Nursing Diganosis for TTN?

Jolie, BSN · Oct 30, 2015

We are not in the habit of doing homework for students here on AN, and much of the written work that you will do in nursing school will involve "theoretical" patients who you have not actually assessed or cared for.

Perhaps once you open your textbook and read about the pathophysiology, presentation, and treatment of TTNB, you will be better prepared to offer some nursing diagnoses for us to review and comment upon.

Stephanielee91 · Oct 30, 2015

Jolie- I wasn't asking anyone to "do" my homework for me. I'm sure as you know, care plans require MUCH more than just the nursing diagnosis, ours do anyway. In response to your passive agressive comment of perhaps I should open my book. I did, it offers only a paragraph on TTN, I do know that it is usually caused from the infant not being able to clear the lungs fully or the lungs clear to slow after birth. Hence why I said the only thing I could think of was ineffective airway or ineffective airway clearance which I do not want to use. I have 6 months left and we have never used a theoretical patient for our care maps. Thanks.

Tex. · Oct 30, 2015

Ineffective airway clearance...why would you not want to use this for your theoretical patient?

Stephanielee91 · Oct 30, 2015

Only because I've used it for a lot of my real patients. I wanted to try and use something different even though (I think) it would be the biggest thing for TTN. I didn't know if there was another big one for this that I wasn't thinking of.

Stephanielee91 · Oct 30, 2015

I will probably end up using it, I just wanted ideas for others in case there was another important one I could use instead.

klone, MSN, RN · Oct 30, 2015

If a newborn has difficulty breathing, what else might they have difficulty doing?

If the baby is in the NICU, how might that affect the mother?

Jolie, BSN · Oct 30, 2015

Jolie- I wasn't asking anyone to "do" my homework for me. I'm sure as you know, care plans require MUCH more than just the nursing diagnosis, ours do anyway. In response to your passive agressive comment of perhaps I should open my book. I did, it offers only a paragraph on TTN, I do know that it is usually caused from the infant not being able to clear the lungs fully or the lungs clear to slow after birth. Hence why I said the only thing I could think of was ineffective airway or ineffective airway clearance which I do not want to use. I have 6 months left and we have never used a theoretical patient for our care maps. Thanks.

Well, it appears as though you are using a theoretical patient today :)

Since your textbook offered little information, what options are available to you as an experienced nursing student 6 months from graduation?

1. Google, which in 30 seconds or less would provide you with links to articles from the Nemours Foundation, the NIH, and Standford University, all quite reputable sources.

2. Medline or other scholarly search, available to you via your college library system, which would provide plenty of research-based information.

3. Register as a new user of a nursing website and pose a homework question offering absolutely no information regarding your research or progress to date and get snarky with a poster who suggests that you present your work first for experienced OB and NICU nurses to review.

Good luck on your care plan!

Stephanielee91 · Oct 31, 2015

Who is getting 'snarky'? Read your post if you think it's only me. I did use google, it wasn't helpful when it came to nursing diagnosis, and medline mostly listed information about it but nothing I found extremely helpful, which is why I came here looking for more information. Have you heard the statement "nurses eat their young". You're obviously someone who makes that statement very true. If you don't want to help someone, then don't, don't come making "snarky" comments. Thanks.

ixchel · Oct 31, 2015

Stephanie, she is offering to help you if you share in depth details about your own thought processes on this. Now, I just googled "newborn ttn" and immediately got scholarly articles and uptodate. The free access to uptodate will give a brief overview of the pathophysiology.

My recommendation would be, since you do not have a real patient, sit down and really get to know what TTN is. What is happening to cause it? Now, after you do that, consider - what assessment data would you expect to see in a patient with this? Vitals, labs, physical assessment. REALLY think that through, piece by piece, and when you've really gotten a good picture of what this baby will look and sound like, ask yourself:

What does he need? What does he need right this very second? What will he need next? What will his longer term needs be?

This will be the birth of your nursing diagnoses. When you are ready to talk through this, and the needs of the baby that you expect from assessment data, come back here, and we'll all talk it out.

Jolie, BSN · Oct 31, 2015

Ixchel is the 4th person to offer assistance to the OP, once she reveals her own work, thought process and understanding of this medical diagnosis and its nursing implications. All that is missing is the OP's input.

Stephanielee91 · Oct 31, 2015

Thank you ixchel (and the other 2). I'm doing more research on it. I didn't have a problem with Jolie saying to do more work on it, I had a problem with the way she said it. Thanks again!