SophiaPretty

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Category > Health & Medical Posted 08 Oct 2017 My Price 10.00

I have already started a paper for this assignment but unable to finish it.

omprehensive Family AssessmentSection 1& 2Mimi LianTemple University – Department of Nursing - CHPSWNursing 5501- Family TheoriesSpring, 2016Dr. Sue DickeyFebruary 11, 2016
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Traditionally, peoples from Myanmar (formerly known as Burma) do not have surnamesystem like in Western cultures. You may find Myanmar family with surname but typically theytook the name of a patriarch that migrated to the US. Even at times they fashioned their names toaccommodate Western culture. Although I have their permission to use their names for thepurpose of this paper, the family that I interviewed does not have a family name. This is a singlehousehold family and also an “ideal” family composed of a homemaker-wife, a breadwinnerfather and two children, with a very distinct gender role. This family is of Asian descent and verytraditional, a husband who does not involve in child rearing, except for discipline, or householdchores.Gay Doe is 49 years old. Though he had a college degree, he could barely string acomplete sentence in English. He works graveyard shift at Walmart as a laborer that involvesheavy lifting, shifting and shelving. He is a recovered alcoholics and had been sobered forfourteen years, since he was married to a 42 years old Paw Eh. She came from a much larger,poorer family and who only has elementary level education. The introvert Gay Doe is a quietman but Paw Eh made up with her cheerful and extrovert personality. They were matched bytheir parents even though there was a big age difference. The match was considered to be adisadvantage by Gay Doe’s family because of Paw Eh’s family lack of fortune and educationeven with Gay Doe’s drinking habit. Due to heavy drinking for years, Gay Doe’s capacity oflearning new traits, language and ability to recall his education has diminished. Gay Doe andPaw Eh were farmers, a trait handed down by generations of farmers, never the less it is a traitthat is not in use when they got to the US. They have a 12 years old daughter, Rose Eh and 11years old, Christ Soe. They live in South Philadelphia, at 2457 Reese Street. The houses in thearea are single family row homes with street parking and a small concrete back yard. They
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migrated to the US in 2009 as refugees. I would like to give a brief explanation of their status asrefugee and how they come to be.They were originally from a rural part of Myanmar, from the lower part of Myanmardelta region. They are from a minority group called Ka-yin, one of the largest minority groups inMyanmar, mainly Christians, with small percent of Buddhists and smaller percent believe inpolytheism.Historically they are descendants of settlers from lower part of China that migratedto the borders of Myanmar centuries ago. The outskirts of Myanmar, where many minoritygroups and smaller tribes settled, are rich with natural resources such as, rain forests of Teak andMahogany, petroleum, jade, rubies, sapphires, and many semi-precious stones. Even the soil andweather are better for growing crops than central Myanmar, where the Ba-mar(Burmese) comefrom.There were no outward religious or racial segregation but mild racism, religious prejudiceand oppression in major cities. For example, a non-Buddhist minority will not get promotionafter certain levels in the government jobs. However, this condition was much worse in rural andremote areas, instigators are mostly government appointed officials, away from prying eyes ofinternational media and diplomats. Myanmar government and its military, mainly consists ofBuddhist Ba-mar by design, in an attempt to take control of the natural resources, always clasheswith local minorities. Some of the minority groups form armed militias of their own after yearsof assaults and cruelty from the government and being governed by corrupt military officials.Many locals were driven out of their villages by force or chose to relocate to avoid to be inconflict areas between local militias and government army. Many refugees resented Ba-mar, somuch so that they refused to speak and teach their young Ba-mar language, national official
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language of Myanmar. Some of them refused to participate in religious activities to avoidmingling with Ba-mar in the US.United Nation High Commissioner for Refugee has opened a camp at Burma-Thaiborder, since 1996 but the resettlement programs did not start right away. Paw Eh’s family lefttheir home and arrived at the camp when Rose was still an infant. Chris was born at this camp.They stayed at the camp from 2000 to 2009. Many refugees from this camp have been resettledin Western countries like the United States, Sweden, the Netherland and Canada since 2000. Inthe US they were spreaded throughout the country, so that the burden to provide Federal andStates’ grants and aids are distributed amongst the states. Paw Eh’s parents, a brother and a sisterwere relocated to Iowa, whereas, her family was relocated to Pennsylvania.Before 2003, the Myanmar community consisted of scholars and highly educatedimmigrants. Nowadays, there are more refugees and asylees with very little education. Uponarrival to the US, refugee children under age eighteen were placed in classes based on their age.Many of them are not at the level of education they are placed in. It is due to the fact that someof the case workers are not trained social workers who understand the systems and the refugees.A few churches from Philadelphia volunteered to help the influx of migrating refugees andasylees in the beginning. With the help of pre-existing Myanmar community, most of themmanage to stay in school but only a small percentage goes to college. There are other minoritygroups from Myanmar in the US but they tend to stick to their own groups, with occasional multigroup socialization and activities.The crime rate in Myanmar community in general is low and many violations are due tomis- understanding of the laws and regulations. For example, many refugees were fined fordriving with learner’s permit without an experienced driver in the car, they do not grasp the
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difference between learner’s permit and actual driver’s license and their purposes. Many of themare hardworking but not ambitious enough to break free from collecting welfare. They have astrong sense of religion and community spirit. However ritualistic aspect of tradition is gettinglost along with the language in new generation. The Myanmar refugee community as a whole isnot a health conscious community per say, for example, there are no health care seminars orscreenings organized by the community and religious leaders but individual family has their ownprimary doctors and follow age appropriate screenings and vaccinations. Many of them trust thejudgement of the physicians and will follow their decision with no questions asked. Years ofbeing conditioned not to ask questions and not having the knowledge, leave them to beindecisive at times with regards to health and education. As refugees, they receivedMedicare/Medicaid, welfare food stamps and accommodation for free the first six months fromthe day they arrive. However, many of them, including Paw Eh’s family, are still collecting foodstamps and Medicare due to low income. The community seems to have adapted to their newAmerican environment.Gay Doe was diagnosed with GERD and gum disease in the US, a condition stemmedfrom his constant tobacco and beetle nut chewing. Paw Eh was diagnosed with tinnitus,migraine, GERD and bouts of dry heaving. Both children are of smaller stature than their parentsbut are in excellent health condition. The only family history that they were aware of was GayDoe’s mother’s increasing forgetfulness, Paw Eh’s mother arthritis and Paw Eh’s sister, BlehPaw, from Burma with change of mental status who has history malaria. Both Gay Doe and PawEh are at middle adulthood in developmental stage. Paw Eh feels her relationship with herhusband is meaningful, trusting and complete. Paw Eh is starting a part time position at a localsupermarket, a feat that was not considered or accepted by both partners when they arrived to the
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States. She feels such an accomplishment and boost of self confidence in finding this job.However, Paw Eh’s concern is how her non-domesticated husband would look after her childrenwhen she starts working. According to her, her children were never trained or tasked to help withhousehold chores.Rose and Chris are a little over a year apart and they get along very well.They are extrovert like their mother and very affectionate towards one another, as well as toothers, young and old alike. They are at school-age in developmental stage. Rose is learningviolin and plays very well. She is invited to play in a junior orchestra at the music school she isgoing to. Rose has developed secondary sex organs and seemed to withdraw from differentactivities at times. She is spending less time with her brother Chris and likes to spend more timewith her school friends, non-Myanmar, which is a concern for Paw Eh. They are average A and Bstudent and respectful towards their parents.
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Status NEW Posted 08 Oct 2017 01:10 PM My Price 10.00

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