An 85 year old Caucasian female suffering from Alzheimer’s disease has recently become increasingly agitated, voicing paranoid declarations, weeping and screaming and trying to leave the nursing home premises. Staff is concerned because family members rarely come to visit.
Kolcaba’s Comfort Theory Case Study Need for reassurance from staff regarding the family’s location Regular phone use to call family members. Absence of family Sociocultural Need for calm, familiar environmental elements and distraction Trying to leave premises Small unit; many dementia patients which increases noise Environmental Need for emotional and spiritual support Weeping and Screaming Depression Psychospiritual “ Why am I having this pain?” (point to abdomen) Restlessness and moaning Constipation Physical Transcendence Ease Relief
Kolcaba’s Comfort Theory Case Study Spending time Visual communication Listening Step by step guidance Social worker Consultations with doctor/family Touch therapy Reduced environmental stimuli Comfort food for the soul Encourage ADLs Emotional support Reassurance Coaching Assessment Vitals Medications Standard Comfort Interventions Example Comfort Intervention
Kolcaba’s Comfort Theory References Kolcaba, K. (2007, May 3). An introduction to comfort theory. In The comfort line . Retrieved November 10, 2007, from http:// www.thecomfortline.com / Kolcaba, K. (2007, May 3). The comfort line. Retrieved November 9, 2007, from http://www.thecomfortline.com/ Tomey, A.M., & Alligood, M. R. (2006). Nursing theorists and their work (6 th edition). St.Louis, Missouri: Mosby.