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15

tence. Thus, the nurse does not consider the disease, but

the reaction of the patient

and his family to the disease and their altered state

. This is included in the concept

of «

patient problem

».

Table 1.

The basic needs of V. Henderson

Levels of basic human needs

according to Maslow

Types of daily activities

according to V. Henderson

Physiological needs

To breathe normally.

Consume sufficient food and liquid.

Excrete waste products from the body.

Move and maintain the desired position.

Sleep and rest

The need for security

To dress and undress yourself, choose clothes.

Maintain body temperature within normal limits

by selecting appropriate clothing and changing

the environment.

Observe personal hygiene, take care of appear-

ance.

Ensure your own safety and not create danger for

other people.

Social needs

To maintain communication with other people,

Express their opinions.

Perform religious rites according to your faith.

The need for respect and self-respect To do the work you love.

Relax, take part in entertainment and games.

Satisfy your curiosity in order to develop nor-

mally.

This reaction can be:

• physiological;

• psychological;

• social;

• spiritual.

In this regard, the patient's problems identified by the nurse may relate to the

physiological, psychological, spiritual or social spheres of person's life. So the task

of the second stage is to identify the problems of the patient. The patient's problems

are divided into existing and potential ones.

Existing problems

are the problems

that are bothering the patient at the moment. For example, in acute myocardial in-

farction, the patient’s current problem may be heart pain, stress, limited mobility,

or lack of self-movement.

Potential problems

are those that don’t exist yet, but

may appear over time. This patient may have potential problems such as irregular

bowel movements and the risk of developing bedsores. In most cases, there are

several problems, and the nurse can’t start solving them at the same time. There-