VIII.

Problem Identification and Prioritization

Nursing Diagnosis/Cues Rank Justification According to Maslow’s

Nursing Diagnosis 1 According to Maslow’s Hierarchy Needs,

1. Activity intolerance related to physiological needs are the most priority
imbalance oxygen between supply such as air, water, food, shelter, sleep,
and demand secondary to clothes, reproduction. Activity intolerance
hemolytic anemia. related to imbalance oxygen between
supply and demand secondary to
Subjective Cues: hemolytic anemia is under physiological
“Nakakaramdam ako ng pagod at needs. These are threats to a patient’s
panghihina dahil na rin yata sa pabalik- immediate survival or safety and demand
balik namin dito sa hospital para immediate nursing intervention. Since
masalinan ako ng dugo.” – AA. patients require regular blood transfusions
because her body makes such low levels
Objective Cues: of hemoglobin.

 Fatigue
 Weakness
 Pallor

 V/S taken as follows:

 BP: 80/50 mmHg
PR:
TEMP: 38.5°C
BMI:

Nursing Diagnosis 2 Maintenance of the human body is

2. Delayed growth and development
related to iron deficiency anemia
as evidenced by deviations from
age-group norms.
Subjective Cues:
“Noong 3 year-old siya na pansin namin
na yung height at weight niya ay wala sa
normal range ng normal na 3 year-old
dahil medyo maliit at payat siya. Tas
nung pinatingin namin siya lumabas sa
laboratory result na mababa ang
hemoglobin niya. ” – Stated by her
mother.
Objective Cues:
addressed by physiological needs. This
lowest category covers the most basic
needs, such as the need for water, air,
food, and sleep that are essential to life.
Maslow claimed that these needs are the
most instinctive, that once these needs are
fulfilled, all needs become secondary.
Delayed growth and development related
to iron deficiency anemia as evidenced by
deviations from age-group norms is under
physiological needs. Delayed growth and
development is a non-emergent condition
that needs medical attention, but not on
an emergency basis. The patient would
need a developmental intervention to
achieve a normal range of growth and
 Hemoglobin 10 mg/dL development.
 Pale skin
 Weakness
 Height:
 Weight:
 BMI