18. CCA Study Notes: Promoting Client Comfort, Well-Being, and Feelings of Safety

The Big Picture

Comfort involves more than the room around a client. A person’s age, health, pain, activity level, surroundings, experiences, and feelings of safety all affect how comfortable they feel.

Good care looks at the whole person. Support workers help promote comfort and well-being by paying attention to physical needs, emotional needs, personal preferences, and the environment.

Helping a client feel safe also matters. Clear information about procedures helps clients feel safer and more secure.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

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Course Notes: Key Ideas You Need to Know

Comfort and Well-Being Involve the Whole Person

Every person has their own combination of genetics, environment, life experiences, culture, joys, sorrows, needs, and abilities.

A client’s ability to think, make decisions, and interact with other people also affects comfort and well-being.

A holistic approach looks at the person as a whole instead of focusing on only one part of their care. Support workers help promote comfort by paying attention to the client’s psychosocial needs and helping the client feel safe, comfortable, and relaxed. These needs connect with personal factors such as culture, experiences, feelings, needs, decision-making ability, and interactions with other people.

What Affects Comfort?

A person’s comfort can change because of:

  • age
  • illness
  • pain
  • inactivity
  • temperature
  • ventilation
  • odours
  • noise
  • lighting
  • feelings of safety

A comfortable client has no physical or emotional pain and feels content and at peace.

Temperature

Most people feel comfortable when the room temperature stays between 20°C and 23°C (68°F–74°F).

Infants, older persons, and people with illnesses generally need higher room temperatures for comfort.

In some provinces, government legislation sets minimum comfortable temperatures in long-term care facilities .

In home care, clients choose the temperature they want. Some clients may worry about heating costs.

CCA action: You can help a client stay warm by providing extra clothing or blankets.

Ventilation

Stale air can make a room uncomfortable.

Facilities use ventilation systems to provide fresh air. In home care, you can open windows or doors and turn on fans when the client wants this.

Protect clients from drafts . Make sure they are dressed warmly, covered with blankets, and positioned away from drafty areas.

Odours

Unpleasant odours can affect comfort and can embarrass clients.

Body substances and fluids may have unpleasant smells. Body odour, breath odour, smoking, foods, beverages, and cooking smells can also affect the care environment.

Perfume and other scented products can cause great discomfort for some clients.

Avoid: Do not wear perfumes or scented products at work.

After eating or smoking:

  • wash your hands
  • brush your teeth
  • use mouthwash or a breath mint if you do not have time to brush your teeth

Your clothing must be clean and fresh for every shift.

Never wear clothing, including underwear, that has absorbed cooking odours at home when providing client care. These smells can remain in fabric and bother other people.

Good personal hygiene, housekeeping, and ventilation help control odours.

Reducing Odours During Care

To help reduce odours:

  • Empty and clean bedpans, urinals, commodes, and kidney basins promptly.
  • Change and dispose of soiled linens and clothing promptly.
  • Clean clients who are wet or soiled with urine, feces, vomit, or wound drainage.
  • Dispose of incontinence and ostomy products promptly.
  • Keep laundry containers closed.
  • Help clients maintain good personal hygiene.

Noise

Clients who are ill are often sensitive to noise.

Health care facilities can become noisy because of dishes, bedpans, phones, loud voices, televisions, and other sounds.

CCA action: Answer phones and call bells promptly when working in a facility.

Some facility noises can frighten clients, especially clients who are new to the setting. Explain where an unfamiliar noise comes from to help the client feel more secure.

Homes can also become noisy, especially when children or teenagers live there.

In home care, help control noise by:

  • speaking quietly
  • handling equipment carefully

Lighting

Lighting affects both comfort and safety.

Glare , shadows, and dull lighting can cause:

  • falls
  • headaches
  • eye strain

Dim lighting often helps a client rest.

Bright lighting helps when care is being provided. It can also help clients feel cheerful and stimulated.

CCA action: Ask the client about their preference before changing the lighting.

Make sure light switches remain within the client’s reach.

Some clients may want a night light. Others may ask to leave the television on throughout the night.

Feelings of Safety

Illness and surgery can cause fear or anxiety. Even a minor illness or procedure can make someone afraid.

Most seriously ill clients feel extremely fearful.

For comfort, clients should feel as protected as possible from:

  • harm
  • danger
  • fear
  • pain

Health care procedures can also cause fear. Equipment may look frightening, procedures may involve invasive techniques, and some procedures can cause pain or discomfort.

Clients feel safer and more secure when they understand what will happen.

Helping Clients Understand a Procedure

Even before a simple bed bath, the client should receive information about:

  1. Why the procedure will be done.
  2. Who will perform it.
  3. How the procedure will be performed.
  4. What sensations or feelings the client should expect.

Clear information helps the client understand what is happening and supports feelings of safety and security.