Processo de enfermagem no conforto do paciente com insuficiência cardíaca no domicílio

Abstract

The study describes a type of hospice nursing practice that is implemented according to the comfort needs of patients with heart failure and is based on Kolcaba’s theory of comfort care. It is clinical case study. The data were collected using a format, comfort scale, interview, anamnesis, physical examination and observation involving a patient who was being served by the hospice care program of a public hospital in Fortaleza (Ceará, Brazil) during July 2013. Nursing diagnoses associated with comfort needs, expected results (relief, tranquility and/or transcendence), and relevant interventions/actions within the scope of possibilities for hospice nursing care were listed for each context (physical, environmental, socio-cultural and psycho-spiritual) where comfort is produced, according to Kolcaba. The conclusion is that application of a nursing process based on Kolcaba’s theory has provided comfort and improved the quality of life for hospice care patients.