the best effective interventions for Mrs. Mavis and her families care. Interventions that will be discussed through-out this essay include the use of analgesia medication, the use of subcutaneous injections and syringe drivers, emotional support for the family, effective communication, educating the family on Mrs. Mavis’ wishes and the importance of having an advanced care directive. These interventions will be evaluated to ensure they are the best practice for Mrs. Mavis’ care.