Concept of Comfort

“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault of not of the disease, but of the nursing. I use the word nursing for want of a better” (Nightingale, 1860, p. 8). While Nightingale stressed the impact of one’s environment to promote healing, Virginia Henderson aimed to establish on the fundamental needs as a knowledge base to guide Professional nursing practice. Henderson emphasized on fourteen components required for effective nursing care which includes: breathing normally, eating and drinking adequately, elimination of body wastes, movement and posturing, sleep and rest, select suitable clothes-dress and undress, maintaining body temperature, keeping body clean and well groomed, avoiding dangers in the environment, communication, worship according to one’s faith, work accomplishments, play or participate in various forms of recreation, and learn, discover, or satisfy the curiosity (Fernandes et al., 2015). Her division of the fourteen components acknowledged patient needs with a holistic approach that is applied through the nursing process in a clinical setting.

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

J.B’s comforters add nothing meaningful to the conversation of suffering and why God has acted in the ways he did, and one might even question the role of the comforters in J.B except mimicking the book of Job. The book of Job keeps itself continuous and even though the comforters miss the overall point of the testing, they still root themselves in the word and use past examples of God and how he acts to attempt to aid Job during his state of suffering. This distinction between comforters is critical as one story truly adds meaning to the reader's life and has a discernable

Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).

In my nursing practice I frequently care for long term elderly residents on ventilators and who suffer from stage 3 or 4 pressure ulcers, diabetic, venous ulcers etc. Instead of simply providing pain medications and wound treatment to ease their pain or giving medications to relax them, I wanted to learn ways to enhance the comfort of these residents. This led me to learn more about Katherine Kolcaba’s theory of comfort. I found her theory to be useful in understanding the theory of comfort. Hence as a nurse, it became important for me to analyze, evaluate and research more on its applicability in the world of nursing and also in other health care disciplines.

God is happy and generous when he is kind like in Bradstreet’s poem “To My Dear and Loving Husband”. Once her and her husband have passed on she hoped that “The heavens reward thee manifold, I pray”(Bradstreet 10). She wanted God to give them a place in heaven in which they could celebrate their love forever. With God being so kind he was also generous to some. Anne Bradstreet hoped that he would bestow this kindness upon her when she

“But I don’t want comfort. I want God, I want poetry, I want real danger, I want freedom, I want goodness. I want sin.”

Quality patient care can be advanced in this situation by collecting data on specific nursing-sensitive indicators. Data on the prevalence of restraint use and consequential complications (e.g. pressure ulcers, contractions, anxiety, incontinence, and other complications) can aid in maintaining awareness of risks and allowing the nurse to take proper steps to limit their occurrence. Data on patient/family/caregiver satisfaction can help illustrate whether the quantity and quality of nursing care needs to be improved. Data on nursing satisfaction and staffing can help to assess whether changes need to be made to staffing numbers, whether more experienced nurses are needed, whether more educational opportunities are need for the hospital staff, for example.

Pain is one of the most common reason patient seek out help. The concept of pain can affect every person is some form or way. Pain can stand alone as a theory or fix with other theories like Comfort, Self- care, and more. As a surgical nurse I need to have a higher understanding of the patients I care for to ensure they receive the best care. Concept analysis is a form of research that allows a person to explore a theory/ concept to the fullest degree in an organized way. This concept analysis will take Walker & Avant’s steps to form a better understanding into pain.

The comfort theory is a nursing theory that was first developed in the 1990s by Katharine Kolcaba. The Theory of Comfort considers patients to be individuals, families, institutions, or communities in need of health care (Petiprin, 2015). The environment in which this theory can be applied is in any aspect of the patient, family, or institutional surroundings that can be controlled by a nurse or a patient’s loved one by means to enhance their comfort. Health is considered to be optimal functioning in the patient, as defined by the patient, group, family, or community (Kolcaba, 2005).

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

The purpose of this research paper is to compare the public view of suffering in the Old Testament with the public view of suffering in the modern world. In order to properly achieve this comparison, I will explain the relationship between God and His believers in the Old Testament. More specifically, I will elaborate on the opinion that God is the cause of everything, including suffering and relate it to the first poetic book in the Old Testament, the Book of Job. However, influenced by the changes in science, upbringing, and multiculturalism this commonly held view changes. Therefore, I will explain the meaning of each of these three factors as well as their negative impact on religion. Finally, I will use three television shows as examples

Since its original publication in 1930, the novel As I Lay Dying by William Faulkner has drawn much exploration and critique. Though this analysis is very far reaching and broad in topic, one interesting route of investigation is the novel's connection to the Old Testament. One does not have to be a Christian to study the similarities in theme; there are very many occurrences of biblical subject matter and correlation, these having been studied by student and scholar alike. The Old Testament is known commonly as the more historical part of the Bible; it sets up the background knowledge to the New Testament and gives readers an idea of the nature of the times. Many general themes of the Old Testament are reflected in the Bible as a whole,

Practicing as a nurse, I realize I follow my own metaparadigm of nursing. In this paper, I relate my own personal beliefs with that of a popular nursing theorist. Though my research on theory is just beginning, I feel my metaparadigm most relates to that of Katharine Kolcaba and her theory of comfort. I will seek to illustrate my philosophy with the knowledge and nursing experience I have.

Patients and family members in medical intensive care units experience pain and anxiety while overcoming illness and disease. Nightingale was one of the first nurses to recognize that the relationship between health and comfort is strong and direct (Peterson & Bredow, 2013, p. 194). Kolcaba’s theory of comfort addresses the need for nurses to provide patients and families with relief, ease, and transcendence to facilitate health-seeking behavior (McEwen & Wills, 2011, p. 234). The purpose of this paper is to evaluate Kolcaba’s theory of comfort (CT) using the Synthesized Method described by McEwen and Wills (2011) and to describe how this theory can be applied in practice.