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Extrapersonal nursing dx for respiratory distress syndrome?

Posted

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!

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

  • 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

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....

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?

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

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

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!

SummitRN, BSN, RN

Specializes in ICU + Infection Prevention. Has 8 years experience.

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!

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

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.

pmabraham, BSN, RN

Specializes in Hospice, Palliative Care. Has 3 years experience.

She is a beautiful dog; such wonderful eyes.