The patient presented with signs of anemia including shivering, cold extremities, and requests for more blankets. Their temperature was 97.6F, pulse 97, respirations 16, and blood pressure 138/74. Short term goals were for the patient to perform interventions to improve comfort, and long term was for evidence of improved comfort at discharge. Interventions included relaxation techniques, guided imagery, hand massage and music therapy to teach the patient. The environment was also manipulated and the patient's understanding of their comfort level was assessed to strengthen self-management abilities.