Nursing diagnosis – IMPAIRED COMFORT

IMPAIRED COMFORT

DEFINITION

Perceived lack of ease, relief, and transcendence in physical, psycho-

spiritual, environmental, and social dimensions

DEFINING CHARACTERISTICS

• Disturbed sleep pattern, inability to relax, and restlessness

• Insufficient resources (e.g., financial, social support)

• Lack of environmental or situational control

• Lack of privacy

• Noxious environmental stimuli

• Reports being uncomfortable, hot or cold, or hungry

• Reports distressing symptoms, anxiety, crying, irritability, and

moaning

• Reports itching

• Reports lack of contentment in situation

• Treatment-related side effects (e.g., medication, radiation)

ASSESSMENT FOCUS

• Cardiac

• Respiratory

• Muscle tone

• Sleep patterns

• Pain

EXPECTED OUTCOMES

The patient will

• Maintain heart rate, rhythm, and respiration rate within expected

range during rest and activity.

• Maintain muscle mass and strength.

• Report pain using pain scale.

• Report periods of restful sleep.

SUGGESTED NOC OUTCOMES

Comfort Status; Coping; Knowledge Health Promotion; Pain Control

INTERVENTIONS AND RATIONALES

Determine: Monitor pain level using scale 1–10. Using a scale will

allow evaluation of the effectiveness of pain-relieving measures.

Assess vitals signs during times of discomfort, including blood

pressure, heart rate and rhythm, and respirations. Use the patient’s

baseline vital signs to evaluate response to pain and response to

pain-relieving measures.

Assess sleeping patterns in response to discomfort. Interruption of

sleep is common in patients experiencing discomfort.

Perform: Provide a quiet and relaxing atmosphere. Encourage active

exercise to increase feeling of well-being. Provide pain medications

as ordered; evaluate response to evaluate effectiveness of pain-relieving

measures.

Inform: Teach relaxation exercises and techniques to promote

reduced pain levels, sleep, and anxiety. Teach medication administra-

tion and schedule to facilitate pain relief. Teach massage therapy to

caregiver to promote comfort.

Attend: Provide support and encouragement during periods of

discomfort. Include patient in plan of action to promote self-care.

Manage: Refer to pain management clinic if pain cannot be

controlled through relaxation and exercise. Refer to physical thera-

pist to accommodate patient’s level of physical activity. Refer to

massage therapist to promote relaxation. All healthcare professionals

contribute to the overall goal of maintaining comfort.

SUGGESTED NIC INTERVENTIONS

Active Listening; Aromatherapy; Calming Technique; and Coping

Enhancement

Reference

Dowd, T., Kolcaba, K., Fashinpaur, D., Steiner, R., Deck, M., & Daugherty, H.

(2007). Comparison of healing touch and coaching on stress and comfort in
young college students. Holistic Nursing Practice, 21(4), 194–202.

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