These patients were not able to express their needs verbally. The observation led Kolcaba to come to certain conclusions and develop a care plan that immediately addressed the needs they were unable to express. Care plans were individualized for each patient. The sighting has had significance dating back to the time of Florence Nightingale. When it comes to patient comfort, she said you should never lose sight of what observation is for. It is not about safely accumulating miscellaneous information or curious facts, but about saving lives and improving health and comfort” (Peterson and Brekow, 2004, p. 256). There are two different dimensions described in comfort theory. Three different forms are described in the first dimension: relief, ease and transcendence. (Application of theory to the nursing process 2011). Relief is described as the result of interventions that comfort patients and relieve them of the stress of illness, injury, or debilitation. The second state is ease. Ease is a state of peace and contentment in which the illness subsides, allowing the recovery period to begin. During the third stage, transcendence occurs and allows the patient to regain their strength, where they can become more positive and look forward to regaining their health and future (Nursing Theories - Comfort Theory,