Problem Prioritization

Nursing Diagnosis/ Cues Justification

Ineffective Breathing Pattern related This problem must be the top priority
to insufficient lung function secondary to because according to Maslow’s hierarchy
pneumonia of needs this is a physiologic need. It
needs immediate attention.
Subjective
• “Nahihirapan akong huminga, parang
parati akong kapos pag humihinga”
Objective:
• Dyspnea
• Tachypnea
• Use of accessory muscles while
breathing
• Altered chest excursion
• Nasal flaring
Fatigue related to poor physical This is the second priority problem
condition because is related to the performance of
her body. Also this is a physiologic need;
Subjective: this has to be solved for the client to
• The client verbalized that she lacks adhere to the treatment. But it doesn’t
energy and she couldn’t ambulate need immediate attention.
long enough because she tires easily.
Objective:
• Lethargic
• Drowsy
• Lack of energy

Impaired Walking related to limited This has been the last priority because
endurance the previous problems must be solving
first before continuing to this problem.
Subjective : The solution of the previous problems
• The client mentioned that she cannot can lead to the solution of this problem.
walk around the room without
assistance; she said that her legs
cannot endure her anymore.
Objective:
• The client was sitting all the time and
it was observed that she cannot walk
around the area without the
assistance of her daughter.