I’ve been coughing; productively and sometimes “dry” ever since I was hospitalized due to “systemic viral infection”. Up until now, my cough is still apparently productive. My mom advised me to visit the university’s health center and so last Wednesday, after my exam in Parasitology, I went to see a doctor with some friends who also felt the need of some medical opinions and advices. My cough’s already considered as chronic cough because I was coughing and spitting sputum for more than 2 weeks already, and I am afraid it’s TB. I was interviewed by a nurse, vital signs were taken, and was asked to go to cubicle 4. I was greeted by the doctor with...
“Are you a nursing student?”
I was like…
“No? I am a medical student…”
I was budging my body to let her see my plate. Just because I was wearing all white (except for my shoes of course) and everybody’s (even physicians) taking up nursing doesn't mean I am also a nursing student... I am not like them; I am different, something more special… Kidding. I just made that up.
“Oh! I’m sorry. Do you know who postulated the Hierarchy of Needs?”
“Oh well, never mind”
I think a nursing student can answer her and I don’t think that they teach the “needs hierarchy” in med school. I was asked by the doctor to come and visit her again the following day with my x-ray plate from the hospital where I was confined. She also wants my CBC. So after consulting, I had my blood extracted and went straight to World Citi to take my chest film.
When I got home, I was a little bothered not knowing what was that “hierarchy” all about. She was a doctor and she knows or have heard about the “hierarchy”, so I think I should know it too, and I don’t! What is it all about anyway? I searched for the Hierarchy of Needs anywhere possible; med books and of course the net, I was really curious. I think I should know that particular theory. I felt the need of knowing it!
When I came back to the clinic just a while ago, I told her that the theory was by Abraham Maslow.
She was like...
Then she asked me further what are the needs while drawing a pyramid in her pad.
“All I can remember is the base, which is Physiological. Love and Safety I am not sure what parts of the pyramid they are located.”
“Esteem and Self-actualization are on top”
“Owell”, I said to myself…
She prescribed amoxicillin and a drug combination of salbutamol and guaifenesin.
So now for those who doesn’t know anything about the hierarchy I am talking about, read further…
Heirarchy of Needs was postulated by Abraham Maslow. This topic as I have discovered is under psychology or even possibly under psychiatry, but we haven't tackled it (yet?). These needs are depicted by a pyramid with 5 levels namely physiological, safety, love, esteem and self-actualization starting from the base going up. The 4 needs below are considered by Maslow as Deficiency Needs (D-needs). The base area is composed of things considered as the first things people need and must be satisfied in order to move up to the second needs. A person cannot move up if a deficiency from the lower levels is not satisfied. So for example, a man who lacks his basic needs like food and water (at the physiological needs) cannot move up to be in the safety needs and consider himself as safe, eryt?
So let's tackle each needs one by one.
Physiological needs are the most basic needs that are vital to survival, including the need for water, air, food, and sleep. These are known as the instinctive needs and the most basic needs because all the other needs are above it and higher needs will not be attained unless the physiological needs are met.
Security needs are important for survival, but they are not as demanding as the physiological needs. Examples of security needs include a desire for steady employment, health insurance, safe neighborhoods, and shelter from the environment.
Love/Belonging AKA Social needs include needs for belonging, love, and affection. Maslow considered these needs to be less basic than physiological and security needs. Why? Because a man should satisfy first himself before getting involved with others. Relationships such as friendships, romantic attachments, and families help fulfill this need for companionship and acceptance, as does involvement in social, community, or religious groups.
Esteem needs include the need for things that reflect on self-esteem, personal worth, social recognition, and accomplishment. A person according to Maslow cannot actually have self-esteem when the 3 needs below aren’t met.
Self-actualization is the highest level of Maslow’s hierarchy of needs. Self-actualizing people are self-aware, concerned with personal growth, less concerned with the opinions of others, and interested fulfilling their potential. In other words, when you reach this stage, you are in a sublime state. This is also known as the Being Needs (B-needs).
The main point of Maslow here, I guess is to emphasize and let people know the importance of the top level which is the self-actualization, which is a process of growing and developing as a person to achieve individual potential.