Extrapersonal nursing dx for respiratory distress syndrome?

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Hi everyone,

I'm doing a three-part care plan for a infant with respiratory distress syndrome in the NICU, and I'm stuck. I was wondering what could be an extrapersonal dx for this patient?

So far, I have:

Intrapersonal: ineffective breathing pattern

and interpersonal: risk for impaired parent/child attachment

I know that extrapersonal is something that occurs outside the individual, so would a dx be more towards caregivers?

Thanks!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

  • Are capable of producing either a positive or negative effect on the client system.



  • Is any environmental force which can potentially affect the stability of the system:


  1. Intrapersonal - occur within person, example is infection, thoughts and feelings



  2. Interpersonal - occur between individuals, e.g. role expectations



  3. Extrapersonal - occur outside the individual, e.g. job or finance concerns


  • A person’s reaction to stressors depends on the strength of the lines of defense.


  • When the lines of defense fails, the resulting reaction depends on the strength of the lines of resistance.


As part of the reaction, a person’s system can adapt to a stressor, an effect known as reconstitution.

I would think financial strain would be important depending on the families situation

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I was actually going to add the financial strain as well. That was where my thoughts were going. Then I saw someone had already suggested it. I would try to develop that....

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Financial strain is what I was thinking as well. However, I haven't been assigned to a patient yet and am creating a general care plan for an infant with RDS, so I don't know if that's appropriate yet. :(

I was leaning towards "Readiness for enhanced family coping" but I'm not sure if that would be considered extra or interpersonal?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

that is more interpersonal....Caregiver Role Strain?

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I ended up using "Readiness for enhanced family processes" and related the goals/intervention to spiritual, psychosocial, and cultural beliefs the best I could ahaha. Thank you for your help!!

PS Esme12, your icon and dog is so adorable!

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Specializes in ICU + Infection Prevention.

Wow.... I forgot how silly and nonsensical nsg dx careplan newspeak BS is... and reminds me what I have to fear in returning for an advanced degree. Don't worry students... the real world awaits!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I ended up using "Readiness for enhanced family processes" and related the goals/intervention to spiritual, psychosocial, and cultural beliefs the best I could ahaha. Thank you for your help!!

PS Esme12, your icon and dog is so adorable!

Thank you....she is my baby.

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Specializes in Hospice, Palliative Care.

She is a beautiful dog; such wonderful eyes.

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