Environmental Management: Comfort to Reduce Pain

Donahuwe (1989) sums up "through a sense of comfort and actions for comfort, nurses provide strength, hope, consolation, support, encouragement and assistance." A variety of nursing theory states comfort as the basic needs of the client which is the purpose of nursing care. The concept of the convenience of having the same subjectivity of pain. Each individual has a characteristic physiological, social, spiritual, psychological and cultural influences how they interpret pain. Kolcaba (1992) defines comfort in a consistent manner on the subjective experience kilien. Polcaba defines comfort as a state has met the basic needs of human beings. These needs include the need for reassurance (a satisfaction which improves the daily appearance), relief (needs have been met) and transcendent (state about something beyond the problem or pain).

Definition: The act of environmental manipulation to optimize patient comfort

Environmental Management: Comfort to Reduce Pain

• Providing the same room with the desired environment, if possible and appropriate.
• Limiting visitors.
• Avoid disturbing unneeded and provide time off
• Determining the source of discomfort, such as clothes were damp, the position of the pipe, tight clothes, bed linen wrinkle, and environmental irritants
• Preparing the room clean and the beds were comfortable
• Setting the room temperature comfortable for the patient, if possible
• Move or provide blankets to increase the comfort, if indicated
• Avoid unnecessary exposure, a lot of wind, too hot, and cold
• Set the lighting according to activity and the needs of patients, avoid lights directly into the eye
• Control and prevent the atmosphere is too crowded, if possible
• Facilitates personal hygiene for ensuring patient (such as wiping the forehead, using skin cream or body wash, hair and oral hygiene)
• Positioning the patient to obtain comfort (using the principles of body alignment / line of the body, supported by pillows, protect joints during movement, and pain immobilisasikan body parts)
• Monitor the skin, especially areas of the body having suppressed, as a sign of suppression or irritation
• Avoid skin and mucous membrane of irritants (such as diarrhea stool and wound drainage)