Mrs. Cass is an 87-year old African American client living in her own home. Her daughter...

Mrs. Cass is an 87-year old African American client living in her own home. Her daughter lives nearby and is Mrs. Cass’s primary care giver. Mrs. Cass is a widow but has a few long-time friends who are concerned about her welfare. Due to mobility issues, they have difficulty making trips to visit her, limiting her socialization. She “gets by” financially, as she describes her situation. “I don’t have many needs, but my medication is expensive.”

Mrs. Cass suffers from pain related to bone cancer metastasis. As her nurse, you have been visiting her for several months in her home. You have noticed behaviors consistent with increasing pain. During your current visit, you ask Mrs. Cass to respond to a verbal rating scale by asking her to rate her level of comfort on a scale from 0 to 10, with 10 being the highest possible level of comfort. She rates her comfort at 2.

In past visits, she has expressed concern about her future, questions how long she will live, and whether she will have relief from her pain. You and her daughter will plan comfort measures for Mrs. Cass.

QUESTION

Based on the first case study, apply the Theory of Comfort in planning strategies to increase your client's level of comfort. Describe interventions to increase comfort in the three areas of relief, ease, and transcendence within two of the four contexts (physical, psychospiritual, social, and environmental).

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Expert Solution

Nightingale answered 1 year ago

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