The duties and responsibilities of nurses and other healthcare providers are primarily guided by numerous factors which include the urgency of a patient's condition, the patient's age, patient health history among other factors that directly or indirectly affect the health of a person. Prioritization significantly shapes the process of diagnosis, treatment, and management of patient's condition. Whereby, the most urgent health need is first addressed by the caregivers and the order of at which the different conditions that a patient might be suffering from are addressed according to the decreasing agency and severity of the condition or disease. Different patients have different hierarchy of prioritization as they suffer from different diseases, have different health histories as well as due to the fact that despite the fact that patients might be suffering from a common diseases or condition, the hierarchy of prioritization is different due to severability of the condition which is life-threatening and which vary from one patient to the other ( Hargrove-Huttel& Colgrove, 2014) . While focusing of Ms. J who was admitted to the hospital due to multiple health problems which include shortness of breath, Edema as well as suffering from decreased urine output, the Hierarchy of prioritization will take the following procedures.
According to Maslow's hierarchy of needs, the most basic need are the physiological needs which are defined as the basic needs that human beings needs for survival. In this case, the patient is suffering from shortness of breath which falls under the physiological needs as the patient needs air to survive. This should be the first health problem to addresses as it is life-threatening as well as because the need should be satisfied first before moving to the next level of needs ( Potter, 2004) . It is important to indicate that failing to meet the physiological need will lead to a deficient in the body, and also, the patient will not be in a position to move to the next level of needs which revolves around safety. Additionally, the health practitioners will also address the blood pressure problem which is a life-threatening to the old generation as well as for patients with multiple health conditions. It is also important to indicate that the patient's life must first be secured by providing air to ensure that they are out of danger, which is done before, taking into consideration patient's safety ( Potter, 2004) .
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For safety, the patient's should be assured of being free from the danger which will in turn aid the patient to move to the next level of needs. It is also important to indicate that the feeling of safety is an essential element as it aids in improving the quality of services provided to the patient's hence, improving the general well-being of the patients ( Hargrove-Huttel & Colgrove, 2014) . At the safety level of needs, the nurse will ensure that the patient's life-threatening situation is fully addressed. In this case, the nurse and other healthcare providers will subject the patient to lab test. The lab test result will in turn aid the health care providers to rule out some diseases such as the chronic kidney diseases which will in turn aid the health care providers to arrive at the cause of edema and decreased urine output. The ruling out will also ensure that the patient receives quality care as the care will be based on evidence approach whereby the laboratory results will be used to determine the diseases. It is also important to indicate that providing quality care will aid the patient is moving to Maslow's hierarchy of need after safety which revolves around the needs for love and to belong ( American Nurses' Association, 1996) . The patient will feel loved and having established the diseases she is suffering from, which will help her identify with patients with similar diseases and hence satisfying the need to belong. Due to the improved treatment and diagnosis, the patient gains self-esteem and self-concept which in turn aid in improving the patient's perception of themselves ( American Nurses' Association, 1996) . At 63 years, Ms. J is old, and in her last phase of her life, and therefore, self-actualization is the last need of her life, after which she feels that she has accomplished and ready to die.
Despite the fact that the healthcare providers can develop an effective Hierarchy of prioritization for their patients, it is important to indicate that the process is faced with numerous challenges which in turn hinder the health care providers from providing quality care. For example, inadequate resources in the health industry significantly hinder the health providers from developing an effective hierarchy of prioritization for their customer's needs which in turn leads to low quality of health care provided. Different patients have different health needs which in turn leads to an individualized hierarchy of prioritization, which is expensive regarding resources as well as time ( Hargrove-Huttel & Colgrove, 2014) . Additionally, patient's health history also significantly influences the development and implementation of the hierarchy prioritization. In some instances, the patient's visit the hospital when they are critical to the extent that they cannot provide their health history, which is an essential element while developing a care plan ( Hargrove-Huttel & Colgrove, 2014) . For Ms. J she was able to visit the hospital on time. However, it is important to indicate that she had limited access to the healthcare facility as she explained that her conditions have been worsening for the past three months. As a result, Ms. J was not able to receive early intervention which is a primary element in the provision of quality healthcare services which is arrived at using an efficient and strategic care plan.
References
American Nurses' Association. (1996). Nursing quality indicators: Guide for implementation . Washington, D.C: American Nurses Association.
Hargrove-Huttel, R., & Colgrove, K. C. (2014). Prioritization, Delegation, & management of care for the NCLEX-RN® Exam . Philadelphia: F.A. Davis Company.
Potter, P. A. (2005). Fundamentals of nursing . St. Louis, Mo: Elsevier Mosby.
