The lower the level of the pyramid, the more important the needs are. On the most bottom part, you will see physiological needs such as the need for food and water, for shelter and for warmth, while higher up at the top you'll see things such as being esteemed as someone great or being successful at what you do. Those thing are higher because they rare less important for us than physiological needs.
Patient still needs to have a medical duranle POA , so soembody can decide for her in case she gets sick. Livibg will will only tell where the patient’s state will go after she/ he sies.