PRIORITIZATION OF PROBLEM
RANK OF DIAGNOSIS TYPE OF PROBLEM JUSTIFICATION
#1 DECREASED ACTUAL Circulation must be in second priority since in
CARDIAC OUTPUT Maslow’s hierarchy of needs it’s under
RELATED TO physiologic need. With regards to the rule of
RELATED TO ABC which is Airway, Breathing and
DISTURBANCE IN Circulation, Circulation will be the next
THE CLOSURE OF prioritized problem. If the cardiac output is too
THE MITRAL VALVE low, then the body is not being properly
supplied with blood (heart failure) and
oxygenation, which can and will lead to life
threatening problems if left unsolved.
#2 INEFFECTIVE ACTUAL Under Maslow’s Hierarchy of needs it is also
TISSUE PERFUSION under physiologic needs and just like the first
R/T LOW problem, it is also considered under circulation
HEMOGLOBIN in ABC. This is an actual problem needing
COUNT immediate attention because this may lead to
inadequate supply of oxygen to the rest of the
body. Inadequacy may lead to hypoxia which
is fatal to the patient because it may lead to cell
death .Perfusion to the tissue all over the body
is very crucial in order for them to function well
and prevent further dysfunction. Also,
according to Carl Roger’s client centered
theory, man is a unified whole composed of
parts which is interdependent and interrelated
with each other This means that the organ
systems function together to achieve a
particular purpose. Therefore, the hematologic
system should maintain its normal functioning
so that other systems will not malfunction or
compensate. Like the first problem, the
succeeding problems will be resolved if this
problem is addressed
#3 ACUTE CHEST ACTUAL In Maslow’s hierarchy of need, it is also under the
PAIN RELATED TO physiologic [Link] has to be the third prioritized
TISSUE ISCHEMIA problem because pain can affect the treatment and
ACUTE PAIN cooperation of the patient it can also adhere his difficulty
(JOINTS) RELATED of breathing due to panic. It also limits his movements as
TO ONGOING stated by the client, thus slowing down his recovery.
DISEASE PROCESS
#4 INFECTION ACTUAL Like the above problem, this is under the Safety
RELATED TO and Security Needs of Maslow’s, due to the
INFLAMMATORY patient’s RHD and other co-morbids, she is then
PROCESS immunocompromised. Addressing this problem
with antibiotics and other medications
prescribed are highly needed to prevent
worsening of the ongoing infection.
#5 ACTIVITY ACTUAL Under Maslow’s hierarchy of need,It is also
INTOLERANCE under the physiologic [Link] intolerance
RELATED TO is the type and amount of exercise or daily
IMBALANCE living activities an individual is able to perform
BETWEEN OXYGEN without experiencing adverse [Link] is
AND CARBON needed to address in the case of my patient since
DIOXIDE DEMAND it alters the ablity to do ADL’s and prolong
activity intolerance will cause further
complication due to lack of movement.
#6 FATIGUE ACTUAL This is the second priority problem because is
RELATED TO POOR related to the performance of her body. Also
CONDITION this is a physiologic need; this has to be solved
for the client to adhere to the treatment. But it
doesn’t need immediate attention.
#7 RISK FOR FALL POTENTIAL Due to generalized weakness the patient can’t
balance himself when standing, it must be
address since falling can cause further injury
and complication to the patient for example
head trauma.
#8 RISK FOR SELF- POTENTIAL It is a potential problem since my patient can
CARE DEFICIT clean himself without the presence of watcher
because of generalize weakness. According to
Abraham Maslow’s Hierarchy of Needs, it is one
of the basic human needs. Physiological needs can
control thoughts and behaviors and can cause people to
feel sickness, pain and discomfort. Self-esteem
confidence and motivation can all be altered by our body
image, often reflected on our ability to care for ourselves
and keep good hygiene practices.(Kozier et al.
Fundamentals of Nursing. 9th edition. 2002.
p. 889)
REFERENCE:
Doenges, M., Moorhouse, M.F., Murr, A. (2013). Nurse’s Pocket Guide: Diagnosis, Prioritized
Interventions and Rationales. 13th Edition. Pp. 246-252, 69-73, 611-616, 362-368, 538-543
Jensen, S. (2011). Pocket Guide for Nursing Health Assessment: A best practice approach. Pp. 306-364
Sweltzer, S., Barc, B. (2010). Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 10th Edition.
Pp. 1089
