Home work help

Published Feb 15, 2016

15 Posts

So I am first year, 2nd term nursing student - I have an assignment and I'm on the last two questions and I'm stuck. I think I over think things. When its not exact I get lost. This is about Maslow Theory --and its a subject that I think you can have numerous answers to --and the more I look at the more it seems like they are all right. The case study is below --and my teachers last question is

1.Compare Patients current needs to each level of the pyramid. And explain whether or not they are being met. 2. How would you help her meet her needs on each level of the pyramid as a nurse?

I've jotted below the case study my work in progress of the list I'm working on --can you tell me -am I heading in the right direction? Am I over complicating this? She is looking for a min. of 16 needs. Is there a need I may be missing given she is a stroke patient? Help if you can... :yes:

Case Study

Mrs. Rose Henderson, 76 was admitted to your long term care facility as she was no longer able to care for herself at home. Mrs. Henderson is a retired school teacher having taught grades 8 and 9 for 35 years. She married her husband, George, in 1956. The couple had no children of their own, but enjoyed spending time with their 2 nieces and 3 nephews. George passed away last year. Rose stayed in the home with her 2 cats but found caring for the property too much for her. She sold her home and moved to a senior's apartment 6 months ago. She liked her apartment but really missed her gardens.

Rose's only sister, Violet age 80, lives 2 hours away and tries to visit with Rose every month. Her nieces and nephews are now middle age and have busy lives. Three of them have moved to other provinces and visit their aunt on holidays.

Two months ago, Rose suffered a stroke and now has right sided weakness. She was admitted directly from the hospital and never returned to her apartment. Her cats were sent to new homes. She is wheelchair bound as she can no longer walk independently. Rose can bear weight for a short period of time. She has expressive dysphasia but understands what is said to her. Her stroke has left her with difficulty in swallowing her food and drinks. Her right eye and the right side of her mouth droop from the stroke. Her vision is impaired on the right side. She is right handed but now has very little control of her right arm.

Initially, Rose seemed to settle into her new environment quite well. She enjoys socializing and seemed excited when local school children visited the home. Rose likes to read but finds the print too small and it strains her eyes. She attends church every Sunday, even though the service is an all denomination service and Rose is a devoted Catholic, she enjoys it anyway.

As time passes, the children and other residents spend less time with Rose. They have trouble understanding her due to her speech problems. Rose started to spend more time in her room reading (as best as she could), and now has lost interest in her books and sits by the window in her room most of the time staring out. Rose's attendance to church is now sporadic, and she returns to her room immediately after meals, if she comes for her meals at all. She makes odd comments such as "look at that" when she looks into the mirror. She has lost 10 pounds since her admission to the facility. Rose used to participate in her personal care but now you find that you are doing all of it.

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My work in progress (answer):

Physiological

1. Oxygen Yes being met -vitals

2. Food / Nutrition No â€“ see if you can get her eating, ensure proper nutrition, feeding tube

3. Shelter Yes

4. Water ? doesn't say

5. Sleep ? doesn't say

6. Health (I have a chart saying this is safety but with a stroke patient would this not be Physiological- basic need given her symptoms)

7. Activity and Exercise (does this or should this go here?)

Personal care?

Safety â€“

8. Vision - No

9. Speech - No

10. Mobility - Yes with a wheelchair?

11. Predictability, stability, and familiarity â€“ probably not

12. feeling safe and comfortable and trusting other people - probably not

Love and Belonging Needs â€“ When the needs for safety and for physiological well-being are satisfied, the next class of needs for love, affection and belongingness can emerge. Maslow states that people seek to overcome feelings of loneliness and alienation. This involves both giving and receiving love, affection and the sense of belonging.

13. Friendship â€“ No

14. Family â€“ No arrange visits

15. Religion -No encourage attendance or find a way for her to watch church service at facility

16. Acceptance and understanding -No

17. Loving and affection â€“ the need both to get and give love -No

18. Intimacy â€“ the need to share inner thoughts with others in close, caring ways. -No

Self-esteem Needs -When the first three classes of needs are satisfied, the needs for esteem can become dominant. These involve needs for both self-esteem and for the esteem a person gets from others. Humans have a need for a stable, firmly based, high level of self-respect, and respect from others. When these needs are satisfied, the person feels self-confident and valuable as a person in the world. When these needs are frustrated, the person feels inferior, weak, helpless and worthless

19. Self â€“esteem . -No

20. Confidence . -No

21. Achievement . -No

22. Respect of others . -No

23. Respect by others . -No

Self-fulfilled (Self-actualized) -When all of the foregoing needs are satisfied, then and only then are the needs for self-actualization activated. Maslow describes self-actualization as a person's need to be and do that which the person was "born to do." "A musician must make music, an artist must paint, and a poet must write." These needs make themselves felt in signs of restlessness. The person feels on edge, tense, lacking something, in short, restless. If a person is hungry, unsafe, not loved or accepted, or lacking self-esteem, it is very easy to know what the person is restless about. It is not always clear what a person wants when there is a need for self-actualization

24. Morality? -No

25. Creativity and Spontaneity-No

26. Problem solving-No

27. Lack of prejudice or acceptance of facts-No caregivers help them understand these changes are due to the stroke and emphasize that a more upbeat or typical personality should return