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Priority Nursing Diagnosis According to Maslow’s Hierarchy of Needs
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Priority Nursing Diagnosis According to Maslow’s Hierarchy of Needs
Michelle is a 69-year-old lady, who has been admitted to the emergency department with her complaints of nausea and abdominal pain. Her history reveals that she stopped taking sugar in her coffee owing to which she has lost 30 pounds during the past four months. Her diagnostic tests indicate partial bowel obstruction and acute appendicitis, and she needs to be prepared for her surgery. Though she got her pain shot four hours ago, she still feels severe pain and is demanding for a pain shot again. As the nurse is about to leave, she retched and vomited bilious emesis and has a lot of anxiety as to why she needs a surgery at this time. Basis the scenario, this paper would first analyze what the priority nursing diagnosis for this patient should be and then would suggest the priority nursing activity for this patient.
A Priority Nursing diagnosis is based on Maslow’s Hierarchy of Needs, according to which the Basic Physiologic needs need to be met first, followed by Safety and security, Love and belongingness, Self- Esteem and Self-Actualization (Butler & Thayer, 2021). Figure 1 depicts Maslow’s Hierarchy of needs that are to be met by an individual to achieve their full

Figure 1: Source - https://www.researchgate.net/post/How-much-level-does-the-Maslows-hierarchy-of-needs-divide
potential. As per the Maslow’s Hierarchy of Needs and Patient’s condition post bilious emesis, Nutritional (Physiological) needs of the patient should be met first. The rationale behind giving Nutrition to the patient is that now since the patient has now vomited and also requires treatment for bowel obstruction, the primary requirement of the body fluids and nutrition should be met. Secondly, since only four hours have elapsed in the last pain shot, it would not be advisable to give another pain shot at this time.
Thus, the primary nursing diagnosis is “Risk of imbalanced nutrition related to disease process”.
Based on the priority nursing diagnosis, the nurse should “Call the doctor” for help and to get the necessary nutritional requirements met by the patient. It would include placing an Intravenous (IV) line into the patient’s vein to get her the required nutrition and fluids (Mayo clinic, 2021).
Butler, T.J.T, and Thayer, J. M (2021) Nursing Process. StatPearls. Available at
https://www.ncbi.nlm.nih.gov/books/NBK499937/
MayoClinic (2021) Intestinal Obstruction. Mayoclinic.org. Available at
https://www.mayoclinic.org/diseases-conditions/intestinal-obstruction/diagnosis-treatment/drc-20351465
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