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Nurse diagnosis prioritized

Students   (275 Views 6 Comments)

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Hi everyone. I have a project due soon and I need help prioritizing some nursing diagnosis based on Maslow's hierarchy. Here is the list I have so far

1.Dec. cardiac output

2. Fluid volume excess

3. Constipation

4. Ineffective sleeping pattern

5. Chronic pain

6. Obesity

Does this seem right? Any help would be greatly appreciated. Thanks! 

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Rose_Queen is a BSN, MSN, RN and specializes in OR, education.

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Do you have a NANDA book? There is more to a nursing diagnosis than what you've stated above- for actual diagnoses, you need the "as evidenced by" portion. Additionally, there is no set priority for nursing diagnoses- it is specific and individualized to the patient. Even looking at patients with very similar NDs could still have a difference in priority based on the patient's specific needs, background, etc. Let's take a look just at decreased cardiac output- for a patient with chronic cardiac issues, that's their normal and likely isn't going to be the top priority. If it's a new issue or an exacerbation/worsening of their norm, then it may be.

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Yes, I got those diagnoses from my book. They're not complete yet, as I am supposed to first prioritize only the diagnosis(6 most important based off of Maslow), then make a care plan for 3 of the most important ones. I've prioritized them based on my patient's needs already but wasn't sure if for example, chronic pain would come before constipation or ineffective sleeping pattern. 

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E-commerce has 1 years experience as a CNA, LVN and specializes in Psychiatric, Diabetes advocate.

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Hi Does your care plan book have nursing diagnoses listed according to maslow hierarchy of needs? That's a great place to start. 

Also what i wish i knew when i started LVN nursing school was read the the first couple chapters in the dx book. Those pages will give you a great step by step guide. Hope this helps

Edited by E-commerce

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2 hours ago, E-commerce said:

Hi Does your care plan book have nursing diagnoses listed according to maslow hierarchy of needs?

All of those listed fall into Maslow's category "physiological," so in theory the OP has already correctly chosen 6 important issues.

Further prioritization will have to be patient-specific, as mentioned above.

On 11/29/2019 at 9:00 PM, SweetSomewhere2 said:

I've prioritized them based on my patient's needs already but wasn't sure if for example, chronic pain would come before constipation or ineffective sleeping pattern. 

This assignment could be taken a couple of different ways. One is the way you are doing it, which is to pull out only the most important needs based on Maslow (those would be physiological, as you have done). Another would be that a patient could theoretically have 6 dx, not all of which are physiological, and the student prioritizes those according to Maslow.

I think it's a little difficult according to your understanding/the way you are doing it, because they can't very well be further prioritized on the basis of Maslow alone. At this point they can only be put into further order of importance based on the patient's individual situation.

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hppygr8ful has 15 years experience and specializes in Psych, Addictions, Elder Care, L&D.

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I highly recommend the nurses pocket guide to Diagnosis, Intervention, and rationales. by Deogenes. You can find it on Amazon

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