ATI: Priority Setting Frameworks
Maslow's Hierarchy of Needs
1. Physiological
2. Safety & Security
3. Love & Belonging
4. Self-Esteem
5. Self-Actualization
1. Physiological
Oxygentation
Circulation
Nutrition
Elimination
Fluid Balance
Activity & Exercise
Rest & Sleep
2. Safety & Security
Living in safe environment
Adequate income
Shelter from environmental elements
3. Love & Belonging
Love
Affection
Relationships
Involvement with community and spiritual groups help to meet this need.
4. Self-Esteem
Self respect
Personal worth
Social recognition
5. Self-Actualization
Personal growth
Fulfilling own potential
Maslow's belief: very few individuals reach this level
Client Care Focus (Maslow's)
Higher levels may compete with lower levels (depends on client situation)
Maslow's Hierarchy provides a framework
Consider all client factors before determining order
Nursing Process
1. Assessment First
2. Analysis
3. Planning
4. Implementation
5. Evaluation
1. Assessment
LPN does data collection and lets the RN know pertinent information
, 2. Analysis
RN only
happens after nurse collects data
second step of nursing process for RNs
lays foundation for making decisions about client's plan of care
takes priority over planning, implementation, and evaluation
3. Planning
3rd step RN
2nd step LPN
establish outcomes and plan of care
4. Implementation
4th step RN
3rd step LPN
interventions for health
5. Evaluation
5th step RN
4th step LPN
in process or completed
Using Maslow's Hierarchy as a priority-setting framework, which order should the
following clients be cared for by the nurse?
Client Care Focus (Nursing Process)
tool to determine priority of nursing actions
each step based on decisions from previous step
most important: assessment (data collection) first
evaluate client outcomes to determine effectiveness of care plan
ABCDE
A: Airway
B: Breathing
C: Circulation
D: Disability
E: Exposure
A systematic method that can be utilized in any health care setting to evaluate and treat
the client.
1. Airway
highest priority action
must be open and clear
client might need: temporary oral or artificial airway (tracheostomy or endotracheal
tude), supplemental oxygen
2.Breathing
essential for oxygen exchange: respiratory rate with expected reference range,
adequate ventilatory effort
client might need: artificial ventilation, negative pressure gradient in pleural cavity, chest
tube might re-establish negative pressure
3.Circulation
heart rate and blood pressure within expected reference range necessary for adequate
cardiac, cerebral, and peripheral perfusion
Maslow's Hierarchy of Needs
1. Physiological
2. Safety & Security
3. Love & Belonging
4. Self-Esteem
5. Self-Actualization
1. Physiological
Oxygentation
Circulation
Nutrition
Elimination
Fluid Balance
Activity & Exercise
Rest & Sleep
2. Safety & Security
Living in safe environment
Adequate income
Shelter from environmental elements
3. Love & Belonging
Love
Affection
Relationships
Involvement with community and spiritual groups help to meet this need.
4. Self-Esteem
Self respect
Personal worth
Social recognition
5. Self-Actualization
Personal growth
Fulfilling own potential
Maslow's belief: very few individuals reach this level
Client Care Focus (Maslow's)
Higher levels may compete with lower levels (depends on client situation)
Maslow's Hierarchy provides a framework
Consider all client factors before determining order
Nursing Process
1. Assessment First
2. Analysis
3. Planning
4. Implementation
5. Evaluation
1. Assessment
LPN does data collection and lets the RN know pertinent information
, 2. Analysis
RN only
happens after nurse collects data
second step of nursing process for RNs
lays foundation for making decisions about client's plan of care
takes priority over planning, implementation, and evaluation
3. Planning
3rd step RN
2nd step LPN
establish outcomes and plan of care
4. Implementation
4th step RN
3rd step LPN
interventions for health
5. Evaluation
5th step RN
4th step LPN
in process or completed
Using Maslow's Hierarchy as a priority-setting framework, which order should the
following clients be cared for by the nurse?
Client Care Focus (Nursing Process)
tool to determine priority of nursing actions
each step based on decisions from previous step
most important: assessment (data collection) first
evaluate client outcomes to determine effectiveness of care plan
ABCDE
A: Airway
B: Breathing
C: Circulation
D: Disability
E: Exposure
A systematic method that can be utilized in any health care setting to evaluate and treat
the client.
1. Airway
highest priority action
must be open and clear
client might need: temporary oral or artificial airway (tracheostomy or endotracheal
tude), supplemental oxygen
2.Breathing
essential for oxygen exchange: respiratory rate with expected reference range,
adequate ventilatory effort
client might need: artificial ventilation, negative pressure gradient in pleural cavity, chest
tube might re-establish negative pressure
3.Circulation
heart rate and blood pressure within expected reference range necessary for adequate
cardiac, cerebral, and peripheral perfusion
