Help with Maslows Hierarchy of Needs

Here.I.Stand, BSN, RN · Nov 29, 2014

Is the above list exactly as it appears in the question, or is this what you've come up with? If it's the former, please share what you think so we can point you in the right direction if you're off.

prasadseema · Nov 29, 2014

The list above is exactly how it is sated in the question, im lost on how to categorize them seeing as all all the topics seem to fall into Safety portion of the Hierarchy.

Esme12, ASN, BSN, RN · Nov 29, 2014

ok....first to write a care plan there needs to be a patient, a diagnosis, an assessment of the patient which includes tests, labs, vital signs, patient complaint and symptoms. maslows hierachy of needs. maslow's hierarchy of needs - enotes.com virginia henderson's need theory. at risk is never the top priority unless this is hypothetical and there is not a real patient.

maslow’s hierarchy of needs is a based on the theory that one level of needs must be met before moving on to the next step.

self-actualization – e.g. morality, creativity, problem solving.
esteem – e.g. confidence, self-esteem, achievement, respect.
belongingness – e.g. love, friendship, intimacy, family.
safety – e.g. security of environment, employment, resources, health, property.
physiological – e.g. air, food, water, sex, sleep, other factors towards homeostasis.

assumptions

maslow’s theory maintains that a person does not feel a higher need until the needs of the current level have been satisfied.

b and d needs

deficiency or deprivation needs

the first four levels are considered deficiency or deprivation needs (“d-needs”) in that their lack of satisfaction causes a deficiency that motivates people to meet these needs

growth needs or b-needs or being needs

the needs maslow believed to be higher, healthier, and more likely to emerge in self-actualizing people were being needs, or b-needs.
growth needs are the highest level, which is self-actualization, or the self-fulfillment.
maslow suggested that only two percent of the people in the world achieve self actualization. e.g. abraham lincoln, thomas jefferson, albert einstein, eleanor roosevelt.
self actualized people were reality and problem centered.
they enjoyed being by themselves, and having deeper relationships with a few people instead of more shallow relations with many people.
they tended to be spontaneous and simple.

application in nursing

maslow's hierarchy of needs is a useful organizational framework that can be applied to the various nursing models for assessment of a patient’s strengths, limitations, and need for nursing interventions.

care plan basics:

every single nursing diagnosis has its own set of symptoms, or defining characteristics. they are listed in the nanda taxonomy and in many of the current nursing care plan books that are currently on the market that include nursing diagnosis information. you need to have access to these books when you are working on care plans. there are currently 188 nursing diagnoses that nanda has defined and given related factors and defining characteristics for. what you need to do is get this information to help you in writing care plans so you diagnose your patients correctly.

don't focus your efforts on the nursing diagnoses when you should be focusing on the assessment and the patients abnormal data that you collected. these will become their symptoms, or what nanda calls defining characteristics.

here are the steps of the nursing process and what you should be doing in each step when you are doing a written care plan:

assessment (collect data from medical record, do a physical assessment of the patient, assess adls, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
planning (write measurable goals/outcomes and nursing interventions)
implementation (initiate the care plan)
evaluation (determine if goals/outcomes have been met)

Esme12, ASN, BSN, RN · Nov 29, 2014

Maslow believed that there are needs are similar to instincts and play a major role in motivating behavior. Physiological, security, social, and esteem needs are deficiency needs (also known as D-needs), meaning that these needs arise due to deprivation. Satisfying these lower-level needs is important in order to avoid unpleasant feelings or consequences.

Maslow termed the highest-level of the pyramid as growth needs. Growth needs do not stem from a lack of something, but rather from a desire to grow as a person.Maslow's Hierarchy of Needs | Simply Psychology

Five Levels of the Hierarchy of Needs
There are five different levels in Maslow’s hierarchy of needs:
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.
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.
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.
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.
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.

Esme12, ASN, BSN, RN · Nov 29, 2014

Hi,

I need help with a nursing diagnosis which requires me to rank the following topics using the Maslows hierarchy of needs. Can someone help? The assignment portion is down below:
Please provide a care plan for the following nursing diagnosis. Place and write them in order of PRIORITY.
• Risk for injury
• Deficient knowledge
• Ineffective coping
• Chronic pain
• Risk for infection
• Risk for fluid imbalance

Is the care plan itself about a real patient? What is your assessment?

NurseGirl525, ASN, RN · Nov 29, 2014

Awesome as usual Esme12.

203bravo, MSN, APRN · Nov 30, 2014

also put yourself in the role of the patient and think about what you would want to be treated first and why...

would you really want to lie in a hospital bed hurting while your nurse is more concerned about your deficient knowledge about your disease process?

Because of the pain and meds you are probably getting would you rather them protect your from harm and falls before or after they worry about how you are coping with your illness?

prasadseema · Nov 30, 2014

No its not about a real patient, but the care plan was intended for a patient with leukemia, that was part of the assignment.

prasadseema · Nov 30, 2014

Thank you all for taking time out to consider my question and helping me ! It helped alot!

Esme12, ASN, BSN, RN · Nov 30, 2014

No its not about a real patient, but the care plan was intended for a patient with leukemia, that was part of the assignment.

Without the entire scenario it is impossible to tell you what is the priority.