Kolcabas Comfort Theory By Michelle Heim Objectives Importance of Comfort to Nursing Profession Kolcabas Theory of Comfort Empowerment of Patients and Families Health Safety and Transcendence at the EndofLife EOL ID: 581890
Download Presentation The PPT/PDF document "Reflection of" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Reflection of Kolcaba’s Comfort Theory
By: Michelle HeimSlide2
Objectives
Importance of Comfort to Nursing Profession
Kolcaba’s
Theory of Comfort
Empowerment of Patients and FamiliesHealth, Safety, and Transcendence at the End-of-Life (EOL)Planning, Implementation, and Evaluation of Comfort CareReflection: Elaborate, Analyze, and ReviseSlide3
Importance of Comfort for Nursing in EOL
American Nurses Association (ANA): comfort is a main goal in nursing care of dying patients
Richeson
&
Huch
(1988): comfort is nursing’s unique contribution
Morse (1992): ultimate purpose of nursing is to promote comfort
Kolcaba (1994): nurses facilitate the outcome of comfort in relation to health-seeking behaviors or a peaceful deathSlide4
Introduction to Kolcaba: A Theory of Comfort
Defining
comfort for
nursing:
-satisfaction of basic human needs in stressful health care situationsTypes of comfort: -relief
-ease
-transcendenceContext in which comfort occurs: -Physical -Psychospiritual -environmental -socioculturalSlide5
Empowerment of Patients and Families
Peaceful Death/Good Death
Patient and Family involvement
Accepting mortality Slide6
Health, Safety, and Transcendence at the EOL
Health
-Health-seeking Behaviors
-Holistic ApproachSafety -Defining QSEN Competency for Patient-centered care -Health care, family, and patient as a team
Transcendence
-Potential for extraordinary performance as an end -Comfort Peaceful/Good DeathSlide7
Planning, Implementation, and Evaluation of Comfort Care
Death Anxiety
r/t unresolved issues
Powerless-ness
r/t the effects of illness and impending death
Chronic pain
r/t disease process at EOL
Death Anxiety
-Assess client for fears r/t death
-Assist client with life review and reminiscence
-Provide social support (personal contact, phone call, therapeutic self)
Powerlessness
-explore feelings of powerlessness
-have the client assist in planning care whenever possible
-help the client specify the health goals he/she would like to achieve
Chronic Pain
-assess the client for pain using a valid and reliable self-report tool
-Assess for pain routinely and at frequent intervals
-Manage persistent or chronic pain using a multimodal approach (pharmacological and nonpharmacological)
Death Anxiety
Express feelings associate with dying
Seek help in dealing with feelings
State concerns about impact of death on others
Powerlessness
-State feelings of powerlessness and other associated feelings
-Differentiate between factors which are controllable and uncontrollable
-Participate in planning and implementing care
Chronic Pain
-Use a self-report pain tool to identify current pain level and establish a Comfort Functional Goal (CFG)-Perform necessary or desired activities with a pain level at or below CFG-Describe nonpharmacological means of relieving pain
Nursing Diagnoses
Expected Outcomes
InterventionsSlide8
Reflection
L
E
A
R
N
-Look back and reflect
-Elaborate and describe feelings
-Analyze the experience
-Revision
-New trial and improvementSlide9
References
Cronenwett, L., Sherwood, G., Barnsteiner
J.,
Disch
, J., Johnson, J., Mitchell, P., Sullivan, D., Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3)122-131. Retrieved from http://qsen.org/about-qsen/terms- and-conditions.
Kolcaba
, K. (1994). A theory of holistic comfort for nursing.
Journal of Advanced Nursing 19, 1178-1184. Retrieved from PubMed.Kolcaba, K. Y., & Fisher, E. M. (1996). A holistic perspective on comfort care as an advanced directive. Critical Care Nursing Quarterly, 18(4), 66-76. Retrieved from PubMed.Ladwig, G. B., & Ackley, B. J. (2011). Guide to Nursing Diagnosis (3rd Edition). Maryland Heights, MO: Mosby Inc.Vendlinski, S., & Kolcaba, K. Y. (1997). Comfort care: a framework for hospice nursing. The American Journal of Hospice & Palliative Care, 14(6), 271-276. Retrieved from PubMed.