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Home trial leave should be granted to all the amputees. This helps them to assess whether
they would be able to cope with the environment or not
Arrangements for alterations or environmental modification could be done for those
amputees who really find it difficult to adapt to the environment The departments ofhousing
and transport should be actively involved in this aspect
6.5.4.5 FOLLOW-UP CARE
Follow-up care should be done within the first month after discharge depending on the
condition ofthe stump. This should be done either in the hospital or community health centre,
provided the rehabilitation team is available to monitor progress. Progress monitoring should
include assessment ofthe stump condition including wound care ifthe wound has not healed.
Condition ofthe prosthesis, ability to use the prosthesis and adaptation to the environment
should be included.
Record keeping is essential for all amputees' appointments, to record those who kept
appointments and trace defaulters. This would help to identify amputees with problems early
before stump wounds become septic.
6.5.4.6 REHABILITATIO:"i" TEAM MEMBERS
Effective rehabilitation requires a team approach. In order to improve the health status ofthe
amputees and other physical and mental challenged individuals, the government should
improve and provide provision of all the members of the rehabilitation team in the
government hospitals.
6.5.4.7
HOUSING
ACCESSmILITY TO HOUSES Al'l'DPUBliC BUILDINGS
It is important to initiate negotiations with the Department ofHousing to assist the amputees
in modification of their houses to prevent environmental barriers. Public buildings should
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