Asthma refers to an inflammatory lung disease which can occur along the whole airway starting from the noses towards the lungs. When the airway becomes inflamed and swollen, it tends to become small (narrow) such that it reduces the amount air being taken in to the tissues of lungs. As a result, symptoms like wheezing chest tightness, coughing as well as trouble breathing become visible. At the moment of an asthmatic attack, the surrounding airways muscles tend to tighten up thus worsening the conditions symptoms. Asthma is usually a genetic condition which is usually passed down the family generation after generation. Genetic and genomic concepts have the role of opening broad the world of genetic and genomic aspects to help health cares and nursing understand about hereditary conditions as well as a measure to help curb their effects. In addition, genomic and genetic concepts help in improving healthcare quality, outcomes as well as safety, thus saving on costs (McCormick & Calzone, 2016). Individual genetic variation as well as makeup tend to inform the danger of diseases which include the newborn, adult, prenatal and childhood contexts; can be employed as tools for screening; more accurately characterize well-being conditions; improve selection of medication including therapies which may be designed for the purposes of dealing with underlying conditions genomics; as well as informing symptoms management (McCormick & Calzone, 2016). Throughout the lifespan, the focus of nursing has been on diseases prevention and health promotion, which is a component integral to genetic and genomic practices in healthcare. Awareness of the skills and strengths of nurses, in addition to the acknowledgement that genetic and genomic healthcare hallmark is prevention, will be helpful in informing the public, groups of policymakers as they address issues affecting practice of health care in the genetics and genomics areas. Policies made by the policymakers are capable of facilitating the ability of the health care system of the nation to use the knowledge of genetics and genomics in managing diseases and promoting health (Calzone et al., 2010).
Effects of major family changes on the child (Gregory Oneil Jr.) may have different impacts depending on the bond created with new environments as well as friends, society, and other family members. Family, irrespective of the type plays a major role in shaping and giving a boost to the child to grow and achieve the best thus fight for the right thing. A child relies on the family and the environment to learn and develop well. Gregory Oneil Jr. named after his great-great great grand dad is the first born of Gerald L. Oneil and Christine A. Oneil. Gregory Jr. is asthmatic just like great-great great grandfather, as for this reason he tends to be very close to many family members, although he has a number of problems with other family members he strives to be at the best terms with everyone. The environment and its components like the services such as health facilities, educational facilities, and child services among others.
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It is clear that most of the family members have a disorder, asthma. The presence of illness in the family does not only affect a single person who is suffering from it but every person in the family including those who do not have the condition. Owing to the fact that Gregory Jr. is the only known sick family member in the current generation, and the rest are carriers of the condition, his suffering and health care needs as well as experience tend to be felt by every family member and even disrupts every family members’ role. In addition, the illness causes additional financial strain in terms of medication and therapies. Family wrangles that Gregory Jr. witnessed between his parents gave him a different understanding of life thus perspective on family. The quarrels he witnessed may significantly affect his behavioral as well as emotional wellbeing. The separation between his mother and father had a severe impact on him and resulted to hatred towards his stepfather and sister. More so, his physical, academic and emotional well-being would be affected and may even interfere with his social life (Anderson, 2014). His father started drinking alcohol and as a result, he started neglecting him before his aunt came and took him with her.
Abuse of alcohol in the family by his father endangered Gregory Jr.’s life. Alcohol abuse resulted to his father becoming an alcoholic, as result, he ended up spending most of his time in bars and restaurants among other related places. Gregory Jr., considering his condition suffered enough before being absorbed by her aunt Cynthia Oneil. Due to neglect the health of Gregory Jr. was at risk since he would have lacked medication necessary for his condition thus putting his life in danger. Abuse of alcohol can never go with illness in the family since it would cause more strain on the finances and even result to failing to purchase medication needed for Gregory Jr.
Myra Levine Conservation Theory consists of three core parts which are wholeness, adaptation and conservation. This theory is influenced by the wholeness of a person as well as their ability to respond and adapt to different challenges in the environment. Understanding Gregory Jr. would be easy since the family has been in close terms with him. In adaptation, Gregory Jr. is well adapted to a number of environments, although he has others which he doesn’t well with therefore ensuring that he adapts well in all environments a little help would be beneficial. The principle of conservation can be applied in the long-term care of Gregory Jr. in which the family can consistently give him their support as usual and help his father get back in line to continue caring him.
Nursing interventions for Gregory Jr. since he is experiencing neglect from his father can be very handy. Monitoring is he is healthy, dressed well, has appropriate shelter and education among others, would help in knowing the extent of neglect he is getting from his father.
References
Anderson, J. (2014). The impact of family structure on the health of children: Effects of divorce. The Linacre Quarterly, 81 (4): 378–387. DOI: https://doi.org/10.1179/0024363914Z.00000000087
Calzone, K. A., Cashion, A., Feetham, F., Jenkins, J., Prows, C. A., Williams, J. K., Wung, S. (2010). Nurses Transforming Health Care Using Genetics and Genomics. Nursing Outlook. 58 (1): 26–35. DOI: https://doi.org/10.1016/j.outlook.2009.05.001
McCormick, K. A., & Calzone, K. A. (2016). The impact of genomics on health outcomes, quality, and safety. Nursing Management, 47 (4): 23–26. DOI: 10.1097/01.NUMA.0000481844.50047.ee