RWBY Viewed Through the Family Assessment and Intervention Model Kevin Lopez NURS 480 California State University, San Marcos
Introduction The web-series “RWBY” takes place in a world that is under constant attack from creatures called “grimm” and relies on the protection of “hunters” to maintain human civilization. In this story, there is a family of hunters that consists of a single-father, Taiyang, and his two daughters, Yang and Ruby. Yang and Ruby’s mother left them at a young age, and, although Taiyang has a loving relationship with his daughters, as the sole provider he was not able to spend a lot of time with them growing up. Due to this, as the older sister, Yang took on the responsibility of looking after Ruby. Currently, Yang, who is 17, and Ruby, who is 15, attend a boarding school where they are being trained to fight grimm. One day, a mission goes horribly wrong and Yang loses one of her arms. This sudden transition from being a powerful guardian to becoming a powerless person who needs defending causes Yang to become depressed, and her family is uncertain of how to respond to this. According to Duvall’s theory of family development, this family is in the launching stage of families with young adults (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015). Their current goal is for Taiyang to maintain a supportive home base for his daughters.
Background Culture/Religious religion and does comes from a long duty to fight and
Traditions: This family does not follow a particular not have any religious traditions. Culturally, this family line of hunters and are raised believing that it is their protect others.
Family Strengths: The father is currently not working so he is able to provide care for Yang. The family has a close relationship with each other and are able to communicate their feelings. Currently, the family has enough resources to sustain their livelihood. Family Challenges: Ruby is forced to go on another mission shortly after Yang loses her hand and cannot be by her side to support her. The family lives in an isolated location so Yang rarely gets any visitors. The family is under constant threat of being attacked by grimm. Communication: The family willingly and actively communicates their feeling verbally to one another. After losing her arm, Yang continues to verbally express her feelings; however, she is not open to receiving advice from her family and physically isolates herself from them when they try to offer it.
Family Assessment and intervention model The family assessment and intervention model is a theoretical framework that can be used to evaluate the health status of a family and its responses to stress. This model views the core of the family system as consisting of its structure, function, processes, and resources. The role of the family is to protect this core by developing adaptive lines of defense that can prevent stressors from harming it. This is not always effective, however, and sometimes a stressor can penetrate the lines of defense, altering the family as a whole. There are three areas the family must work at to preserve or restore the family core. These are: 1)Familyâ€™s reaction and instability at lines of defense 2)Wellness and health promotion activities 3)Restoration of family stability and function (Kaakinen et al., 2015)
Application of Theory to Yang and her family Family Core: The familyâ€™s resources are stable enough to support all members. Currently, the functions of the family are for the daughters to learn how to become productive members of society and for the father to offer support and guidance for them. Yang has additionally taken up the role of protecting her younger sister, Ruby. Finally, they all have roles as hunters. Lines of Defense: The family all contribute to fighting grimm which may pose a physical threat to their family core. They handle emotional stressors through communicating their feelings with one another. The sisters also receive social support from their classmates to handle stressors. Stressors: The family constantly faces the physical threat of the grimm. This also comes with emotional stress from having to constantly be wary of attacks, and, dealing with the losses that come from those attacks. The stressor that breaks through the familyâ€™s lines of defense in this scenario is the loss of Yangâ€™s arm.
Intervention for Yangâ€™s response to Stressor In response to losing her arm, Yang suffers from grief and ineffective coping. Ruby is not able to be by her side to help her get through this ordeal, and, Yang is unreceptive to Taiyangâ€™s attempts to ease her grief. The priority nursing intervention would be to assess Yang using a written wellness inventory. This is a tool that evaluates patients for common issues that amputees face, such as: post-traumatic stress disorder, pain management, depression, and quality of life (Bollinger, 2016). If the written wellness inventory reveals that Yang is suffering in any of these categories, she can use the results to advocate for a referral to a therapist/counselor for Yang. The therapist is better trained to provide Yang with support and resources to battle these issues (Bollinger, 2016). An appropriate outcome would be for Yang to report an increase in psychological comfort by the end of two weeks, as evidenced by improvements in her written wellness inventory (Ackley, Ladwig, & Makic, 2017).
Wellness-Health Promotion Activities Intervention Yangâ€™s self-identity is closely tied to her role as a hunter. With the loss of her arm, she is convinced that her life as a hunter is over, and that she is unable to perform activities that she once did. A nursing intervention for Yang and Taiyang would be to encourage them to perform physical activities that are within their ability (Ackley et al., 2017). For example, the nurse can encourage Yang and Taiyang to go on a run together. This can help Yang realize that she is still capable of performing some of the tasks that she was able to perform as a hunter. Additionally, having Taiyang perform the task with her can provide her with a support system to help her get through it, and, can help strengthen their bond and reform their family core (Ackley et al. 2017). An appropriate outcome would be for Yang to express an increased comfort with her physical condition, as evidenced by her verbal report, by the end of two weeks (Ackley et al., 2017).
Restoration of Family Function Intervention Yang was provided with a prosthetic; however, she has difficulty using it in her activities of daily living. This has led her to stop using the prosthetic and has reinforced the belief that she can no longer fulfill her role as a hunter and guardian. A nurse intervention to address this issue would be to advocate for a referral to an occupational therapist (Bollinger, 2016). An occupational therapist will be able to work with Yang to increase her ability to use the prosthetic effectively. Learning to use the prosthetic can help Yang restore her self-image by allowing her to perform some of the tasks that she was able to do as a hunter (Bollinger, 2016). This will also help to restore the familyâ€™s core by allowing Yang to retake her function as a hunter and guardian to Ruby. An appropriate outcome would be for Yang to show increased functionality with her prosthetic by the end of two weeks, as evidenced by the nurseâ€™s observation of her using the prosthetic to perform her ADLâ€™s (Ackley et al, 2017).
References Ackley, B.J., Ladwig, G.B., & Makic, M.B.F. (2017). Nursing diagnosis handbook: An
evidence-based guide to planning care (11th ed.). St. Louis, MO: Elsevier Bollinger, C. (2016). Moving forward after upper limb loss. Rehab Management: The
Interdisciplinary Journal Of Rehabilitation, 36-40 Kaakinen, J.R., Coehlo, D.P., Steele, R., Tabacco, A., & Hanson, S.M.H. (2015). Family
health care nursing: Theory, practice, and research (5th ed.). Philadelphia, PA: F.A. Davis Company
Created by Kevin Lopez for NURS 480 at CSUSM; Summer 2018