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.
I gave her some example on how to apply the comfort theory to practice. I started off by giving a patient a warm blanket to help them increase their body temperature after surgery is an example of helping the patient to achieve comfort in the relief sense. Addressing a patient’s anxiety by taking time to explain their plan of care is an example of helping
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C a fifty five years old Chinese man was admitted to the ICU post Coronary Artery Bypass Graft (CABG) surgery. He had an uneventful CABG with no complication intra operation. He was ventilated over night. Vital signs, blood pressure: 153/75mmHg, heart rate: 86beats per minutes, sinus rhythm and temperature 35.3C. Post operative, the Cardiac Surgeon had ordered targeted systolic blood pressure of less than 130mmHg. The surgeon had prescribed blood pressure medication, such as Sodium Nitroproside infusion and for pain, Dormicum plus Morphine infusion. As a critical care nurse I need to monitor and observe patient very closely. I 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 I would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that I am accustomed to assessing comfort needs, I would recognized that Mr. C’s BP is high suggestive of increase in pain, and I would administer the Morphine as per doctors order. I 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.
In my current setting, we do not have a respiratory therapist (RT)