Preview

Describe Consequences To Achieve Comfort In Health Care

Good Essays
Open Document
Open Document
655 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Describe Consequences To Achieve Comfort In Health Care
Walker and Avant (2011) describe consequences to be outcomes of the concept, or the incidents that take place as a result of the occurrence of the concept. A consequence of the inability to achieve comfort in the healthcare setting could include impaired healing. Pain as a result of injury can delay and impair wound healing.
Empirical References Empirical referents are “not tools to measure the concept”, but rather “the means by which you can recognize or measure the defining characteristics or attributes” (Walker & Avant, 2011, p.168). Comfort can be evaluated and measured through the use of self reporting and direct visualization. Pain is viewed as a subjective experience, and therefore a person's self reporting represents the gold standard for assessing (de Papathanassoglou, 2014, p. 110). Boudiah and Kolcaba (2015) recommend assessing patients overall comfort through a rating scale based on a 0-10 scale (p. 276). The benefit of scale utilization is the individualizing aspect it allows. Allowing the patient to self evaluate allows the response to be free of projected bias. The nurse is trained to
…show more content…
Jones is a 87 year old male who arrived to the emergency department via ambulance. Mr. Jones neighbor called the ambulance after he fell and hit his head. Mr. Jones had a small laceration to his head that the neighbor felt might need stitches. Mr. Jones is the primary care giver of his 84 year old wife who suffers from dementia. On arrival to the emergency room Mr. Jones is agitated and insistent that he is discharged. Mr. Jones stated that he needed to be home with his wife and he did not need to see a doctor. The nurse was able to settle Mr. Jones down by talking about his wife and their relationship. She proceeded to clean up his head laceration and it was determined that he did not need sutures. The nurse learned that Mr. Jones had two children and was able to contact his daughter. Mr. Jones daughter arrived at the hospital to take her father

You May Also Find These Documents Helpful

  • Better Essays

    A 13 year-old girl, Tina, was admitted for outpatient surgery on September 14. Tina was accompanied by her mother, who was informed by nursing personnel she would be in surgery approximately 45 minutes and then recovery for one hour. Tina’s mother informed nursing personnel that she would be leaving, but would provide her cell phone number to be notified if Tina was ready prior to the anticipated time. Tina’s surgery and recovery time did not last as long as expected and her mother was unaware she was ready to be dismissed from the hospital. In the mean time, Tina’s…

    • 4363 Words
    • 18 Pages
    Better Essays
  • Good Essays

    The negligence produced by the nurse in the care of Mr. Ard was below standard of care, which resulted in the loss of a life. There’s no evidence of what stresses the nurse might have been going through with the shortages of nurses and extra duties that may have been a part of nurses jobs currently. The lack of care Mr. Ard was given without proper protocol could have been prevented if proper steps were taken with his care, and proper attention was…

    • 1345 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    PROCEDURAL HISTORY- Young stab victim was brought into the hospital on March 1981, who had no vital signs. The ER doctors on staff tried to resuscitate. He started to gasp and they installed a Emerson pump into chest to help drain air and blood from chest. 20 minutes his vital signs were back to normal. DR. Gerdes wanted to do a thoracotomy but was unqualified to do so. They then called a DR. who would be able to perform the surgery, Dr. Mc Cool. Dr. Gerdes explained to Dr. Mc cool that the patient was in the hospital and required a thoracotomy, but patient did not have insurance. Dr. Mc Cool wanted the patient to be transferred to Earl K Long Hospital to get better care. The Dr. explained to Dr. Mc Cool that he could not transfer patient and Dr Mc Cool said transfer him. Phone call was then ended and the staff had to make a decision on what to do. The Dr and the nurse were not happy about having to transport this patient. They called for the ambulance. When the paramedics showed up they felt uncomfortable in transporting this type of patient. They had to remove the Emerson pump, when doing so patient started to bleed. Vital signs went down and he died of cardiac arrest.…

    • 493 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Case Study Grid

    • 581 Words
    • 3 Pages

    For each nursing diagnosis, state two desired outcomes using NOC criteria. Desired outcomes must be patient-centered and measurable within an identified timeframe.…

    • 581 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    In this scenario the patient is a 72 year old retired rabbi with mild dementia who is admitted to the hospital for a broken right hip due to a fall at home and is receiving pain medication. After a week of being admitted the patients daughter visits her father and finds him restrained. She also notices a red depressed area over her fathers’ lower back when her father is being assisted to the bathroom and was later informed by the dietary worker about her father receiving a pork cutlet on his dinner tray. The daughter was upset with the care being provided and complained to the physician.…

    • 1028 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Medical Abuse Scenarios

    • 388 Words
    • 2 Pages

    Scenario 1: On, 10-19-2015, this social worker received a report of alleged medical neglect from the Smith Elementary School nurse. Nurse reported Jason is an 8 year old third grader that has been seen in her office several times with a splinter in his foot. She has made phone contact with the mother and informed her that Jason needs to be seen by a physician on numerous occasions. Jason reported that his mother has not taken him to see a doctor. Jason’s injury is worse at the splinter area. On, 10-19-2015, at 2:00pm this social worker interviewed Jason at Smith Elementary School nurse’s office. Jason was dress in school uniform, blue pants and white shirt. He had his right sneaker on his foot and his left sneaker in his hand. Jason’s…

    • 388 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Oncology QSEN Case Study

    • 1606 Words
    • 7 Pages

    -When assessing my patient’s pain I would be sure to use a universal scale in order to achieve the best…

    • 1606 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Nvq 3 4222 212

    • 1114 Words
    • 4 Pages

    Pain intensity, pain assessment should be made using a numeric scale from 1 to 10 where 10 is the worst pain and 1 being the lowest…

    • 1114 Words
    • 4 Pages
    Good Essays
  • Good Essays

    "Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" (Merskey & Bogduk, 1994). According to Liebeskind (1991), pain is a universal phenomenon that can have a detrimental effect on mobility, sleeping and eating patterns, personal relationships, immune system, overall functional status and psychological well-being, and it has also been the most common reason for medical appointments. Pain is a complex, multidimensional perception that varies in quality, duration and strength (McGrath, 1994). Pain is a subjective symptom that cannot be objectively measured in the way that blood pressure or heart rate can be measured (Strong, Unruh, Wright, & Baxter, 2002). The definition of pain highlights the duality of pain experience and suggests that the perception of pain and how a person report pain is influenced by physiological and psychological factors; however, our understanding of pain and how it perceived by different people is still limited and more research need to be conducted in this field since pain evaluation and pain relief are important goals for the health care providers and clients.…

    • 2205 Words
    • 8 Pages
    Good Essays
  • Best Essays

    The field of orthopedics involves the ongoing care and support of those patients experiencing acute bone trauma or chronic bone diseases. It also involves medical treatment and pain management of patients who must undergo surgeries, such as joint manipulations, repairs, or replacements. The nursing care which supports this practice must address all needs which may arise from that repair or other treatment rendered by the physician. Specialized technical skills, accurately defined interventions, therapeutic nurse-patient communication, positive caregiver attitude, and effective continuity of care are important in the overall care provided by the effective orthopedic nurse (American Society of Registered Nurses, 2008).…

    • 1881 Words
    • 8 Pages
    Best Essays
  • Powerful Essays

    Middle Range Theory

    • 4931 Words
    • 20 Pages

    The developmental stages of the mid range theory of comfort are discussed in this article, which includes its philosophic orientation and its inductive, deductive, and retroductive reasoning. Other steps that are described are the concept analysis of comfort, the operationalization of the outcome of patient comfort, the application of the theory in previous nursing studies, and the evaluation of the current theory as it has been adapted for outcomes research. This article is a guide that shows how a concept grows, becomes embedded in theory, is tested, and is adapted for the rapidly changing health care environment. The theory of comfort also offers a way to reconceptualize nurse productivity.…

    • 4931 Words
    • 20 Pages
    Powerful Essays
  • Satisfactory Essays

    Pain management is a major concern for nursing care. Not only does controlling pain help the patient rest and heal, it also improves patient satisfaction. Pain management involves more than providing the patient with pain medication, it is an entire nursing process that starts at the time of admission. “A thorough pain history and shared goal setting are critical components of effective pain management that leads to beneficial outcomes” (Glowacki, 2015). Pain history includes past experiences of pain, current and past pain methods that have managed pain effectively, a tolerable level of pain, triggers of pain, and so on. Obtaining this history is imperative for the nurse in order to meet the patient’s pain management goals. This may just be…

    • 156 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Pain Assessment

    • 1176 Words
    • 5 Pages

    No one patient experiences pain the same as another. Sometimes, it takes more than one pathway in order to determine how extreme a patient’s pain is. The use of different pain scares such as the 1-10 Numerical scale, the Wong-Baker scale, and the observational pain assessment scale, has proven successful in the treatment of patient discomfort. When determining appropriate pain scales to use in the special populations, research has shown that is it of utmost importance that he nurse remains aware of any learning or health barriers that prevent proper utilization of pain scales. It was also determined that when dealing with patients of various cultural backgrounds, the nurse must always remember that different cultures express pain in different ways. Research emphasizes the importance of understanding that people living with chronic pain most often will not express any absence of pain. Instead, the goal for him or her may be to keep pain at a tolerable level. Pain can present in a vast number of ways through many different pathways; therefore, patients demonstrate the presence of pain in various ways. As always, it is the nurse’s responsibility to understand the patient and determine the way best to address pain in a timely and acceptable…

    • 1176 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Slatyer, Williams, and Michael’s (2014) study focused on nurses’ caring for patients experiencing ongoing pain. According to Slatyer, Williams, and Michael (2014), “strategies indicated include enhanced communication protocols, access to advanced practice nurses, use of nonpharmacological comfort measures, utilization of ward-based pain resource nurses, and unit-specific pain management education” (p. 229). Karabulut, Aktas, Gürçayir, Yilmaz, and Gökmen’s (2015) study revealed that 73.1% of the patients stated that pain interfered with their sleep (p. 21). According to Mouch and Sonnega (2012), “it is considered that effective pain management, effective communication with the patients and giving information about pain management after surgery are influential in increasing comfort levels” (p.22). Another comfort measure revealed through Mouch and Sonnega’s (2012) study is the positive effect spirituality and religion has for cardiac patients’ recovery and stress level. Education on sleep and sleep hygiene entail comfort measures, which is why the Theory of Comfort enhances my Capstone Project…

    • 377 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Gibbs Reflection

    • 3124 Words
    • 13 Pages

    Herr, K. Decker, S. (2010). Assessment of the Abbey pain Scale. Available at: http://prc.coh.org/PainNOA/ABBEY_D.pdf. Accessed: 2nd May 2012.…

    • 3124 Words
    • 13 Pages
    Best Essays