A theory of holistic comfort for nursing. Transcendence, for example, is felt when the patient reaches a goal. She earned a from in 1987 and a from the same school in 1997. The patient accepts the fact and wants to explore hospice. Copyright © 2014 Elsevier Inc. In this paper, I relate my own personal beliefs with that of a popular nursing theorist.
If notability cannot be established, the article is likely to be , , or. This theory is simple and basic to nursing care. When the body is in stress, the healing process is prolonged therefore comfort is crucial for healing and improving quality of life. Intervening variables are factors that nurses have little control of and are least likely to change over time. I believe that the theory of comfort could be successfully applied during the procedure of bone marrow aspiration. First, the Comfort Theory focuses on the comfort of patients with a shift toward psychological characteristics of comfort. James, the owner manager of Comfort Homes, turned his business into a multi-million dollar success story.
For one of my earlier consulting jobs, I was asked to focus on the comfort of nurses. A patient is the individual, family, institution, and community that is in need of health care. She also analyses the transcendental meaning of comfort and the idea of transformation and increase of individual strength through discomfort. The Comfort theory is grounded on the family-centered model. However, this was not the single her publication but the result of long work. This paper provides the discussion of the theory of comfort.
I have pilot tested visual analog scales and find that they are not reliable. The technical term for comfort for health care is the immediate state of being strengthened by having the needs for relief, ease, and transcendence addressed in the four context of… 4211 Words 17 Pages Katharine Kolcaba's Theory of Comfort Kelly Ferreira Summer, 2004. It is relevant to expert nurses in guiding their interventions to promote comfort for their patients. With these concepts in mind, nurses formulate a comfort care plan, with the goal of enhancing comfort over a measurement of baseline comfort Part One. This study showed that comfort was a valuable predictor of who would do well functionally. The four contexts in which patient comfort can occur are: physical, psychospiritual, environmental, and sociocultural. Whether it is actual comfort food that the patient can eat and reminds them of good memories and comfort, or this can be massage therapy, music therapy, environmental alterations to augment peace and calm, reminiscence or imagery.
It defines the terms used and gives examples on how to use each aspect in the practical health field. Katharine Kolcaba is a remarkable woman that has left a mark on nursing. Health care needs can vary for different categories of patients. You may want to contribute to this blog site and promote comfort care throughout the world! The Theory of Comfort was developed when conducted a concept analysis of comfort that examined literature from several disciplines, including nursing, medicine, psychology, psychiatry, ergonomics, and English. Recovery or peaceful death can only be attained once this discomfort is alleviated.
For example, in 1926, Harmer advocated that nursing care be concerned with providing an atmosphere of comfort. She specializes in gerontology, end of life care interventions, comfort studies, and nursing theory and research. Be a comfort care advocate. There are three levels of comfort measures: technical, coaching, and comfort food for the soul. Holistic comfort: Operationalizing the construct as a nurse sensitive outcome.
There are three forms of comfort presented: relief, ease and transcendence and all three can be seen in the contexts of: physical, psychospiritual, environmental, and sociocultural. Health-seeking behaviours are actions done by patients to find and improve health and wellness. The next four components are holistic contexts in which a need for a comfort could appear. It also qualifies as a middle range theory because of its direct applicability to nursing practice. They further tell the nurse not to discuss with their father or get a consult for hospice. Nursing aspect of the theory also includes intentional assessment of comfort needs, the design of comfort measures to address those needs, and the reassessment of comfort levels after implementation. A Theory of Holistic Comfort for Nursing.
Journal of Advanced Nursing, 1178-1184. Kolacaba comfort theory is one of the newest middle range theories in nursing. Pain also is the most frequent reason to seek a health care. She recommends using of protocols and procedures developed by a health care institution for overall use after collecting evidence. It is important within research in showing that application of this theory does make the patient feel more comfortable and better. A patient who is 72 years old has been told that his cancer is terminal and that further treatment will do little help.
Kolcaba described comfort existing in three forms: relief, ease, and transcendence. Luke's Hospital School of Nursing in Cleveland Kolcaba, 2003, p. Your patient is a 72-year-old competent male who has been told his cancer is terminal and that further treatment is unlikely to have any benefit. It is formulated to provide guidance for everyday practice and scholarly research rooted in the discipline of nursing. Image: Journal of Nursing Scholarship, 23, 237 240. Using comfort theory in research can provide evidence for quiet time intervention with cardiac patients.
It also includes 4 contexts in which patient comfort can occur. Springer Publishing Company, New York. The Comfort theory provides the ground for the effective nursing care focused on the high level of comfort of patients in physical, psychospiritual, social and environmental contexts. Kolcaba gracefully combines the science of nursing, in administering pain medications, with the art of nursing, in offering compassion, to enhance care. According to Kolcaba, Comfort has 3 existing forms.