Maslow's Hierachy of Needs Question

[Stormy4894]

I feel so silly for being stuck on this topic for my care plan. Any who I need help classifying my patient into one of these categories.

She is a 92 year old patient living in a long term facility. She has RA, depression/anxiety, and many heart issues. She's widowed, lost her three sons, and her only living child is not doing well due to a stroke. She's suffering from social isolation because she doesn't ever have the desire to get out of bed to attend activities or eat lunch in the dining room.

I don't why I just cannot figure out where she which category she would fall under for Maslow's Hierachy. Thanks for the help .

[DidiRN]

Moved to Nursing Student Assistance for best response

[A&Ox6, MSN, RN]

I would say love and belonging. Her basic needs are provided. She has safe housing (at least we hope). Now she needs to feel loved so that she can achieve esteem and self actualization.

Then again, that's what I think on paper.

[Esme12, ASN, BSN, RN]

Welcome to AN! The largest online nursing community!

What is Maslows? Hierarchy of Needs

[h=3]Five Levels of the Hierarchy of Needs[/h] There are five different levels in Maslow’s hierarchy of needs:

1. Physiological Needs
   These include the most basic needs that are vital to survival, such as the need for water, air, food, and sleep. Maslow believed that these needs are the most basic and instinctive needs in the hierarchy because all needs become secondary until these physiological needs are met.
   
2. Security Needs
   These include needs for safety and security. Security needs are important for survival, but they are not as demanding as the physiological needs. Examples of security needs include a desire for steady employment, health care, safe neighborhoods, and shelter from the environment.
   
3. Social Needs
   These include needs for belonging, love, and affection. Maslow described these needs as less basic than physiological and security needs. Relationships such as friendships, romantic attachments, and families help fulfill this need for companionship and acceptance, as does involvement in social, community, or religious groups.
   
4. Esteem Needs
   After the first three needs have been satisfied, esteem needs becomes increasingly important. These include the need for things that reflect on self-esteem, personal worth, social recognition, and accomplishment.
   
5. Self-actualizing Needs
   This is the highest level of Maslow’s hierarchy of needs. Self-actualizing people are self-aware, concerned with personal growth, less concerned with the opinions of others, and interested fulfilling their potential.
   

Mow which do you think applies to the patient?

[LoriRNCM, ADN, ASN, RN]

Hmmmm...... those heart issues........ just sayin'.......

[Flnolegirl]

I would say love and belonging she is missing that from family and friends, with her depression not getting out of bed contributes to the lack of family support.

[liketheairport]

Love/belonging, would be my best guess as a former psych minor.

[RedHeaded2bNurse16]

Are you doing a full care plan on her? Or is this a different kind of assignment.

[Stormy4894]

Full care plan with a full assessment of course. Thanks for all the help you guys rock! One more question can a person fall under more than one of these categories or is the whole point to decide which category defines what she needs MOST right now ?

[Stormy4894]

wow i feel dumb i get it now haha after each need is met the patient can then move on to fullfull the other needs. Duh that's the whole point I feel silly ! So after she feels love & belonging she can then move on to her own esteem. I got it ! Thanks gals !