Choose three PRIORITY PROBLEMS, and identify what assessment cues would prompt someone to choose that problem.  

• Select Priority Problems that have not already been discussed by your peers.  
  • According to Fa Davis a priority problem is "High priority to problems that are life threatening or that could have a destructive effect on the client" (Treas, 2021).  
  • Three priority problems are 
    • A patient reports shortness of breath and has abnormal breathing sounds including wheezing 
    • A 65 year old patient needs to go to the bathroom and he has been reported with with fatigue and mobility issues
    • A patient is reporting pain in their stomach a 7/10
  • A patient report shortness of breath and has abnormal breathing sounds is a problem indicating the patients airway. This is a priority problem because of the ABC's. The patient airway is not effectively clear and the patient is reporting shortness of breath. Airway, breathing, circulation are priority problems for nurses. 
  • A 65 year old patient needs to go to the bathroom and he has been reported with fatigue and mobility issues. This is considered a priority problem because the patient is at a fall risk. A fall risk is a priority because of the dangers of the patient falling which can cause more injury's and make the patients condition even worse. 
  • A patient is reporting pain the their stomach a 7/10. This is a priority problem because pain is something indicating something is wrong.  The pain could have a major effect on the patient making them distress and hurt. Pain is considered a high priority in nursing 
• Of the problems you selected, what is their order of priority and why did you prioritize them in this order? 
  • 1.) A patient reports shortness of breath and has abnormal breathing sounds including wheezing 
    • I would prioritize this priority problem as number 1 because of the ABC's. Airway, breathing, and circulation always comes first.
  • 2.) A 65 year old patient needs to go to the bathroom and he has been reported with with fatigue and mobility issues
    • I would prioritize this patient second because a fall risk is a danger for safety. Fall risk aren't something that is a life threatening situation, but fall risk put the patient in harm because of the potential of falling and injuring themselves even more.
  • 3.) A patient is reporting pain the their stomach a 7/10.
    • I would prioritize this last out of the three situations because even though pain is an high priority ABC's and fall risk come before pain. Pain still is a high risk because the patient is in discomfort and pain indicates that something is wrong so the nurse needs to asses the pain.
• example reply for #1

Great post reading through it I was actually a bit stumped on the 2nd and third priorities myself. I almost think when I first read through the problems, I would have put the patient in pain first because that is a pretty high rating however as you mentioned fall risk takes priority over pain so that cleared things up a bit. These are the types of questions that get me when answering quiz banks are the priority questions so keeping that record in your mind from the book where it states to label the priority problems from high, medium, and low and determining whether the problems are human needs, problem urgency or future problems (Treas et.al, 2021). 

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2.Priority Problem Statements

• Choose three PRIORITY PROBLEMS, and identify what assessment cues would prompt someone to choose that problem.  Select Priority Problems that have not already been discussed by your peers.  Of the problems you selected, what is their order of priority and why did you prioritize them in this order? 

          The first high-priority problem I would like to talk about is when a patient's airway is obstructed by an object. According to the ABCs framework and Maslow's hierarchy frameworks, an airway is the priority item that must be assessed and cleared for the patient to survive (Treas et al., 2021). The most common assessment cues we are looking for are intercostal and accessory muscle retractions, decreased air movement in that side of the lung, and the skin turning blue (Thompson, 2022). In this case, the patient must be assessed to identify what the object is and where it is. Then the care team comes up with a plan for how to clear the airway safely to save the patient's life.

          Another high-priority problem is a patient with poor mobility who is trying to ambulate independently. The assessment cues can be the results from observation, the risk assessment, or the existing mobility impairment conditions, including age, injury, obesity, neurological diseases, and more. Being at risk of falling could lead to serious injury or death. In this case, the patient must be assisted to ambulate. The patient's environment needs to be assessed as well to see if there are any chances that the patient may fall. After planning, the care team will be able to implement a fall precaution if needed.

          One more high-priority problem that I would like to mention is a patient who is currently losing an excessive amount of blood. The assessment cues can vary, including visibly bleeding, rapid heart rate, orthostatic hypotension (Thompson, 2022), lightheadedness, fainting, clammy and pale skin, and being confused. In this case, the patient needs to be assessed and treated to stop the bleeding, and a blood transfusion must be done to replace the lost amount of blood.

• Of the problems you selected, what is their order of priority and why did you prioritize them in this order?  
            According to ABCs  framework, the patient with an obstructed airway is my priority because without enough oxygen, the patient will pass away very quickly. The second priority would be the patient with excessive bleeding, which is also a high priority because it leads to poor circulation due to a lack of oxygen traveling to vital organs. Therefore, both cases are life-threatening. The third priority is the patient who has mobility issues and is trying to ambulate independently. The priority of this case is high as well due to the risk of falls that could lead to serious problems. However, I would ask unlicensed assistive personnel to assist the patient to ambulate as I am working those two higher-priority cases.

 

 

example reply for #2

  A common illustration of an airway obstruction is a person choking on some food. But there are many more factors that can restrict the airway such as respiratory illness that causes upper airway inflammation, swelling of the tongue or epiglottis, abscesses in the throat or tonsils, collapse of the tracheal wall (tracheomalacia) and more common is asthma, chronic bronchitis, emphysema and COPD (Lung Mucus Clearance .. Reducing the Breeding Ground for Mycobacterium » Mayo Clinic Connect, n.d.).  If the patient does no received properly, it can cause respiratory arrest and it increase the risk of imminent death. That is why it is very important to number one prioritize the breathing. 

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3. Priority Problems

A patient who has dysphagia and is choking on a piece of brocholi although doctor ordered to place her on a liquid diet due to inability to swallow solid foods.

A patient is expressing  pain level of 8 of 10 on the Numeric Rating Scale after

A patient who needs assistance going from the toilet back to their bed after using the restroom and can risk falling. 

Order of Priority

The most important is the patient who is choking since the airway blocked by a piece of broccoli it is considered my type priority according the Maslows Hierarchy of Needs oxygen is essential for survival. 

The second priority would be the patient who is experiencing severe pain. I think that it can be second because a person choking can't go without oxygen. It can be contradicting since pain is considered to be a priority in other cases but since breathing is an essential I think that the patient choking is more of a priority in this case. Pain this high can be unbearable and should be given pain meds to alleviate pain.

The third priority would be ensuring that the patient that needs assistance is helped back to their bed. I would assist them back to their bed from the restroom by helping open the restroom door and provide them with a walker, if it is needed. Ensuring that everything is place near them and that the call light button is accessible to them. If ignored it can lead to more complications and a longer hospital stay. 

 

 

 

example reply for #3 

You provide a great example on the order of priority for your patient. According to Thim, T. et al, (2021), "The airway, breathing, circulation approach is a systematic approach to the immediate assessment and treatment of critically ill or injured patients. The approach is applicable in all clinical emergencies." You stated what priority goes first and proceed to the last one. You ensure great details on checking the airway and found a broccoli, provided oxygen when the patient was complaining of difficulty of breathing due to having the broccoli blocking his airway, and assisting him back to bed once he was stable enough to use his walker. Great post!

 

 

 

 

 

 

 

 

 

 

please give your idea individually