Ease is felt when fear or anxiety is subsided about a treatment. These variables are identified as: past experiences, age, attitudes, state of emotion, system of support, prognosis, finances and the totality of elements in the person's experience. I am most excited and impressed with the scope and focus of this work. Use of nursing resources and comfort of cancer patients with and without do-not-resuscitate orders in the intensive care unit. Journal of Advanced Nursing, 1178-1184. Her education specialized in Gerontology, End of Life and Long Term Care Interventions, Comfort Studies, Instrument Development, Nursing Theory, and Nursing Research. In addition, several research studies have been published based on Kolcaba's work.
Relationships among concepts are not complex. Comfort theory takes that framework to another level to include a fourth line. Health is defined as a perception of functioning. Relief comfort usually comes in the form of pain management through medications. The comfort experience can be in four contexts: a. Using comfort theory in research can provide evidence for quiet time intervention with cardiac patients.
· 1944 Katharine Arnold Kolcaba born in Cleveland, Ohio · 1965 Graduated with diploma of nursing from St. Coaching interventions are hoped for by patients and their families. Sociocultural — pertaining to interpersonal, family, and societal relationships finances, teaching, health care personnel, etc. It was in this decade that Kolcaba began to develop a theory of comfort when she was a graduate student at Case Western Reserve in Cleveland, Ohio. There are protocols on hand massage and that is one of the things that I have been doing with my patients in the mission field. Sample criteria included being between the ages of 18 and 72 years and diagnosed with a solid, malignant tumor or a hematological type of cancer.
Context in which Comfort Occurs Physical — pertaining to bodily sensations and homeostatic mechanisms. Are the definitions of each key term, concept and sub-concept specific or vague? Institutional integrity is the value, financial stability, and wholeness of health care organizations at the local, regional, state, and national levels. An introduction to comfort theory. The questionnaires are most appropriate for empirical studies. The appendix includes comfort care questionnaires that can be used with patients in many settings, and a comfort scale that can be used with patients for a quick assessment of comfort.
Simplicity of the theory This theory is simple, rather than complex. I see this theory used quite often in the surgery setting. Taxonomic Structure of Comfort According to Dr. External Evaluation Kolcaba 2000 offers a mid-range theory that focuses on the concept of comfort as the essence of nursing care. Kolcaba herself teaches a course in her theoretical work through the University Of Akron College Of Nursing, hence demonstrating that graduate students are interested in her work and its implementation.
Please refer to Dowd, T. 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. The key concepts are all inter-related in the diagram and the propositions. I will do anything is my power to ensure the patient and their family have had all their questions answered and their stress and anxiety level is decreased. Comfort is not only provided through the relief of pain but also in the holistic venue such as addressing depression. According to her theory, patient comfort exists in three forms: relief, ease, and transcendence. Finally, transcendence is when the patient went beyond the comfort need.
The primary holism's in nursing. I have pilot tested visual analog scales and find that they are not reliable. The questionnaire is based on 24 positive and 24 negative items. Coaching are those interventions designed to relieve anxiety, provide reassurance and information, instill hope, listen, and help plan realistically for recovery, integration, or death in a culturally sensitive way; They consist usually of active listening, touch, and positive reinforcement. In this phase, you are evaluating the use of the selected theory in practice. Comfort food for the soul strengthens patients in intangible, memorable ways that patients do not expect.
. It defines the terms used and gives examples on how to use each aspect in the practical health field. There is a great emphasis put on holistic intervention. The four contexts in which patient comfort can occur are: physical, psychospiritual, environmental, and sociocultural. She retired as Associate Professor Emeritus in 2008 and continued to teach her intensive theory course, as well as guest lectures, upon request for several years post-retirement. The diagrams associated with the theory help to show the consistency of the tenets and use of terms. Application of Theory to My Practice have used this theory in different settings, even though I did not know the theory existed.
These additional aspects include both commonly understood issues related to comfort e. Another article by Kolcaba 1994 explains her theory in detail and in a way that could be suited for students to read. These questionnaires have also been translated into many different languages and customized for different patient populations see web site leading me to believe that the concept of comfort is universal. Nusing Outlook, 49 2 , 86-92. I humbly request you to have a response on 'what may be the sixth sense, which can be applicable in nursing? Nurses in the radiation therapy were given a chance to review the literature, and they were the ones that approved the music to be used. Comfort measures are directed at regaining homeostasis. To her credit, Kolcaba is meticulous in provided definitions for all key terms, concepts and sub-concepts.
While not as desirable as actually asking a patient about his or her comfort, the instrument can fill a gap regarding data collection in comatose, very frail as in terminal , or cognitively limited patients. The vertical cells represent the four contexts in which the comfort occurs: physical, psychospiritual, environmental, and sociocultural Kolcaba, 2003. Comfort care: A framework for hospice nursing. The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy. Evolution of the Midrange Theory of Comfort for Outcomes Research.