Prioritizing nursing Dx

  1. 0
    Could someone help me put these in priority according to Maslows. I'm having trouble deciding.

    Risk for falls
    Constipation
    Anxiety
    Activity intolerance

    Thank you.
  2. 30 Comments so far...

  3. 1
    Ok it's me again. I decided on:

    Constipation
    Activity intolerance
    Risk for falls
    Anxiety

    Anyone agree?
    blodeuwedd likes this.
  4. 0
    I think more assessment data is necessary. IMO ... it depends on the circumstances surrounding the diagnoses.

    Why are they constipated?
    Why do they have activity intolerance?

    why why why.

    b/c for example ... constipation would not be the priority diagnosis for a post partum woman ... bc it is expected for the first 2-3 days.

    get it?
  5. 0
    I'd say

    I'd say

    risk for falls
    Constipation
    Activity intolerance
    Anxiety

    But really...that's just a shot in the dark based on no information.
  6. 0
    Quote from losilva95
    Ok it's me again. I decided on:

    Constipation
    Activity intolerance
    Risk for falls
    Anxiety

    Anyone agree?
    why do you believe they belong in this order?
    Last edit by Esme12 on Oct 30, '13
  7. 0
    Risk fors are usually always last with the exception of maybe aspiration or bleeding

    Where would these fall on maslows?

    1st-physiology inludes excretions(constipation would probably kill you before activity intolerance, and just because getting constipated is an expected outcome for many patients, its still not a good thing or considered a low priority. That is why we are so big on bowel regimine) and I would put mobility and activity in this category as well, I think Anxiety could be either here or in Esteem, but leaning more towards physiology.
    2nd safety-could make a point that falls could be second IF this based purely on Maslows and not the big picture
  8. 1
    Quote from 2013SNGrad
    Risk fors are usually always last with the exception of maybe aspiration or bleeding

    Where would these fall on maslows?

    1st-physiology inludes excretions(constipation would probably kill you before activity intolerance, and just because getting constipated is an expected outcome for many patients, its still not a good thing or considered a low priority. That is why we are so big on bowel regimine) and I would put mobility and activity in this category as well, I think Anxiety could be either here or in Esteem, but leaning more towards physiology.
    2nd safety-could make a point that falls could be second IF this based purely on Maslows and not the big picture
    First: "Risk for" nursing diagnoses are very often properly placed first, as safety ranks above all of the physiological needs in Maslow's hierarchy. This poster is asking specifically for a ranking in Maslow's hierarchy.

    Second: It is a fallacy that "risk for..." nursing diagnosis is somehow lesser or not "real." If you look in your NANDA-I 2012-2014, there is a whole section on Safety, and almost all of the nursing diagnoses in that section are "risk for..." diagnoses. However, because NANDA-I has learned that nursing faculty is often responsible for this fallacy, the language on these has recently been revisited and will be changed to "Vulnerable to ..." in the next edition due out in late 2014.

    Third: This sort of assignment is often made not only to see if somebody can recite rote information but to elicit your thought processes and see how well you can defend your reasoning.

    So, OP, what is the reasoning you have applied to your ranking, as applied to a specific patient or to people in general?

    Last: Activity intolerance will probably kill you faster than constipation, and this is why we are so concerned with assessing the risk for and treating the complications of immobility. Depending on your patient assessment, some sort of bowel regimen (regimen = a routine or plan; regime = a system of government; regimine = an interesting neologism, though) is often an expected part of a nursing plan of care because so many things that happen to people in medical care experience changes in their bowel pattern.
    Esme12 likes this.
  9. 3
    Not to mention that their activity intolerance could be playing a role in their constipation.

    And none of that really matters if the fall on the way to the bathroom and suffer a fatal injury.
    4boysmama, Esme12, and GrnTea like this.
  10. 0
    Quote from GrnTea

    First: "Risk for" nursing diagnoses are very often properly placed first, as safety ranks above all of the physiological needs in Maslow's hierarchy. This poster is asking specifically for a ranking in Maslow's hierarchy.

    -This is not true, physiology is first according to Maslows

    Second: It is a fallacy that "risk for..." nursing diagnosis is somehow lesser or not "real." If you look in your NANDA-I 2012-2014, there is a whole section on Safety, and almost all of the nursing diagnoses in that section are "risk for..." diagnoses. However, because NANDA-I has learned that nursing faculty is often responsible for this fallacy, the language on these has recently been revisited and will be changed to "Vulnerable to ..." in the next edition due out in late 2014.

    -Again, not true. I never said they are not real diagnosis, however majority of the time actual problems come before risks, like I said above, which was drilled into us in nursing school.


    Third: This sort of assignment is often made not only to see if somebody can recite rote information but to elicit your thought processes and see how well you can defend your reasoning.

    So, OP, what is the reasoning you have applied to your ranking, as applied to a specific patient or to people in general?

    Last: Activity intolerance will probably kill you faster than constipation, and this is why we are so concerned with assessing the risk for and treating the complications of immobility. Depending on your patient assessment, some sort of bowel regimen (regimen = a routine or plan; regime = a system of government; regimine = an interesting neologism, though) is often an expected part of a nursing plan of care because so many things that happen to people in medical care experience changes in their bowel pattern.

    -I dont underdtamd how you can see activity intolerance as killing someone faster than constipation. Thats ridiculous. What if the patient is just a little bit intolerant but still walks and moves. Constipation leads to SBO and Ileus which is lethal

    I really dont understand why you always have to undermine my advice and be in adverse to me. I think its very rude and condescending.
    ^^^^^
  11. 0
    Quote from psu_213
    Not to mention that their activity intolerance could be playing a role in their constipation.

    And none of that really matters if the fall on the way to the bathroom and suffer a fatal injury.
    Just because its not number one or two on priority list doesnt mean you dont intervene on it. We take care of several problems with patients, could be 10 diagnosis, I think the point of this assignment may be to learn Maslows and put it into context with nursing diagnosis, there may not even be an actual pt here. Who knows.


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