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Katharine Kolcaba

Dr. Katharine Kolcaba developed the Theory of Comfort in the 1990s to guide holistic nursing care. The theory defines comfort as having physical, psychospiritual, sociocultural, and environmental needs met. It aims to assess a patient's comfort needs, design interventions, and measure outcomes. Kolcaba originally developed the theory with Alzheimer's and dementia patients in mind based on her specialization in gerontology.

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Patrice Danielle Lim
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469 views3 pages

Katharine Kolcaba

Dr. Katharine Kolcaba developed the Theory of Comfort in the 1990s to guide holistic nursing care. The theory defines comfort as having physical, psychospiritual, sociocultural, and environmental needs met. It aims to assess a patient's comfort needs, design interventions, and measure outcomes. Kolcaba originally developed the theory with Alzheimer's and dementia patients in mind based on her specialization in gerontology.

Uploaded by

Patrice Danielle Lim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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KATHARINE KOLCABA and evaluation of patient comfort.

( Kolcaba, 1991)
Biography:  Comfort as a product of holistic nursing
art. ( Kolcaba K, 1995)
Name: Dr. Katherine Kolkalba, RN
 A broader theory for comfort was
Born: Dec. 8, 1944 in Cleveland, Ohio introduced ( Kolcaba KY,(1994).
 The theory has undergone refinement
Educational Attainment
and tested for its applicability.
 Diploma in Nursing- St. Luke’s Hospital WHAT triggered Kolcaba to make the theory?
(1965)
 MSN- Frances Payne Bolton School of -Katherine Kolcaba originally wrote the Theory
Nursing (1987) of Comfort with Alzheimer’s and dementia
 PhD and Clinical Nursing Specialist patients in mind. Her specialization in
(1997) Gerontology is a huge factor.

Employment

 Theory Development Research


Section, Co-Chair.
THE COMFORT THEORY
 Consultant, The Comfort Line (online
website ang  a nursing theory that was first
https://www.thecomfortline.com/) developed in the 1990s by Katharine
 Specialization: Gerontology, End of life Kolcaba
and Long Term Care interventions,  a mid-range theory for health practice,
Comfort Studies, Instrumental education, and research
Development, Nursing Theory, Nursing  Patient’s need is the bases of this
Research humanistic and holistic theory.
o Holistic nursing is a practice of
Theory:
nursing that focuses on healing
DEVELOPMENT of theory ( e flow chart lng the whole person.
sis a PPT guro nya e simplify explain lng
futher)

 Kolcaba conducted a concept analysis


of comfort that examined literature
from several disciplines including
nursing, medicine, psychology,
psychiatry, ergonomics, and English
 First, three types of comfort (relief,
ease, transcendence) and four contexts
of holistic human experience in
differing aspects of therapeutic
contexts were introduced. (Kolcaba KY
& Kolcaba RJ, 1991)
 A taxonomic structure was developed
to guide for assessment, measurement,
COMFORT- “The state of having addressed
basic needs for ease, relief, and transcendence
met in four context (physical, psychospiritual,
sociocultural, and environmental)”

Types of COMFORT

1. Relief- a state where in specific


comfort needs of a patient are met

FOUR types of CONTEXT in which patient


COMFORT can occur

1. Physical- bodily sensations and


homeostatic mechanisms

2. Ease- comfort in a state of


contentment

2. Psychospiritual- internal self-


awareness

3. Transcendence-comfort in which
3. Sociocultural- interpersonal
patients are able to overcome their
relationship
obstacles
interventions. GOAL: to provide
comfort
 Patient- individual, family ; or
community in need of health care
 Environment- aspect of the patient,
family, or institutional surroundings
that can be manipulated by a nurse(s),
or loved one(s) to enhance comfort.
 Health- is considered to be optimal
functioning, as defined by the patient,
4. Environmental- the external factors of group, family or community
human experiences
ASSUMPTIONS

 Human beings have holistic responses


to stimuli.
 Comfort is holistic outcome of
effective nursing care
 Humans have a need for comfort and
will seek comfort wherever possible
 Nurses are in a position to identify the
comfort needs of their patients, design
comfort, measures, and assess
TAXONOMIC STRUCTURE outcomes to support enhanced
- help us identify comfort, needs ,design comfort.
interventions targeted to those needs,
and measure the effectiveness of those
interventions. EXAMPLES of theory usage

 Motivating patients who are in therapy


that one day their body will work
normally again
 Coaching a patient throughout her
labor and delivery
 Giving a warm blanket to a patient after
a surgery
 Providing a quiet room to a patient who
is in need of sleep and rest

METAPARADIGMS

 Nursing- the process of assessing the


patient's comfort needs, developing
and implementing appropriate nursing
interventions, and evaluating patient
comfort following nursing

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