Application of Kolcaba’s theory
The application of Kolcaba’s comfort theory is natural to nursing practice as nurses would spontaneously assess their patient’s mental and physical comfort. However, the taxonomic come within reach of providing a structure to place the formal and informal assessment. Using this structure nurses can intervene in precise ways as it is based on patients’ needs (Kolcaba, 1997). In this paper the writer would like to share her own experience. Currently the writer is working in a private hospital and she is in charge of the Intensive Care Unit (ICU). Being an in charge, her role is to lead and guide nurses under her wing. At the same time, the writer does take cases whenever there is shortage of staffs. Well the writer…show more content… She need to administer the medication that was prescribed accordingly. When Mr. C begins to arouse as a result of the anesthesia is wearing off, he started to grimace and his blood pressure shut up above the target level. By applying Kolcaba’s comfort theory she would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that the writer accustomed to assessing comfort needs, she would recognized that Mr. C’s BP is high suggestive of increase in pain, and she would administer the Morphine as per doctors order. She would place a warming blanket for Mr. C, to ensure he achieve nomorthermia. This close monitoring and intervention of treatment such as for pain represent a comfort intervention that addresses a particular care and it is a relief form of comfort.
Post CABG the patient will be on mechanical ventilation and it is really uncomfortable. At the same time they will also not be able to clear their airway. An Endotracheal (ETT) suctioning is required to assist the patient’s and this is done by the nurse. By doing an ETT suctioning, it would enhance airway clearance and this would allow the weaning process to take place soonest as possible so that the patient could be extubate much earlier. On day two of his surgery we manage to extubate Mr. C and gave him oxygen via nasal…show more content… Via my observation the writer notices that, Mr. C is really very anxious and scared to move. He needs to do his deep breathing exercises and start moving his legs as this prevent him from developing Deep Vein Trombosis (DVT). The writer explained to Mr. C clearly and highlighted to him the important of doing the exercises. The write also recall and recap the explanation and advice that she had already given to Mr. C during the pump talk. Now the write could see, Mr C is becoming more and more cooperative and he seems to be looking more relaxed and ease. He started too participated more in doing his deep breathing exercise and started ambulating around the bedside. Finally, Mr. C had achieved the behavior in seeking health and regained his comfort in sense of transcendence. The write believed that by application of Kolcaba’s theory of comfort had enable her to gain the cooperation for Mr. C and this had led to a better outcome for him. The write felt like she had worked collaboratively with Mr. C. He eventually recovered well without any significant complication and this had reduced the duration of his