View/Open - University of Zululand Institutional Repository
View/Open - University of Zululand Institutional Repository View/Open - University of Zululand Institutional Repository
• Another (4) 16% were seen by the medical practitioner, (2) 4%, and by the ordinary professional nurse (2) 4%. The reason for this is that rehabilitation team were not all available in public hospitals, and therefore these amputees had to report their problems with the prosthesis to the personnel available. • Only one (1) 4% amputee managed to be seen by the rehabilitation nurse for further education about the prosthesis. 6.5.2.2 PSYCHOSOCIAL REHABILITAnON Psychosocial rehabilitation includes psychological care and rehabilitative care given to amputees by the rehabilitation team. 65.2.2.1 PSYCHOLOGICAL CARE Psychological care involves adjusting to change in body image. The role ofthe rehabilitation team is to assist the client and the family to achieve a positive response, assist with acceptance ofphysical impairment and to adjust to the environment following disability. The findings ofthe study revealed that all the members ofthe health team were involved in this aspect: • Most amputees (20) 80% were given a chance to be with their family members and relatives to share their experiences, except (5) 20% whose families were far from the hospitals where they were admitted. • Diversional therapy was provided in the form of: o Television in all wards where the amputees were admitted (25) 100%. o Ten (10) 40% accessed newspapers, which were provided by their families. • Fifteen (15) 60% amputees managed to get a chance to visit old coping amputees for support; this assisted amputees to know how other amputees were coping with their disabilities. • Ten (10) 40% amputees managed to visit the limb-fitting centre to share their experiences with amputees whose stumps had healed and were to fit their prosthesis. It also helped them to see different types ofprostheses. 92
• In spite of the support by family and team members, the findings reveal that four amputees had prolonged denial and showed sign ofdepression. • Two (2) 8% ofamputees were seen by the psychologist until they became better. • Two (2) 8% had complications due to major depression and were seen by the psychiatrist, who put them on treatment and continued monitoring them. 6.5.2.2.2 SOCIAL CARE There are social factors related to amputees, including: -FINANCIAL ASSISTANCE The study indicated that (22) 88% amputees were breadwinners who could not depend on a disability grant only and really needed financial assistance. Among these amputees: • Twenty (20) 80% amputees discussed their needs for financial assistance with the social workers; • Only eleven (II) 44% amputees were receiving disability grants. • Fourteen (14) amputees were not receiving disability grants, which meant that the social worker had to intervene to assist these amputees to get their disability grants. -FINANCIAL mSTORY The findings ofthis study indicate that: • Twenty (22) 88% amputees were breadwinners before injury and could not depend on disability grants only to support their families; • Nine (9) 36% respondents reported they could not support their families at all after amputation as the disability grant was inadequate and they needed financial assistance. There was no assistance so far from the Government except the disability grant • Four (4) 16% amputees who received financial assistance were assisted by their families. 93
- Page 59 and 60: caused by accidents. As far as reha
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• Another (4) 16% were seen by the medical practitioner, (2) 4%, and by the ordinary<br />
pr<strong>of</strong>essional nurse (2) 4%. The reason for this is that rehabilitation team were not all<br />
available in public hospitals, and therefore these amputees had to report their<br />
problems with the prosthesis to the personnel available.<br />
• Only one (1) 4% amputee managed to be seen by the rehabilitation nurse for further<br />
education about the prosthesis.<br />
6.5.2.2 PSYCHOSOCIAL REHABILITAnON<br />
Psychosocial rehabilitation includes psychological care and rehabilitative care given to<br />
amputees by the rehabilitation team.<br />
65.2.2.1 PSYCHOLOGICAL CARE<br />
Psychological care involves adjusting to change in body image. The role <strong>of</strong>the rehabilitation<br />
team is to assist the client and the family to achieve a positive response, assist with<br />
acceptance <strong>of</strong>physical impairment and to adjust to the environment following disability.<br />
The findings <strong>of</strong>the study revealed that all the members <strong>of</strong>the health team were involved in<br />
this aspect:<br />
• Most amputees (20) 80% were given a chance to be with their family members and<br />
relatives to share their experiences, except (5) 20% whose families were far from the<br />
hospitals where they were admitted.<br />
• Diversional therapy was provided in the form <strong>of</strong>:<br />
o Television in all wards where the amputees were admitted (25) 100%.<br />
o Ten (10) 40% accessed newspapers, which were provided by their families.<br />
• Fifteen (15) 60% amputees managed to get a chance to visit old coping amputees for<br />
support; this assisted amputees to know how other amputees were coping with their<br />
disabilities.<br />
• Ten (10) 40% amputees managed to visit the limb-fitting centre to share their<br />
experiences with amputees whose stumps had healed and were to fit their prosthesis.<br />
It also helped them to see different types <strong>of</strong>prostheses.<br />
92