Summary Of Katharine Kolcaba's Comfort Theory

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The Theory of Comfort was developed by Katharine Kolcaba in the 1990’s when she was a graduate student. Kolcaba’s Comfort Theory was a springboard off of her thesis and dissertation and Kolcaba revealed in a documentary she retired from teaching to focus on her Nursing Theory (Kolcaba, 2010). Kolcaba focus on comfort was bred from a systematic interdisciplinary literature review (Kolcaba, 2010). The Comfort Theory is considered a middle-range nursing theory because the focus is a more specific in nature (Kolcaba, 2010). This nursing theory is grounded in holism because comfort cannot be accomplished without addressing the needs of an individual as a whole. It is necessary to obtain comfort in the psycho-spiritual, socio-cultural, physical …show more content…
831). There are several significant factors that impact the patient road to wellness, such as the patients' perception their health, the vulnerable or anyone in need of health care (person) and alterations to the environment to increase the level of comfort. Moreover, nursing interventions promote comfort and empower their patient to advance toward wholeness (Ribeiro, Marques, & Ribeiro, 2017, p. 835). In my experience, promoting comfort promotes optimum outcomes by allowing the patient to loosen up and develop a more trusting relationship with their clinician; and, consequently, the patient focus evolves from a challenging moment in time to achieving wellness overall. However, the vulnerable person or population must be motivated to engage in healthier actions. But, first, the clinician must acknowledge that comfort interventions lead to health-seeking behaviors and health-seeking results in wellness; only then, can the nurse promotes comfort and work toward wholeness. The climate or environment of the organization sets the tone for the staff and ultimately directly influences the patient's outcome by promoting comfort or not promoting comfort. In order to promote comfort, the organizational integrity as it relates healthcare either promotes or hinders the quality of care or the level of comfort. Kolcaba (2010) states, the meeting of one's holistic …show more content…
Firstly, relief is meeting the patient's immediate comfort needs (Kolcaba, 2010). An example of relief is when a clinician assesses a patient and discovers pain is present. Then, she administers and effective pain relief nursing intervention such as massage, repositioning, or administration of analgesic medication. Relief is the initial step in comfort and it is vital to the healing process. Often, the patient’s demeanor and overall state are affected when discomfort is present which in turns, skews the nurse's assessment and plan of care. Second, achieving contentment from turmoil is a state of ease (Kolcaba, 2010). The patient's blood sugar drops causing an altered cognitive state and a family member to become concerned about their loved one's changes in their level of alertness. A good illustration of ease is when a nurse calms the family by educating them about the immediate interventions implemented to reverse or raise blood sugar. Achieving an understanding that the altered level of consciousness is only temporary provides comfort in turmoil. Ease fosters a development of trust between the nurse and the vulnerable patient and/or their loved ones. And, lastly, transcendence is when a patient is able to conquer their challenges and maintain comfort (Kolcaba, 2010). An example of transcendence is when a stroke patient with left-sided hemiparesis communicates to the

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