Question

theoty of comfort by katharine Kolcaba. Application to practice identify current area of practice; acite carr, rehabilitative/chronic care, community care, wellness care.

Answer 1

Kolcaba's Theory of comfort categorized under middle range theory used in the health practice,education and research. It incorporates holistic concept in nursing.

The theory describes that comfort exists in three forms namely: relief ,ease and transcendence. The theory explains comfort as the immediate intervention done by the nurses to relieve patient ailment. For example administering analgesic for a post operative pain. The patient will attain comfort based on four elements namely physical,psycho spiritual,environmental and sociocultural. Nursing component as per the theory focusses on assessing the comfort needs of the patient, planning level of care, implementing the comfort measures and finally evaluating the nursing interventions.

Theory application:

Health care needs $\rightarrow$ Nursing interventions$\rightarrow$Enhancing patient comfort$\rightarrow$Evaluation.

In clinical practice while caring a patient after an amputation. First assess the comfort need of the patient, The priority goal is to reduce the intensity of postoperative pain. Assess the pain intensive by using pain assessment scale based not he pain severity administer pain killer. Provide comfortable position and adequate support to the extremities. Evaluate the effectiveness of intervention by reassessing the intensity of pain. The patient verbalizes a marked reduction of pain and attain an ease of comfort. This improves health seeking behavior and institutional integrity.