Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Comfort Provisions (Behavioral Response to Procedure)
Guidelines:
- Provide comfort measures/provisions to optimize behavioral responses to the surgical procedure
- Physiological
- Psychosocial
- Spiritual
- Patients can experience preoperative stress, intraoperative discomfort, and problems with postoperative recovery, some of which can be addressed with complementary care interventions, or comfort provisions
Considerations:
- Physiologic responses to experience
- Preoperative patient preparation activities
- Patient’s rights
- Role as patient advocate
- Pain/comfort measures
- Environmental factors
Nurse’s role:
- Apply the nursing process:
- Assessment
- Risk or actual problem identification
- Outcome Identification
- Planning
- Interventions
- Evaluation (Continual)
- Select individualized comfort provisions based on information obtained from nursing assessment
- Adjust comfort provisions based on patient’s response and evaluation of the desired outcomes
Pitfalls:
- Patient care should honor patient’s values, beliefs, and experiences
- Comfort provisions should be individualized
- Anxiety should be assessed and appropriate/effective comfort provisions identified
- Comfort provisions may need to be modified or discontinued with changes in patient condition
Examples:
- Comfort provisions used in the perioperative setting may include:
- Supportive education
- Dietary and herbal interventions
- Music interventions
- Stress diversion and visualization
- Aromatherapy
- Acupoint interventions
- Massage, reflexology, electrical stimulation, and biofield interventions
Linchpins (Key Points):
- Interdisciplinary team approach
- Collaborate with patient/family
- Apply the nursing process
- Continual evaluation, modify as needed
Transcript
References:
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
- Association of perioperative Registered Nurses (AORN): Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperative practice/guideline-essentials
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