Prioritizing list of diagnoses - page 2

I a working on my first care plan of the semester and have a nice list compiled of all of the actual and "risk for" diagnoses for my client. Now I need to prioritize them and I'm stumped. I have... Read More

  1. by   discobunni
    OH now I'm really confused!!! Based on Maslow's PAIN comes in LAST?!?!! We were taught that PAIN comes in right after the ABC's in prioritizing diagnoses? Also, that SAFETY should be at the top of the list, it shouldn't come before someones sexual needs for example. That's what my preceptors have taught me matter in the real nursing world. So they don't sequence according to Maslows in the real world that I personally have seen so far. You're more apt to get sued over a safety issue as opposed to addressing someones lack of viagra....?!?!?!
    Ya'll have me stumped now. OMG :smackingf can you please explain? HELP HELP HELP
  2. by   Daytonite
    Quote from discobunni
    OH now I'm really confused!!! Based on Maslow's PAIN comes in LAST?!?!! We were taught that PAIN comes in right after the ABC's in prioritizing diagnoses? Also, that SAFETY should be at the top of the list, it shouldn't come before someones sexual needs for example. That's what my preceptors have taught me matter in the real nursing world. So they don't sequence according to Maslows in the real world that I personally have seen so far. You're more apt to get sued over a safety issue as opposed to addressing someones lack of viagra....?!?!?!
    Ya'll have me stumped now. OMG :smackingf can you please explain? HELP HELP HELP
    Do what your instructors and preceptors at work are telling you to do. You might want to ask them the rationale behind why they are prioritizing pain over all other nursing diagnoses.
  3. by   RN BSN 2009
    maslows baby!
  4. by   discobunni
    Quote from Daytonite
    Do what your instructors and preceptors at work are telling you to do. You might want to ask them the rationale behind why they are prioritizing pain over all other nursing diagnoses.
    Thanx Daytonite I've already posted your list and the questions to my instructors' bulletin board to see what they have to say.
    You're always SOOO helpful, I'm so glad you're here to help all us nurses to be who are so "green behind the ears" LOL
  5. by   Lafille
    It seems to me that Maslow's heirarchy isn't the perfect guide that it seems to be, especially since many of the diagnoses (almost all of them, I think) are related to each other. For example, an earlier post places food and fluid intake over fever management, but personally if I have a fever, I don't feel like eating. So you'd have to make managing my fever the priority before you can appropirately address nutrition.

    Maslow's is a good place to start, but it's not the end-all for every situation.
  6. by   Daytonite
    Lafille. . .prioritize however you want, when you are in charge and have the final word. When it comes to getting a grade for the course, fulfilling the requirements of an assignment for nursing school and getting answers right on the NCLEX my advice to all is to do whatever your program directions are. When you play the game, you need to follow the rules or bad things can happen, you know? I'm sure one question where you have to make a decision between addressing a fever or fluids isn't going to decide your fate on the NCLEX, but why chance it?

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