Whitmore Family

Whitmore-Roth Family Assessment

Figure 1

CSUSM N480 Maritza Morones

Lucy Whitmore

“Goldfield's Syndrome” ◦ Lucy is a woman from Hawaii that was involved in a motor vehicle accident from which she suffered brain damage to her temporal lobe. This triggered Goldfield’s

Age: 28

Syndrome, a fictional condition almost identical to short-term memory loss. In Lucy’s case, she loses her memories from each day since the accident. She only remembers what she did on the day of the accident and repeats those activities everyday. Her family

Duvall’s Stage of Development Lucy has not had children yet, but she has a love interest that later becomes her husband at the end of the film. Once he becomes her husband, she would be in Duvall’s first stage (Kaakinen, Coehlo, Steele, & Robinson, 2015).

believes she will suffer if she finds out about her reality everyday and so they have been hiding the truth from her everyday for a year after her accident. ◦ Family Function: Lucy has a brother, father and romantic interest. She is affectionate family member with a memory condition that everyone is looking to Figure 2

protect.

Marlin Whitmore Age 58 Lucy’s Father ◦ Family Function: Marlin is father of the family unit. His role involves financially sustaining the family and keeping the household Figure 3

in order. He partakes in cooking and maintaining the cleanliness of their home. His wife passed away several years ago. He makes sure Lucy’s day is set up exactly as it was one year ago everyday so that she does not become aware of her condition and suffer the pain of knowing she has “Goldfield’s syndrome”. ◦ Duvall’s Developmental Stages: Marlin is in the 6th developmental stage where his children are in the adult stage and should have entered the workforce and be living independently of their Although both are employed, they remain living under Marlin’s roof (Kaakinen et al., 2015).

Figure 4

Doug Whitmore Age 30 Older Brother ◦ Family Function: Doug tries to help his dad set up Lucy’s day by putting out the same newspaper from 1 year ago on the porch and pretends to be surprised by the plot e of the movie they watch everyday. He is also protective of her hanging out with any men because he fears they will take

Figure 5

advantage of her when they find about about her condition. ◦ Duvall’s Developmental Stages: Doug does not have a

Figure 6

love interest and does not have children, however, he has a job as a fisherman and lives with his dad. Thus he has not entered into Duvall’s stages yet, but is part of Marlin’s 6th stage of family development (Kaakinen et al., 2015).

Figure 7

Henry Roth

Age 31 Love interest turned husband ◦ Family Function: Henry attempts to make Lucy fall in love with him everyday. He wants t o help Figure 9

the Whitmore family find a way to avoid lying to her everyday and makes a video to help explain her new reality to her. He works together with the Whitmore’s to give Lucy as close to a normal

Figure 8

life without lying to her. ◦ Duvall’s Developmental Stages: Henry later marries Lucy and can be classified to be in Duvall’s first stage of development because they are married and living together but do not have Figure 11

kids and are getting to know each other and getting used to living in a shared space (Kaakinen

Figure 10

et al., 2015).

Culture & Religion

Figure 14

Figure 12

◦ Culture: The family lived in Hawaii and partakes in some of the customs and traditions of Hawaii such as gifting newcomers with a lei. Henry Roth was gifted a lei upon his arrival onto the island. Greeting and saying goodbye also comes with a traditional “ Aloha” which can express both meanings in context. The traditional job is that of a fisherman and the Whitmore family will go fishing for months while living on a sailboat. The family eats SPAM and eggs with almost every meal as this is readily available and long-lasting especially while on fishing trips. Surf music is also a common choice of sound and the family listens to the Beach Boys traditionally to remember the late matriarch of the family. The family also enjoys watching hula dances and listening to island folk songs played on a ukulele as a pass-time activity. Another tradition the family holds is to celebrate birthdays together and collect a pineapple (most popular fruit) that day. ◦

Figure 13

Figure 15

Religion: Although there was no clear religion expressed, one belief Lucy, her brother and her dad did express was that of waiting for marriage before having sexual relationships. They believe in marriage and having children afterwards. They all live under the same roof, take care of each other and her dad was married but the religious circumstances were not stated.

Family Strengths & Weaknesses Strengths

Weaknesses

◦ Family talks through problem together and make collaborative decisions.

•

Were fearful to tell her the truth and deceived Lucy for one year causing themselves mental and physical strain

•

Not able to cope with the change that her condition entails.

•

Did not seek medical alternatives until one year after the accident.

•

Often find themselves insulting one another when working out challenges.

•

Neglecting their own needs because they focus on addressing Lucy’s needs.

◦ They have access to a trusted neurological doctor.

•

Do not express their emotions easily.

◦ They have access to a memory health institution where Lucy has stayed over night which can relief the family of their duties for a time.

•

Her love interest and later husband was not educated on her condition and the implications of what her condition would mean for them as a couple.

◦ They have open comm direct and assertive with their communication one another they are all patient with Lucy, but Henry (husband) is the most patient and as he dedicates each day to make her fall in love with him everyday.

•

Were not able to cope with what the reality of her condition and lied to her for one year which broke some of the trust she had for them.

•

No true maternal figure for Lucy to seek female guidance from. (mother’s deceased).

•

Each day is unpredictable for the family and is dependent on Lucy’s reaction which can be mentally straining and cause caregiver burnout.

◦ They spend everyday together. ◦ They have a lot of communal support to help support them and Lucy. They live in small town in Hawaii and are connected to a small caring community that is aware of her condition and collaborates with one another to make sure she is cared for and safe.

◦ Family takes care of household chores and financially support Lucy.

Family Systems Theory The family systems theory encompasses 4 main ideas.

The first concept is that all members of a family are affected differently when one person experiences a chronic or acute health-related event (Kaakinen et al., 2015). In this case Lucy is the member with the health condition. Lucy feels guilty about how her family have adjusted their daily schedules to make sure she doesn’t have to realize the truth of her condition.

Marlin is affected because he doesn’t want his daughter to suffer and so he revolves his entire schedule around his daughter’s daily activities. Disregarding his own needs. He doesn’t have a chance to meet his social needs and mental health needs because his entire day is preoccupied with work and heading home before his daughter gets home to “set up” her day at home so she doesn’t suspect something is wrong. Doug’s impact is similar because he assists his dad in completing all of the “set up” tasks for Lucy’s schedule each day. He does not receive as much attention towards his personal life from his dad because they are both focused on caring for Lucy’s mental health. He does however partake in weight-lifting and exercise in between tasks. Henry devotes each day to helping Lucy live her life as close to normal as possible and so his individual needs are not met.

The second idea of the theory is the affect of this change on the family as a unit and how it will not only affect each person, but the entire function of the family and the changes that need to be made to the dynamic of family functioning (Kaakinen et al., 2015). The Whitmore-Roth family tries their hardest, they verbalize their stress and fears for the future when one day she will wake up 40 years older and is struck with fear and confusion by her appearance.

The third concept is that each family unit has boundaries between the family unit and the outside environment to protect the family from potential strenuating factors (Kaakinen et al., 2015). The Whitmore family has flexible boundaries with regards to the people and information Lucy receives. They plan out her day and thus plan her days around her old friends and activities she’s never done before based on her reaction to the video that explains her situation every morning.

The fourth concept is that smaller systems exist within the family unit such as marital relationships, sibling relationships, parent-child relationships, extended-family relationships (Kaakinen et al., 2015). Although Henry-Roth and his in-laws collaborate with the best intentions for Lucy in mind, they do not often agree on everything and have difficulties agreeing on the proper steps to take with regards to improving Lucy’s future.

Problems & Interventions Problem

Intervention

Rationale

Outcome

Family invest a great amount of time planning out Lucy’s everyday schedule. They do not make time to plan their own and as a result do not exercise or nutrient rich foods.

Nurses can recommend the family to participate in self-care contracts where the nurse and family create written terms geared towards changing their current health behaviors (Salvador, Crespo, & Barros, 2019).

Rationale: Families perceive themselves as more efficient members and caregivers when they receive family centered care (Salvador, Crespo, & Barros, 2019).

The family will healthier food choices and find activities to help relieve stress.

Doug, Marlin and Henry often do not communicate effectively when they have disagreements and often end up insulting each other to get their point across.

Nurses can help the shape their conversations into more therapeutic ones by sitting with them and walking them through a Family Strength-Oriented Therapeutic Conversation which focuses on using and viewing one another as a support system and communicating in a way that will help the family unit focus on overcoming the current challenge (Sveinbjarnardottir & Svavarsdottir, 2019).

After 3 therapeutic conversations, families were better able to understand of the significance of the health event to the family unit and felt as if they had more support from one another (Sveinbjarnardottir & Svavarsdottir, 2019).

Enhance the expression of each members' needs and underlying emotional influences regarding their thoughts and opinions on certain topics. Thus, they will be better able to collaborate to work out a challenge efficiently and with everyone’s needs considered in the decision-making process.

Pacing & avoiding burnout with all of the day to day planning for Lucy.

Recommend changing the organization of each person’s role in the family unit to prevent overloading one person seeing as they now have an additional member of the family member (Henry Roth) they can incorporate onto the family unit and share the responsibility (Voltelen, Konradsen & Ostergaard, 2018).

When each member is aware of their own needs, they are more likely to express these needs and provide support for one another’s needs by adjusting to situations occurring with their family member (Voltelen, Konradsen & Ostergaard, 2018).

Prevent caregiver overload and ensure everyone has a chance to meet their own needs.

References Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2015). Family health care nursing: theory, practice, and research. Philadelphia: F.A. Davis Company.

Salvador, Á., Crespo, C., & Barros, L. (2019).The benefits of family-centered care for parental self-efficacy and psychological wellbeing in parents of children with cancer. Journal of Child and Family Studies, 28(7), 1926–1936. https://doiorg.ezproxy.csusm.edu/10.1007/s10826-019-01418-4 Sveinbjarnardottir, E. K., & Svavarsdottir, E. K. (2019). Drawing forward family strengths in short therapeutic conversations from a psychiatric nursing perspective. Perspectives in Psychiatric Care,55(1),126–132. https://doiorg.ezproxy.csusm.edu/10.1111/ppc.12329 Voltelen, B., Konradsen, H., & Ostergaard, B. (2018). Family nursing therapeutic conversations: Family reorganization processes after diagnosis. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 67(5), 600–614. https://doi- org.ezproxy.csusm.edu/10.1111/fare.12329

Image References Figure 1. Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www. cosmopolitan.com%2Fuk%2Freports%2Fnews%2Fa48933%2Fmichelle-\ philpots-amnesia-truestory irstdates%2F&psig=AOvVaw3OtUl6kUVfb6ksZBu0jLs_&ust=1585200225688000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCIiJ65jxtO FQAAAAAdAAAAABAD. Figure 2 Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fc8.alamy.com%2Fcomp%2FBPMDE1%2Fdrewbarrymore-50-first-dates-fifty-first-dates-004-BPMDE1.jpg&imgrefurl=https%3A%2F%2Fwww.alamy.com%2Fstock-photo%2Flucywhitmore.html&tbnid=NonSfdeI7FveJM&vet=12ahUKEwix3_jt8bToAhURgJ4KHb3uA5gQMygEegUIARDyAQ..i&docid=QCP5ZXhHlJtUm M&w=847&h=1390&q=lucy%20whitmore&ved=2ahUKEwix3_jt8bToAhURgJ4KHb3uA5gQMygEegUIARDyAQ. Figure 3. Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.aceshowbiz.com%2Fimages%2Fstill%2Ffifty_first_date09.jpg&imgrefurl=https%3A%2F%2Fwww.aceshowbiz.c om%2Fstill%2F00000310%2Ffifty_first_date09.html&tbnid=peZnbg4z-o83NM&vet=12ahUKEwjOq5M8rToAhUEhZ4KHUvfBk0QMygCegUIARD5AQ..i&docid=ufrZUSG7urj6qM&w=700&h=465&q=marlin%20whitmore&ved=2ahUKEwjOq5M8rToAhUEhZ4KHUvfBk0QMygCegUIARD5AQ. Figure 4. Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fstatic.fusionmovies.to%2Fimages%2Fcharacter%2FUYNi8uwotlf8VWda1FHwOBVmLX3OmojC14ZjNlU7GsboEZrH1gW9Cg7rG8o6Go8LoZcu8oXlRD0-skgMZyUgjP0toLl4MqGOnrwOh4RLo.jpg%3F1&imgrefurl=https%3A%2F%2Fwww4.fusionmovies.to%2Fcharacter%2Fx417yUMdhy%2Fmarlinwhitmore&tbnid=rGX9eqC7BYL1JM&vet=12ahUKEwjOq5-M8rToAhUEhZ4KHUvfBk0QMygXegQIARA0..i&docid=fE44ekxElYicM&w=485&h=316&q=marlin%20whitmore&ved=2ahUKEwjOq5-M8rToAhUEhZ4KHUvfBk0QMygXegQIARA0.

Figure 5. Henry Roth, Doug Whitmore, Marlin Whitmore [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fimages cdn.9gag.com%2Fphoto%2FaermgGQ_460s.jpg&imgrefurl=https%3A%2F%2F9gag.com%2Ftag%2Fdougwhitmore%2Ffresh&tbnid=yAuV_G HTHkIjZM&vet=12ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygDegUIARDvAQ..i&docid=6HOTxp0PjUJqM&w=460&h=313&q=doug%20whitmore&ved=2ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygDegUIARDvAQ. Figure 6. Doug Whitmore [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fimagescdn.9gag.com%2Fphoto%2FaermgGQ_460s.jpg&imgrefurl=https%3A%2F%2F9gag.com%2Ftag%2Fdougwhitmore%2Ffresh&tbnid=yAuV_GHTHkIjZM&vet=12ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygDegUIARDvAQ..i&docid=6HOTxp0PjUJqM&w=460&h=313&q=doug%20whitmore&ved=2ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygDegUIARDvAQ. Figure 7. Whitmore Family [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fi.makeagif.com%2Fmedia%2F11-192015%2FQM_4nD.gif&imgrefurl=https%3A%2F%2Fmakeagif.com%2Fgif%2F50-first-dates-doug-whitmore-tribute QM_4nD&tbnid=MhUdDb0PA2qQfM&vet=12ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygGegUIARD1AQ..i&docid=ifozdbao7e3gyM&w=720&h=540&q=doug%20w hitmore&ved=2ahUKEwit8c6A87ToAhWxAjQIHTePCccQMygGegUIARD1AQ.

Image References Figure 8. Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fi.pinimg.com%2Foriginals%2Fb6%2Ffb%2Fa5%2Fb6fba5b0c56f27a2effd58a23d134239.jpg&imgrefurl=https%3 A%2F%2Fwww.pinterest.co.uk%2Fpin%2F207306389069897342%2F&tbnid=N2AKuJGcjZ8g2M&vet=12ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygCegUIARDxAQ. .i&docid=xYMQ63cHhYcm6M&w=360&h=270&q=lucy%20and%20henry%20roth&ved=2ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygCegUIARDxAQ. Figure 9 . Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.tribune.com.pk%2F2015%2F05%2F882366-fifty_first_date1430986792.jpg&imgrefurl=https%3A%2F%2Ftribune.com.pk%2Fstory%2F882366%2F50-first-dates-in-real-life-meet-the-girl-who-forgets-everything-eachmorning%2F%3Famp%3D1&tbnid=Std_xdSysQRRpM&vet=12ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygHegUIARD8AQ..i&docid=_lR7EVExiKVd0M&w=640&h=4 40&q=lucy%20and%20henry%20roth&ved=2ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygHegUIARD8AQ. Figure 10. Lucy & Henry Roth [Online Image] 2020. Retrieved from https://www.bustle.com%2Frehost%2F2016%2F9%2F13%2F56c80b6e-5f8c-49fd-8e93ffd8aa9509bd.jpg%3Fw%3D970%26h%3D546%26fit%3Dcrop%26crop%3Dfaces%26auto%3Dformat%26q%3D70&imgrefurl=https%3A%2F%2Fwww.bustle.com%2Farticles %2F138037-8-reasons-ill-never-watch-50-first-dates-ever-again&tbnid=Xwd7Jy4Zs45lM&vet=12ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygAegUIARDtAQ..i&docid=2YCtUWUyVOpECM&w=970&h=546&q=lucy%20and%20henry%20roth &ved=2ahUKEwjbwdS09LToAhV8IzQIHVanD1EQMygAegUIARDtAQ. Figure 11. Henry Roth Roth [Online Image] 2020. Retrieved from https://www. alamy.com%2Fcomp%2FBPM32F%2Fadam-sandler-walrus-50-first-dates-fifty-first-dates-2004BPM32F.jpg&imgrefurl=https%3A%2F%2Fwww.alamy.com%2Fstock-photo-adam-sandler-walrus-50-first-dates-fifty-first-dates-200431174263.html&tbnid=BZ0CWpAsvpMoeM&vet=12ahUKEwjwpp-FLToAhVzkp4KHU7ACvEQMygJegUIARD3AQ..i&docid=WrzEkX99esCakM&w=1300&h=936&q=henry%20roth%2050%20first%20dates&ved=2ahUKEwjwpp-FLToAhVzkp4KHU7ACvEQMygJegUIARD3AQ. Figure 12. Pineapple [Online Image] 2020.Retrieved from https://www.minutemediacdn.com%2Fimage%2Fupload%2Fc_crop%2Ch_1344%2Cw_2000%2Cx_0%2Cy_219%2Fv1554928985%2Fshape%2Fmentalfloss%2F91098istock698583078.jpg%3Fitok%3Du3beFl27&imgrefurl=https%3A%2F%2Fwww.mentalfloss.com%2Farticle%2F91098%2Fwhy-pineapple-called-pineapple&tbnid=3no7AHGOUvcDM&vet=12ahUKEwj7so6T-r ToAhWuh54KHe8YBSMQMygJegUIARDLAg..i&docid=Js_c_H06vG06ZM&w=2000&h=1344&q=pineapple&ved=2ahUKEwj7so6TrToAhWuh54KHe8YBSMQMygJegUIARDLAg Figure 13. Hula Dance [Online Image] 2020. Retrieved from https://www..nationalgeographic.com%2Fcontent%2Fdam%2Ftravel%2F2018-digital%2Fmaui-hula%2Fmaui-hula01.jpg&imgrefurl=https%3A%2F%2Fwww.nationalgeographic.com%2Ftravel%2Fdestinations%2Fnorth-america%2Funited-states%2Fhawaii%2Fmaui%2Fthings-to-dodancing-performances-festival%2F&tbnid=gGzi15tMa5OTZM&vet=12ahUKEwjpmuGc-rToAhXTh54KHQNTDU0QMygCegUIARCcAg..i&docid=lNu3_-mj0YwwM&w=2048&h=1365&q=hula%20dance&ved=2ahUKEwjpmuGc-rToAhXTh54KHQNTDU0QMygCegUIARCcAg.

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Figure 14. Beach Boys Album [Online Image] 2020. Retrieved from https://www.google.com/imgres?imgurl=https%3A%2F%2Fimg.youtube.com%2Fvi%2FRCNUP3FnnFg%2F0.jpg&imgrefurl=https%3A%2F%2Fwww.last.fm%2Fmusic%2FThe%2BBe ach%2BBoys%2FEndless%2BSummer%2FShut%2BDown&tbnid=wyeqNE5OULd26M&vet=10CAEQMyhkahcKEwj41I_QrToAhUAAAAAHQAAAAAQAw..i&docid=7S38UTI9Z11 FHM&w=480&h=360&itg=1&q=beach%20boys%20album%20yellow&ved=0CAEQMyhkahcKEwj41I_Q-rToAhUAAAAAHQAAAAAQAw. Figure 15. Lei. [Online Image] 2020. Retrieved from https://www.lei-greeting.com%2FPortals%2F1%2FDeluxe-lei.jpg&imgrefurl=http%3A%2F%2Fwww.leigreeting.com%2F&tbnid=24MbV5Hd21Y_M&vet=10CCMQMyhzahcKEwj42aDP77ToAhUAAAAAHQAAAAAQAg..i&docid=NIO2Aq0fP1cRyM&w=480&h=720&q=lei&ved=0CC MQMyhzahcKEwj42aDP77ToAhUAAAAAHQAAAAAQAg.