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Silver Linings Playbook

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by

Claire Sogocio

on 31 January 2014

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Transcript of Silver Linings Playbook

ISSUES
NURSING THEORY
Silver Linings Playbook
FAMILY
STRESSORS
PAT
- Mental Illness (Bipolar Disorder)
- Unfaithful Wife
- Intrusive Images of Unfaithful Act
- Separated/Restraining Order
- "My Cherie Amour" (the wedding song)
- Sexual Fustration (Tiffany)
- Parents
- Unemployed
- Loss of Control (powerlessness)
- Loss of Freedom (institutionalized, living with parents)
PAT SR.
- Sole Provider (Role Overload)
- Obsessive Compulsive Behaviour
- Gambling
- Superstitious beliefs
- Pat (dependence, recovery, sporadic manic/violent episodes)

STRESSORS
DOLORES
- Enabler
- Pat (dependence, recovery, sporadic manic/violent episodes)
- Pat's institutionalization
- Pat Sr.'s gambling

JAKE
- Unsure of how to connect with Pat
- Successful (new home, engaged, employed, etc.)
Meet the
Solitanos...
Patrick 'Pat' Solitano Jr.
Unemployed, former teacher, recently released from a psychiatric facility
Patrick 'Pat' Solitano Sr.
Dolores Solitano
Jake Solitano
Unemployed
Gambler
Undiagnosed OCD

Family Mediator
Enabler
Successful & Independent
CHRONIC ILLNESS
CHRONIC ILLNESS
Pat Jr. - Bipolar Disorder
- Change in Family Roles

- Constant Tension

- Stress and Anxiety

- Trouble with the Law
Pat Sr. - Obsessive-Compulsive Disorder &
Gambling Addiction
http://i.dailymail.co.uk/i/pix/2013/04/16/article-2310112- 1954375D000005DC-280_634x435. jpg
http://3.bp.blogspot.com/-4vBkDKrjRZE/UQl4X60FjyI/AAAAAAAALhY/4AZ-57V7FmA/s1600/silver-linings-playbook. jpg
http://www.slate.com/content/dam/slate/articles/arts/movies/2012/11/121116_MOV_SilverLiningsPlaybook.jpg.CROP.rectangle3-large. jpg
http://1.bp.blogspot.com/-d5f-7C4WSl8/UNMvPo2Bi6I/AAAAAAAAOjQ/sbvm8exRYwM/s1600/silver-linings-playbook-family. jpg
http://www.mbird.com/wp-content/uploads/2013/01/silverlinings7. jpg
http://cdn.hitfix.com/photos/2659907/Jacki-Weaver-Silver-Linings-Playbook-Best-Supporting-Actress_gallery_primary .jpg
http://cdn.hitfix.com/photos/2659880/Robert-De-Niro-Silver-Linings-Playbook-Best-Supporting-Actor_gallery_primary .jpg
Family Systems Theory
- Families are systems of
"
interconnected

and
interdependent"

-
Assess individuals
and their

impact on the family as a whole

-
Adaptive

or

maladaptive

to stressors
and how they
maintain

stability


GOAL
- to "
help

maintain

or

restore

the

stability
of the family, to help achieve the

highest level of functioning
"

(Kaakinen, 2010)
Family Systems Theory Application
Assessment Questions
- How has the situation
impact
ed the family?
- How are you all
coping
?
- Can you identify stressors and the triggers?
- What is your
knowledge
of Bipolar disorder, Obsessive-Compulsive Disorder, and Gambling Addiction?
- What
changes
have you noticed in each person's role within the family?
Family Systems Theory Application
-
Integrating the experiences
associated with mood episodes in bipolar disorder
- Importance of remaining on

mood-stabilizing medication
for symptom control
- Distinguishing between Pat's personality and Pat's bipolar disorder
- Recognizing and learning to
cope
with stressful life events
that
trigger
recurrences of bipolar disorder
-Accepting the notion of a
vulnerability to future episodes
-
Re-establishing functional relationships
after a mood episode
http://www.hollow-art.com/files/bases/20130408/Shea_Whigham_in_Silver_Linings_Playbook_(4) .png
Healthy Traits
- Living together
- Parental support
- Unconditional loyalty
- Bonding with football
- Peer Support
Unhealthy Traits
- Unreliable financial situation
- Ineffective coping
- Accommodating compulsions

Structure
Function
Process
Nuclear Family
Family Type:
Somewhat Inflexible
Cohesion Continuum:
Very Connected

Socialization: Family values and norms
Affective: Belonging
Income: Middle Income Family
Health Care Function: Institutionalized, Psychiatrist
Roles within the family
Ineffective Coping
Decision Making
Boundaries
Rituals
- Stress and Anxiety

- Aggression and Violence

- Accommodating behavior

- Financial Instability/Distress

- Relationship strain
Diagnoses #2
Variance in Coping (
Violence & Aggression
) r/t knowledge deficit into each others underlying conflicts
AEB
High intensity interactions such as yelling and physical altercations
Family will
be able to
identify and verbalize each others triggers
RESOURCES
Genogram
2012
1) Assess baseline coping patterns, find strengths and weaknesses
2) Sit down with family and address questions, concerns and educate
3) Encourage family to attend support groups
Interventions
By: Claire S., Maricel D., Daljeet S., Danielle C., Suzan N. & Aletta F.
Diagnoses #1
Variance in roles with family and significant others (
role overload/strain
) r/t Pat living back at home
AEB
parents caring for Pat and family processes being interrupted
Nikki Solitano
- Estranged Wife
- Had an affair
- Filed a Restraining Order
Tiffany Maxwell
- Young Widower
- Suffers from Depression
Bipolar Disorder
Depression
Undiagnosed OCD
Strengths
- Traditions (football game, crabby cakes)
- Unity
- Support
- Loyalty
- Encouragement
The Nursing Process
http://glennmcdonald.files.wordpress.com/2012/11/silver. jpg
Nurse will...
- Providing a safe environment
- Assessing (suicide risk)
- Creating family specific interventions
- Providing Resources
(Shea, 1998)
LEGEND
Separated
Relationship
Main Character
BC Responsible Gambling
Role of the RPN
References
Kaakinen, J. Gedaly-Duff, V., Padgett Coehlo, D., & Harmon Hanson, S. (2010). Family health care nursing: Theory, practice & research. (4th edition). Philadelphia: FA Davis.
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http://www.abc.net.au/reslib/201302/r1075734_12737668.jpg

http://1.bp.blogspot.com/-d5f-7C4WSl8/UNMvPo2Bi6I/AAAAAAAAOjQ/sbvm8exRYwM/s1600/silver-linings-playbook-family. jpg

http://i.dailymail.co.uk/i/pix/2013/04/16/article-2310112-1954375D000005DC-280_634x435.jpg

http://3.bp.blogspot.com/-4vBkDKrjRZE/UQl4X60FjyI/AAAAAAAALhY/4AZ-57V7FmA/s1600/silver-linings-playbook.jpg

http://www.mbird.com/wp-content/uploads/2013/01/silverlinings7. jpg

http://cdn.hitfix.com/photos/2659907/Jacki-Weaver-Silver-Linings-Playbook-Best-Supporting-Actress_gallery_primary. jpg

http://cdn.hitfix.com/photos/2659880/Robert-De-Niro-Silver-Linings-Playbook-Best-Supporting-Actor_gallery_primary. jpg

Vancouver-Burnaby Region
Canadian Mental Health Association
Vancouver Mental Health Emergency Services - Car87/88
Full transcript