MASLOW'S HIERARCHY examples and contraindications

[vadee]

as we all know, maslow's hierarchy is important to know and understand. yet there are examples where maslow's hierarchy is contraindicated. with that being said, here is to refresh your memory on maslow's hierarchy. please help give examples.

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imagine that this is the pyramid:

1st (most) important (located at the bottom of the pyramid): basic phyisiological needs:

airway, respiratory effort, heart rate, rhythm, and strength of contraction, nutrition, elimination

2nd most important (located above physiological on the pyramid): safety and security: protection from injury, promote feeling of security, trust in nurse-client relationship

psychosocial needs

3rd most important: love and belonging: maintain support systems, protect from isolation, fear

4th: self esteem: control, competence, positive regard, acceptance/worthiness

5th (top of the pyramid): self actualization: hope, spiritual well-being, enhanced growth.

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example of when it is contraindicated:

-a dehydrated and extremely suicidal client: safety comes before hydration

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example of when physiological is more important than safety

-cataract client: disturbed sensory perception (visual) is more important than risk of injury related to decreased vision

[richo_006]

Im not sure with this please correct me if im wrong:

1)In myocardial infarction...MORPHINE first BEFORE OXYGEN...

2) In sickle cell crisis...TREAT HYDRATION FIRST BEFORE OXYGEN

[gwafuh_rn, BSN, RN]

in nclex,common sense is a key factor. you always think for the safety of the patient.I choose the extremely suicidal.For the other one,it only says "dehydrated". Offer some fluids.hehe

[vadee]

in nclex,common sense is a key factor. you always think for the safety of the patient.I choose the extremely suicidal.For the other one,it only says "dehydrated". Offer some fluids.hehe

my apology..i meant to say this CLIENT was dehydrated plus suicidal....you would want to provide safety first before hydration. i reread my posting and realized that I made it sound like there were two clients involved rather than one.

thanks and lets keep them coming. =)

[PEBBLES1]

This was very helpful, thanks

[tavs]

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example of when physiological is more important than safety

-cataract client: disturbed sensory perception (visual) is more important than risk of injury related to decreased vision

hhmmm physiologic need is more important than safety/security.

that being said, i believe if you can't see, (physiologic) then it'll probably lead you busting your butt along the way (safety/security) :)

[PEBBLES1]

phyisiologic needs always come before safety, except in psy. When you think about these needs, you need O2, water, food. Also, think about ABC's then safety

[vadee]

example of when oxygen is not administered first....

a client receiving parenteral nutrition with suspected air embolism.

1. First CLAMP the intravenous catheter (prevents the embolism from going through the heart to the pulmonary system).

2. Position the client to a LEFT trendelenburg position with the HOB lower (this will trap the air in the right side of the heart)

3. CONTACT the physician

4. Administer OXYGEN as prescribed

5. Take the VITALS frequently

6. document the occurrence

so what i got from this is that you save the documentation for last. Before administering oxygen, you need to contact the Physician (remember that administration of oxygen requires Physician's order).

usually you would want to do all that you can first before contacting the Physician. In this case which is considered an emergency, the vitals is taken after the physician is contacted and oxygen is administered.

[lhibby]

i agree! this is very helpful to everyone especially for those preparing for their exam. Hope to see more of this.

Thanks.

[EJRN2008]

hhmmm physiologic need IS more important than safety/security.

that being said, i believe if you can't see, (physiologic) then it'll probably lead you busting your butt along the way (safety/security) :)

yes but risk for is a potential diagnosis and altered sensory perception is an actual diagnosis. Priority would be a diagnosis that is present not one that has the potential to be.

[vadee]

here is the pyramid diagram...

[justme1972]

my apology..i meant to say this CLIENT was dehydrated plus suicidal....you would want to provide safety first before hydration. i reread my posting and realized that I made it sound like there were two clients involved rather than one.

thanks and lets keep them coming. =)

Just remember that underneath that Maslow's triangle there is an imaginary "additional" line below the whole thing that is LIFE or DEATH.

In other words, if the "safety" factor is a life or death issue, that takes priority over every other need.

A client being hydrated isn't going to mean a hill of beans if he's dead.