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Chamberlain College of Nursing *

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JHJG

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Nursing

Date

Nov 24, 2024

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docx

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2

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1 Comfort Contract Discussion According to Wensley et al. (2020), a comfort contract is a document that outlines the patient's expectation for post-surgical comfort and chronic discomfort relief and the interventions they can employ at home to manage their discomfort. Moreover, some things to consider when designing a comfort contract include that healthcare professionals should start by examining the primary goal of the contract with the patient or with the surrogate ( Wensley et al.,2020). During this stage, the healthcare professional explains the contract's primary goal in an approach that can effectively meet the patient's comfort needs. Also, during this point, the healthcare professionals put the patient's comfort as a top priority; this implies that the healthcare team is then committed to doing everything in their capacity to ensure they manage the patient's discomfort. The next thing to do is for the healthcare professional to ask the patient to describe their expectations for post-surgical comfort. This encompasses information such as the patient's ability to perform basic tasks, mobility, and pain level. The healthcare professional then records the expectation in the contract, highlighting specific interventions the patient needs for pain relief ( Wensley et al.,2020). The other thing the healthcare professional has to do when designing the comfort contract asks the patient to discuss any chronic discomforts they experience regularly and if the patient has utilized any intervention before to manage the discomfort ( Belar et al.,2020). The nurse then records all the chronic comforts that the patient or the surrogate mentions in the contract for the healthcare team to be aware of and apply them when designing the patient's post-surgical management plan. Furthermore, the other thing the healthcare professional should include in the comfort contract is the possible risks and benefits of various pain management approaches with the surrogate or the patient. For instance, opioid medications can be very effective for pain relief, but they also carry risks of addiction and other side effects ( Wensley et al.,2020). In this case,
2 the healthcare professional will discuss with the patient or the surrogate the non-opioid medications and non-pharmacological interventions like physical therapy and acupuncture, which are safer for most patients. During this period, the healthcare professional works with the patient to ensure they have designed a pain management plan that considers the patient's comfort needs and preferences as they minimize possible risks ( Belar et al.,2020). Lastly, once the healthcare completes the comfort contract, they together review it with the surrogate or the patient to make sure they understand the contents of the contract. During the contract review, the healthcare professional should encourage the patient to speak or raise concerns about their pain management plan or comfort needs. References Belar, A., Arantzamendi, M., Payne, S., Preston, N., Rijpstra, M., Hasselaar, J., Radbruch, L., Vanderelst, M., Ling, J., & Centeno, C. (2020). How to measure the effects and potential adverse events of palliative sedation? An integrative review. Palliative Medicine , 35 (2), 295-314. https://doi.org/10.1177/0269216320974264 Wensley, C., Botti, M., McKillop, A., & Merry, A. F. (2020). Maximizing comfort: how do patients describe the care that matters? A two-stage qualitative descriptive study to develop a quality improvement framework for comfort-related care in inpatient settings. BMJ open , 10 (5), e033336. https://doi.org/10.1136/bmjopen-2019-033336
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