Prioritizing nursing Dx

Nursing Students Student Assist

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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.

Specializes in Pediatrics, Emergency, Trauma.
But this assignment is based on Maslows. I get what you are trying to say but prioritizing problems is taught actual above risks.[/quote'] Again, risks can be ACTUAL problems... http://www.nanda.org has the criteria; also the NANDA-I book has more information on formulating a nursing diagnosis; again, GrnTea was pretty in. The mark and you can find what she stated from NANDA itself.

It is ABCs, then Maslows, etc.....I really do not understand where your info is coming from. I understand the use of NANDA for NDs, but prioritizing has other factors involved. Its nice you are defending your friend, but its constant and truely directed at her, thanks.

I'm not sure if GrnTea would consider me a friend; it's a nice thought though, but the fact of the matter is, when eliciting a response that may be off the mark; enlightenment is the best response, and an appreciation for the enlightenment is in place, especially from for more experienced colleagues in the field ;)

You continue to state a "risk for" diagnoses prioritized below; it is not, especially if there is an assessment in play; no, we don't have an assessment; however; whether we have one or not doesn't eliminate the fact that your line of thinking the a "risk" diagnoses cannot be first priority; that is my point, and from being a member for a good amount of time, that is where GrnTea is driving, I may be off the mark, regardless of our "friend status", but just using my nursing knowledge that I have been cultivating for a while in the business of nursing. :)

Also, looking at the Maslow's model; Safety is above the physiological; there is a reason why the safety is above the physiological; although the theory itself was taught about fulfilling those needs from the bottom up; in theory in nurse of the nursing model; Safety is a biggie; safety first from Maslow's; that's why as you stated ABC's the Maslow's...Think about it, of the ABC's are intact, what ELSE should we be assessing for? That's where the "risk for" especially if it will be detrimental to the patient comes into play, especially in terms of safety.

Granted, I could receive a report, let's' say is pretty vague, but those diagnoses come up. I don't go into a pts room, see that their ABCs are intact, and forget to make sure there is O2 at the bedside, side rails up; if the ares is cluttered, it remains clear, that, my friend, is called a safety check-a part of Maslow's.

I then can proceed to my assessment of the diagnoses and go from there to activity intolerance and constipation to see if they are related and whatever diagnoses a patient may have.

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Ok nevermind, this is not worth my time...I said risks could be priority but not usually geez. Clearly, its is based on individual needs of patient, but there are steps to determine what is priority. Its discouraging that only certain people on this site are "right". I understand these are highly experienced nurses who answer. Ive been in this business a long time too.

And again

THIS ASSIGNMENT IS BASED SOLEY ON MASLOWS

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Specializes in Pediatrics, Emergency, Trauma.
Ok nevermind this is not worth my time...I said risks could be priority but not usually geez. Clearly, its is based on individual needs of patient, but there are steps to determine what is priority. Its discouraging that only certain people on this site are "right". I understand these are highly experienced nurses who answer. Ive been in this business a long time too. And again THIS ASSIGNMENT IS BASED SOLEY ON MASLOWS[/quote']

Read my ETA response from above in how Maslow's comes into play. :yes:

Also, we lean better with exchanges of the actual information and criteria; again, it's never "personal"

An enlightened nurse ALWAYS makes a better nurse. :yes:

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I still dont get it, Maslows model shows physiology first then safety. Im not saying safety is not a priority problem, but in this instance amd context of this question, I dont agree. It is a priority. Also prioritizing interventions is different from prioritizing NDs as well. I was reading through the NANDA book but couldnt find what yall are referring too from it. Do you hAve a page number?

If the teacher gave you the Maslow Model and then these 5 NDs and said prioritize, thats were I am coming from

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Also, we lean better with exchanges of the actual information and criteria; again, it's never "personal"

When it happens constantly, it seems that way. Ill admit when Im wrong, and ask questions if I dont know, but it just seems like im always being challenged. Anyway whatever

Funny how other posters said the same thing as me in other threads about prioritizing, but no one challengd thdm or said they were wrong

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Specializes in Pediatrics, Emergency, Trauma.
When it happens constantly, it seems that way. Ill admit when Im wrong, and ask questions if I dont know, but it just seems like im always being challenged. Anyway whatever

Funny how other posters said the same thing as me in other threads about prioritizing, but no one challengd thdm or said they were wrong

I address the threads as they come up and only to the thread at hand; with the exception of some parallel threads; however, I keep within the realm of the current thread I'm posting to.

If you are being "challenged" that's a perfect way in honing what your nursing practice is; and what your rationale is. I'm not sure how long you have been a nurse or what your background is, so I'm not sure what you are being "challenged" on; I am well aware of people who have more accurate knowledge that I do, and I have been a nurse for 8 years; one of the best hinges about nursing is there are always evolving standards of practice; I always learn something from many posters, especially in this forum; it's imperative, in my opinion, to make sure I am giving them the BEST information to help in their future practice; many of the "regulars" who do post in the student forum are well versed and keep with the current standards and have given me something more to learn-it's the cycle of nursing. ;)

As far as the post at hand-sometimes I come off as a stickler to keeping with threads-I see that you posted the Maslow's model; as I stated in my previous post; although we have learned from the bottom up; in terms of the nursing realm in terms of nursing diagnoses, one of the issues is safety and I gave my rationale and example in my edited post with using the report and the entering the patients room; that is the best rationale I can give; and how I was educated in terms of safety and how nursing approaches Maslow; safety is a priority; a patient may be constipated, but we cannot intervene first with the constipation when the patient isn't safe or has a chance of hitting the floor while we get them their MOM or fleets...psu_13 stated pretty well in their previous post, as well as gotten a flashback to my nursing instructor; I SWEAR I had this exercise in Fundamentals. :)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
But this assignment is based on Maslows. I get what you are trying to say, but prioritizing problems is taught actual above risks. It is ABCs, then Maslows, etc.....I really do not understand where your info is coming from. I understand the use of NANDA for NDs, but prioritizing has other factors involved. Its nice you are defending your friend, but its constant and truly directed at her, thanks.

((HUGS)).....

I agree with you and I have seen schools do it both ways. I have heard that NANDA is going to be changing things a bit...one to keep us on our toes and two to make money by selling more books.

No two programs are alike and not all programs teach the same things the same way....another nursing flaw. Kind of like everything being a HIPAA violation when in fact it is not necessarily HIPAA in and of itself...but hospital policy. The rules are there but they are interpreted differently by everyone....and some of our members belong to NANDA.

We all come from different backgrounds and areas of the country. We all have opinions. What is important to remember is that in no way are we always the end all be all authorities. What we give is advice and opinions.....albeit very educated ones......what the individual school requires or teaches is up to them.

If you look at it purely as risk to the patient....what has the potential to cause the MOST harm to the patient...being constipated? or falling? which one has the greatest potential to cause the patient the greatest harm?

That is the fall. I have been told that at Risk for diagnosis doesn't supersede actual needs and should be prioritized last. But the risk to fall is a danger that is imminent and likely. Versus another risk that the patient MIGHT encounter later....like risk of infection after a surgical procedure which might happen but isn't likely.

NANDA I does state at risk diagnosis can be an actual problem....and then it is it is prioritized. ABC...safety first is usually the safe bet.

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Specializes in Emergency, Telemetry, Transplant.
Just because its not number one or two on priority list doesnt mean you dont intervene on it.

I totally agree. However, I was merely saying don't dismiss "risk for falls" because it is a risk dx, not an actual dx., and in terms of prioritization, I would indeed place the "risk for falls" first.

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Thanks to 2013SNgrad for posting the colorful Maslow's hierarchy figure which indicates clearly that safety of the body is above physiological needs. I'm still trying to figure out how to do that. :)

The idea that "risk diagnoses don't supersede actual needs" is a fallacy, neatly encapsulated by Esme in the following: which is going to do more harm to your patient, a fall or being constipated? Clearly, the fall-- and it's more related to "safety of the body," in my opinion, than constipation. Risk diagnoses ARE actual diagnoses.

As to the idea that constipation is more of a threat to a person than immobility, I believe that every basic nursing text has a good deal to say about the complications of immobility, by which they mean to include levels of immobility less dramatic than via Spica cast or C4 tetraplegia. You can have your opinions-- everyone does, as we all know-- and your faculty will be interested to hear your rationales in defending them. That's part of education. I assure you that, "That's my opinion" will not cut it, though. We are trying to help you here, and you are always free to take it or leave it.

Finally, I refer you to Esme's sig line from the immortal Emerson, the Sage of Concord: Let me never fall into the vulgar mistake of dreaming that I am persecuted whenever I am contradicted.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Thanks to 2013SNgrad for posting the colorful Maslow's hierarchy figure which indicates clearly that safety of the body is above physiological needs. I'm still trying to figure out how to do that. :)

The pyramid is inverted...the bottom being the most important followed by the next important with the "top of the pyramid" being the least priority.....;)...I had to look at it too....with an extra cup of tea
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The pyramid is inverted...the bottom being the most important followed by the next important with the "top of the pyramid" being the least priority.....;)...I had to look at it too....with an extra cup of tea

Aha, I stand corrected. Many thanks. ::looking around for nearest caffeinated beverage::

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