match concepts, definitions and propositions to the case study

1. CASE STUDY
Relief Ease Transcendence
Physical Mouth sores,
vomiting
Finding optimal
position to maximize
sleep and deter
fatigue
Patient able to enjoy
meal with all side
effects controlled
Psychospiritual Anxiety Projection of social
stigma towards
alopecia
Joining group of peers
for support
Environmental Double-room, new
environment
Lack of privacy-
increased need for
isolation precautions
Needs privacy for
personal hygiene
purposes and
atmosphere that
adheres to infection
control guidelines
Sociocultural No family presence Lack of
communication
related to language
barrier
Need for family
support
15 year old female, Hispanic patient recently diagnosed with ALL admitted to Levine’s Children hospital oncology
floor in double room. Scheduled for her third chemotherapy treatment and found crying in the corner of her
room while alone.

2. CONCEPTS MATCHED TO CASE STUDY

3. CONCEPTS MATCHED TO CASE STUDY

4. PROPOSITIONS MATCHED TO CASE STUDY
• The nurse will identify the needs of the patient to provide comfort during her hospital admission. Needs can include identifying any pain, fatigue,
or anxiety and providing interventions to increase the comfort.
• The nurse will use appreciate techniques that contribute to increasing the patient’s overall comfort level, providing medication and relaxation
techniques. Also, by providing the patient with education, resources, and using an interpreter.
• The nurse will identify ways to increase the patient’s comfort after recognizing the intervening variables. In the current case study, the nurse, can
provide education on the patient's ALL diagnosis, use the interpreter services in the hospital, call the family while in the patient’s room if they are
unable to come, and always provide privacy.
• The patient and the nurse can agree the patient will follow up with support groups to provide empowerment and encouragement throughout her
chemotherapy treatment.
• By increasing the comfort the patient will complete all required chemotherapy and any additional treatment requirements outpatient to improve
health-seeking behaviors.
• Increased support can lead to increase satisfaction. The patient and family will acknowledge the Hospital for providing excellent care and report
during the hospital survey.

5. REFERNCES
Comfort Theory and Nursing Practice. (n.d.). Retrieved March 17, 2017, from http://comfortcareinnursing.blogspot.com/p/comfort-theory-and-
nursing-practice_08.html
Comfort Theory by Katharine Kolcaba. (n.d.). Retrieved March 17, 2017, from
http://currentnursing.com/nursing_theory/comfort_theory_Kathy_Kolcaba.html
Kolcaba, K. (2010). An introduction to comfort theory. Retrieved March 17, 2017, from http://www.thecomfortline.com/home/intro.html

6. THANK YOU FOR VIEWING OUR
MIDDLE RANGE THEORY
PRESENTATION
Jaclyn, Megan, Lauren, Suzanna, Macey,
and Courtney