In the early part of the 20th century, comfort was the central goal of nursing and medicine.
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Kolcaba defined the concepts of nursing's metaparadigm as follows. Kolcaba’s theory of comfort in nursing was developed using three methods namely, deduction, induction, and retroaction concepts.
Deduction is development of theory through logic while induction is developing a theory from practice and experience. Kolcaba described comfort as existing in 3 forms: relief, ease, and transcendence.
If specific comfort needs of a patient are met, for example, the relief of postoperative pain by administering prescribed analgesia, the individual experiences comfort in the relief sense.
A discussion of Dorothea Orem's self-care deficit theory and Katharine Kolcaba's comfort theory. Judah's Heart Engraved with Sin: 1: The sin of Judah is written with a pen of iron, and with the point of a diamond: it is graven upon the table of their heart, and upon the horns of your altars;: 2: whilst their children remember their altars and their groves by the green trees upon the high hills.
” Kolcaba’s Metapardigm The nursing metaparadigm consists of nursing, person, environment, and health. Nursing is defined as the interventions of the nurse in their practice for the patient. For Kolcaba, this indicates an assessment of a client’s level of comfort and needs.