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Discussion

need help please~

I am doing my assignment, about COMFORT.:typing

First I thought the concept of comfort seems easy & simple, but I found that it is hard & complicated matter to understand.

Even though I have read all these journals, still don't know how to start my assignment.:sniff:

please help me with this!!

I need to choose a situation (where a patient is uncomfortable) from the clinical placement last week. and describe the situation and my interventions related to ANMC competencies and relevant journals. The discussion has to be related to 'decision-making' and 'judgement'.

Here are the questions;

Assessing comfort level

nurses role includes providing comfort and alleviating pain, right? but assessing comfort and pain is complex. How they actually assess their patients' comfort level? How do they 'judge' if the patient is uncomfortble if they don't say it verbally or they are unable to talk?

even though nurses use assessment tool to assess pain, the tool is objective whereas the pain/comfort level is subjective for individual patient. what do nurses do about that.

Making patient comfortable

if you found that a patient is not comfortable, what do you do first/

What interventions needed?

Self reflection

How do you know if the patient meet their needs and comfortable by your interventions

Featured Replies

  • Experts

A couple of weeks ago I was surfing the Internet and found a lot of information about pain relief on the City of Hope website. City of Hope is a large cancer treatment hospital down the road from where I live here in Southern California. I copied the website and posted some of the interesting weblinks here:

The cancer centers and hospices are good at assessing and treating comfort. Here are the hospice End-of-Life weblinks:

Good luck with your assignment!

  • Guides

Some of the basics are just paying attention to your patient. You can use the FLACCs scale for pain (the faces you use for children). Watch for squirming, facial expression, inability to lay still, tense muscles & grimacing, clenched fists, guarding, sweating, etc.

What to do first? look for the cause of discomfort. Can't fix a thing if you don't know the reason for it.

Reassess using the same clues and cues that you figured out the discomfort to begin with.

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