READINESS FOR ENHANCED COMFORT
A pattern of ease, relief, and transcendence in physical, psychospiritual
environmental, and/or social dimensions that can be strengthened
• Expresses desire to enhance comfort
• Expresses desire to enhance feelings of contentment
• Expresses desire to enhance relaxation
• Expresses desire to enhance resolution of complaints
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
The patient will
• Express positive perception of nursing assistance to perform activi-
ties that promote comfort.
• Experience physical and psychological ease.
• Develop plans to optimize level of comfort.
• Report an increase in relaxation.
SUGGESTED NOC OUTCOMES
Coping Enhancement; Client Satisfaction; Comfort Level; Emotional
support; Environmental Management
INTERVENTIONS AND RATIONALES
Determine: Assess patient’s satisfaction with the amount of assistance
the nurse is presently offering to determine whether the patient per-
ceives self as performing physical, psychosocial, and spiritual activi-
ties as a level that is comfortable for self-changes in status.
Determine what enhancements to care can be made to provide the
patient a greater degree of comfort.
Ask for feedback from the patient at least once a day to evaluate
Perform: Adjust environmental factors, where possible, to enhance
the patient’s feeling of a safe and comfortable environment.
Assist patient with bathing, feeding, and toileting to ensure that
his or her needs are met.
Turn and reposition patient every 2 hr to promote comfort.
Inform: Teach patient when he or she is ready about his or her dis-
ease. Present only what patient is able and willing to absorb to pre-
vent him or her from becoming overwhelmed.
Avoid insisting that the patient accept information. Readiness is
an important factor in adult education. Provide both patient and
family with written information such as pamphlets and so forth.
Teach the patient and family techniques for relaxation such as
guided imagery to promote comfort and reduce anxiety.
Attend: Provide emotional support and encouragement to help
improve ability of patient to cope with the diagnosis.
Involve patient in planning and decision making. Having the abil-
ity to participate will encourage greater compliance with the plan
and enhance comfort.
Encourage patient to communicate with others, asking questions
and clarifying concerns based on readiness. This will enhance the
patient’s learning ability.
Manage: Maintain frequent communication with physicians and
other staff to determine what the patient is being told about his or
Collaboration will foster consistency in what the patient is being
Refer patient to a mental health professional/grief counselor if
denial interferes with ability of patient to function within limits.
SUGGESTED NIC INTERVENTIONS
Anxiety Reduction; Calming Techniques; Counseling; Health Educa-
tion; Reality Orientation; Truth Telling
Telford, K., et al. (2006, August). Acceptance and denial. Implications for
people adapting to chronic illness: Literature review. Journal of Advanced
Nursing, 55(4), 457–464.