Katharine Kolcaba Flashcards
was the central goal of nursing and medicine
because, through comfort, recovery was achieved.
COMFORT
TYPES OF COMFORT
Relief
Ease
Transcendence
— nurses relieved the needs expressed by patients.
Relief
— described 14 basic functions of human beings to be maintained during care.
— state of calm
Ease
— patients rise above their
difficulties with the help of nurses.
Transcendence
Pertaining to bodily sensations
Physical
Pertaining to internal awareness of self, including esteem, concept, sexuality, and meaning in one’s life; one’s relationship to a higher order or being
Psychospiritual
Pertaining to interpersonal, family, and societal relationships
Social
Pertaining to the external surroundings, conditions, and influences
Environmental
are comfort needs arising from stressful health care situations that cannot be met by recipients’ traditional support systems.
Health care needs
are nursing actions and referrals designed to address specific comfort needs of recipients, including physiological, social, cultural, financial, psychological, spiritual, environmental, and
physical needs.
Comfort interventions
is the immediate state experienced by recipients of comfort interventions. It is the immediate, holistic experience of being strengthened when one’s needs are addressed
Comfort
are interacting forces that inluence recipients’ perceptions of total comfort.
Intervening variables
compose a broad category of outcomes related to the pursuit of health as defined by the recipient(s) in consultation with the nurse.
Health-seeking behaviors
— are those we cannot see, such as surgical healing, T cell formation, or electrolyte balance.
Internal behaviors
— are those we can see directly such as ambulation or indirectly such as blood pressure
External behaviors
— “a death in which conflicts are resolved, symptoms are well managed, and acceptance by the patient and family members allows for the patient to ‘let go’ quietly and with dignity
Peaceful death
possess the qualities of being complete, whole, sound, upright, appealing, ethical, and sincere possess institutional integrity.
Institutional Integrity
The use of health care interventions based on
evidence to produce the best possible patient and family outcomes is known as
best practices.
Institutional or regional policies ranging from
protocols for procedures and medical conditions to access and delivery of health care are known as
best policies.
