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This Is Us The Pearson Family

Introduction This is Us follows a nuclear family consisting of “the big three” otherwise known as the siblings Kevin, Kate, and Randall Pearson. Kevin and Kate are twins and Randall was adopted after the third twin died at birth. Rebecca Pearson, the mother of the big three, was happily married to Jack Pearson until his unexpected death when the children were 17. The family now lives in New York City, all under different roofs since they’re all adults. Kevin battles addiction to narcotics and alcohol after a work-related injury. The family remains close together as they support each other through various difficult times throughout their lives.

Meet the Pearsons

Kevin Pearson

Kate Pearson

Randall Pearson

Kevin was the first born of triplets. He’s an actor who injured his leg on set which led to his addiction to narcotics and alcohol to numb the pain. His DUI led to a judge ordered rehab where he has since been sober. While making amends, he reveals that he’s always felt least regarded by the family.

Kate was the second born of triplets. She’s a singer who’s struggled with obesity since childhood. She’s has low self-esteem and always felt inferior to and intimidated by her mom. She blames herself for her father’s death. She is recently engaged to Toby who she met at a weight loss support group.

Randall was left at a fire station the day he was born. Later at the hospital, he was adopted by the Pearsons. He’s known for his intelligence and big heart. He’s married with 2 girls and recently became a foster parent. He’s always desired a closer relationship with Kevin but feels he cannot measure up to the biological bond he has with Kate.

Rebecca Pearson Rebecca is the mother of her two surviving twins, Kevin and Kate, and her adopted son Randall. She was married to Jack until he died, and many years down the road, she remarried to Miguel, Jack’s best friend. She used to be a singer but is now retired.

Kevin’s battle with Alcoholism and Narcotic Addiction After a leg injury on set of a film Kevin was acting, he was prescribed narcotics to relieve his pain. Kevin finished all of the pills to cope with his pain so he could continue to work, resulting in the start of his addiction. When he couldn’t get any more narcotics, he turned to alcohol to numb himself. His father, Jack, also battled alcoholism when Kevin was a child. Kevin feels like addiction tendencies run through his blood. Initially, Kevin hides his addiction from the family until his arrest for a DUI. After a judge mandated rehab, Kevin involved his family into his healing process. They all had a family counseling session where serious issues that had never been verbalized to one another came to surface. Kevin informed the family that he always felt left out and less loved by his mother because she always seemed to give more attention to Randall in an attempt to prevent him from feeling like he didn’t belong since he was adopted and she also gave special attention to Kate to support her through her obesity and self-esteem issues.

Strengths All family members are very close with one another. If one shows up unannounced on another’s doorstep, they will be taken in with open arms. They emotionally support each other and call one another when they need advise or someone to talk to. They all attended a family counseling session per Kevin’s request. Everyone supports Kevin in his recovery process and expressed to him that they want to help in any way possible. Their open communication and supportive nature is the family’s biggest strength.

Challenges The family struggles with the newly revealed information that Kevin has always felt left out since childhood. They experience guilt and want to work towards changing Kevin’s feelings by making more of an effort in their relationship with him. Randall also struggles with forgiving Kevin for the DUI because his daughter was hiding in the back seat. It is also difficult for the family to see Kevin struggle with addiction just has his father had many years ago. It brings up negative memories of Jack that the family doesn’t want to relive.

Communication Verbal: The Pearsons have excellent communication with one another for the majority of the time. The only flaw in communication was at the start of Kevin’s addiction. He was ashamed and didn’t want to admit he was an addict. He initially hid his tendencies from the family until things spiraled out of control. Aside from this unique situation, all other family members generally do not have barriers to communication. Nonverbal: The family shows gestures of love often. Through hugs, kind gestures, eye contact, and hand holding, it’s clear that this family supports one another.

Culture/Religious Traditions ●

While this family is not religious, football plays a large role in their lives. Despite their father’s death on the night of the super bowl, football is a time when the family is reminded of positive childhood memories, and it is deeply rooted in their culture. Kate now has a tradition of watching the superbowl alone with her father’s ashes every year. Randall opens his home to the family to host a superbowl party just as his dad used to do every year.

Duvall’s Developmental Stage Because Duvall’s developmental stage is determined by the oldest child, the Pearson family is within stage 7 “empty nest” (Rowe-Kaakinen, 2015). All children are employed and have moved out of their parent’s house. They all make efforts to maintain ties with each other as the family grows larger with grandchildren.

What is it? This framework was created to assist health care providers in understanding how the family as a unit is affected by chronic illness. The 3 major elements of this framework include illness type, time phase of the illness, and family functioning (Rowe-Kaakinen, 2015).

This theory is applicable to the Pearsons because Kevin’s addiction is a lifelong illness he will battle. He needs the support of his family to prevent relapse. The Pearson’s are incredibly involved in eachothers lives. They experience Kevin’s struggle as their own and they have involved themselves in supporting Kevin’s road to recovery.

Family Health Theory-Chronic Illness Framework Illness Type Includes the onset of the illness, disease process, outcome, and how impacted the individual is. These aspects influence family functioning and the demands placed on the family unit. For Kevin, he must battle his urge to abuse substances every day. This means that the family will be constantly aware of this, making a consistent effort to support him and prevent relapse.

Time Phase The family’s role in supporting Kevin is dependent on what stage he is in. When first diagnosed, the family was thrown off guard and together they needed to accept that Kevin is struggling and how they would respond. In comparison, during the mid-time phase, the family has redefined what’s normal and has adapted to Kevin’s needs on a day-to-day- basis.

Family functioning For the Pearson family, when Kevin’s condition became known, they all experienced the disease process together. They adapted to Kevin’s needs by acts such as not drinking around him and calling to check in and remind him that he is loved and not alone.

Interventions & Outcomes 1. Intervention: Educate patient and family on how to secure and dispose of prescribed controlled substances. Rationale: “Nearly 71% of diverted prescription drugs are obtained from a friend or relative” (Manworren & Gilson, 2015). With proper education on the importance of how to secure and dispose of prescriptions, the Pearsons can reduce Kevin’s access to opioids. Outcome: The Pearson family will go through their home medications, gather all unused, unneeded, and expired prescription medications, and verbalize how they properly disposed of them. 2. Intervention: Identify the cause of alcohol and narcotic abuse. Rationale: In a study of an adult population, it was found that addressing the cause of alcohol misuse contributed to preventing regular consumption (Hamza & Silverstone, 2014). Outcome: Kevin will verbalize what caused his substance abuse and why he continues this misuse. 3. Intervention: Screen and assess family conflict at intake and continue this assessment at follow-up. Rationale: “The assessment of family conflict post-treatment could identify individuals more at risk for relapse” because family conflict plays a role in the outcomes of treatment for substance abuse (Fish et al. 2015). Outcome: Kevin will verbalize whether or not there is a decrease in family conflict.

References ●

Fish, J. N., Maier, C. A., & Priest, J. B. (2015). Substance abuse treatment response in a Latino sample: The influence of family conflict. Journal of substance abuse treatment, 49, 27-34. Hamza, D. M., & Silverstone, P. H. (2014). A Systematic Review of Treatment Modalities for Alcohol Use Disorder. J Subst Abuse Alcohol, 2, 1023. Manworren, R. C., & Gilson, A. M. (2015). CE: Nurses’ Role in Preventing Prescription Opioid Diversion. AJN The American Journal of Nursing, 115(8), 34-40. Rowe-Kaakinen, J. (2015). Family Health Care Nursing: theory, practice, and research (5th ed.). Philadelphia: F.A. Davis Co.

Photo References ● ● ● ● ● ● ● ● ● -17-recap/ s-us-finale/ ey/ -this-is-us-aging-makeup-tricks-from-artist-zoe-hay/ n-jack-pearson-dies-spoilers-1202278220/

N480 visual report (2018)  
N480 visual report (2018)  

This Is Us- The Pearson Family