View/Open - University of Zululand Institutional Repository
View/Open - University of Zululand Institutional Repository View/Open - University of Zululand Institutional Repository
DISCHARGE PREPARATION The fmdings revealed that discharge preparation was incomplete: • Home visits were not done to all the amputees except one (1) 4% who attended the private hospital. • Home trial leave was not granted to the amputees (16) 64%, only (9) 36% managed to visit their homes to see whether they would cope after discharge or not • Disability grants which should have been taken care ofwhile respondents were still in the hospital were not done, as only (11) 44% were receiving disability grants during the time ofthe study. • Progress monitoring of the amputees or follow up care for (6) 24% were not done resulting in fmancial problems, as their disability grants were was still being processed and health care centres were very far from where they lived VOCATIONAL PROBLEMS The main vocational problem that was experienced by the amputees was unemployment • Twenty (23) 92% amputees were unemployed Even the amputees that were vocationally trained were unemployed in both the open labour market and sheltered employment workshops. • Respondents felt that they were discriminated against because ofthe disability. 6.5.3.3 OTHERFACfORS l\IL1\1BERSOF THE REHABILITATION TEAM The findings revealed that the government health services did not have complete multidiscipIinary team members. All respondents reported that there were no rehabilitation nurses and vocational rehabilitation counselors, except (1) 4% amputee who attended the private hospital and was attended by these members ofthe rehabilitation team. 102
6.5.4 OBJECTIVE 4 To make recommendations for the improvement ofcommunity based care. In the light ofthe foregoing findings the researcher recommends the following: 6.5.4.1 COl\f1\WNITY REHABILIAnON SERVICES The research fmdings revealed that there were no community rehabilitation service in the area under investigation It is suggested that at least the rehabilitation team members be made available in the existing local community centres with all the required rehabilitative equipment so that clients would not have to travel long distances to the referral hospitals to get help. In the areas where local clinics are far the amputees' houses, mobile rehabilitation clinics to reach the clients at their closest convenient points. 6.5.4.2 SURGICAL SUNDRIES The problem ofunavailability ofsurgical sundries lead to delayed wound healing and sepsis of stump wounds. To make sure that clients are well educated on how to dress a stump wound, demonstrations should be done in the presence of family members. The amputees should begiven opportunities to dress themselves while they are still in the hospital until they are efficient and cost effective in the use of surgical sundries. This would also give the rehabilitation team members the opportunity to evaluate the patients and discharge those who will beable to manage themselves at home. Enough surgical sundries should be issued to the amputees, that is, stock that would last until the next follow-up date. The local community services should have enough surgical sundries in stock to meet the needs ofall the clients. 103
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DISCHARGE PREPARATION<br />
The fmdings revealed that discharge preparation was incomplete:<br />
• Home visits were not done to all the amputees except one (1) 4% who attended the<br />
private hospital.<br />
• Home trial leave was not granted to the amputees (16) 64%, only (9) 36% managed to<br />
visit their homes to see whether they would cope after discharge or not<br />
• Disability grants which should have been taken care <strong>of</strong>while respondents were still in<br />
the hospital were not done, as only (11) 44% were receiving disability grants during<br />
the time <strong>of</strong>the study.<br />
• Progress monitoring <strong>of</strong> the amputees or follow up care for (6) 24% were not done<br />
resulting in fmancial problems, as their disability grants were was still being<br />
processed and health care centres were very far from where they lived<br />
VOCATIONAL PROBLEMS<br />
The main vocational problem that was experienced by the amputees was unemployment<br />
• Twenty (23) 92% amputees were unemployed Even the amputees that were<br />
vocationally trained were unemployed in both the open labour market and sheltered<br />
employment workshops.<br />
• Respondents felt that they were discriminated against because <strong>of</strong>the disability.<br />
6.5.3.3 OTHERFACfORS<br />
l\IL1\1BERSOF THE REHABILITATION TEAM<br />
The findings revealed that the government health services did not have complete<br />
multidiscipIinary team members. All respondents reported that there were no rehabilitation<br />
nurses and vocational rehabilitation counselors, except (1) 4% amputee who attended the<br />
private hospital and was attended by these members <strong>of</strong>the rehabilitation team.<br />
102