According to Maslow, people need to be respected, both by themselves and by others. There are two types of estimates, lower and upper. The lower version of esteem is the need for respect from others; this can include fame, recognition, status, prestige and attention. The higher version requires respect from the person himself. This includes things like strength, independence, self-confidence, and freedom. There is a sort of hierarchy within the hierarchy; encountering lower versions of the estimate can allow you to search for higher versions. In short, we have to like each other. Finally, it ends with self-realization. It's at the top of the pyramid, the hardest part to reach. It refers to a person's full potential and the realization of that potential, sometimes considered a "calling." Self-realization is highly individual and the only way to achieve self-realization is to not only meet but master the rest of the pyramid. Self-actualization requires daily effort and lifelong perseverance. Maslow's Hierarchy includes the ABCs of nursing, airway, breathing and circulation. By conceptualizing a person's needs, it helps classify patients and guide the prioritization of patient care needs. Nurses can use Maslow's Hierarchy of Needs to identify a person's level of care