View/Open - University of Zululand Institutional Repository
View/Open - University of Zululand Institutional Repository View/Open - University of Zululand Institutional Repository
1.6.4 Do amputees experience physical, psychosocial and vocational problems in the community? 1.7 MOTIVATION " The researcher has observed amputees in the community who were neglected and rejected by their families in such a way that some were in the streets begging. These amputees were physically, psychosocially and vocationally neglected. They lack rehabilitation in all aspects of life, especially so in the suburban communities. Some of the suburban amputees do not receive disability grants hence cannot even afford to buy their prostheses. Some amputees come to the outpatient clinics with broken prostheses or old broken crutches, not knowing anything about disability grants or having no money to attend the hospital or the clinic to purchase these appliances (Kubheka & Uys, 1995:44). Amputees with prostheses that are in good working condition often do not use them because they complain of pressure sores and heaviness of the prosthesis, as well as a physical environment which is not easily accessible. They cannot even attend follow-up clinics to report these problems because of financial problems and unemployment, especially clients living in remote areas (Mbeki, 1997:6). School-going amputees are often not accepted by their peers with the result that they leave school. This leaves the question whether community reintegration was ever done. 1.8 ASSUMPTIONOF THE STUDY r: It is assumed that proper community-based rehabilitation can contribute to successful adjustment for the amputees with regard to their physical, psychosocial and vocational needs. 4
1.9 DEFINIT10N OF CONCEPTS 1.9.1 REHABILITAnON Rehabilitation is a dynamic process ofplanned adaptive changes in life-style in response to unplanned changes imposed on the individual by disease or traumatic incident (Dittmar, 1989:8). 1.9.2 COMMUN1TY-BASED REHABILITATION· It is a programme such as physiotherapy, functional assessment, vocational training, educational and recreational programmes that take place in special rehabilitation centres, satellite clinics, community centres run by voluntary organizations and sheltered employment centres (Mpanza & Van Tonder, 1994:25). 1.9.3 AMPUTATION Amputation is a mutilation of a body part that demands a great deal of understanding from the nurse and the team involved with the care ofthe patient (Farrel, 1986:174). 1.9.4 DISCHARGE PLANl''lNG It is the effort ofpreparing the patient for returning to the community through evaluation ofthe patient's environment, identification ofproblems and problem solving techniques (Dittmar, 1989: 156). 5
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1.6.4 Do amputees experience physical, psychosocial and vocational problems in the<br />
community?<br />
1.7 MOTIVATION "<br />
The researcher has observed amputees in the community who were neglected and<br />
rejected by their families in such a way that some were in the streets begging. These<br />
amputees were physically, psychosocially and vocationally neglected. They lack<br />
rehabilitation in all aspects <strong>of</strong> life, especially so in the suburban communities. Some <strong>of</strong><br />
the suburban amputees do not receive disability grants hence cannot even afford to buy<br />
their prostheses.<br />
Some amputees come to the outpatient clinics with broken prostheses or old broken<br />
crutches, not knowing anything about disability grants or having no money to attend the<br />
hospital or the clinic to purchase these appliances (Kubheka & Uys, 1995:44). Amputees<br />
with prostheses that are in good working condition <strong>of</strong>ten do not use them because they<br />
complain <strong>of</strong> pressure sores and heaviness <strong>of</strong> the prosthesis, as well as a physical<br />
environment which is not easily accessible. They cannot even attend follow-up clinics to<br />
report these problems because <strong>of</strong> financial problems and unemployment, especially<br />
clients living in remote areas (Mbeki, 1997:6). School-going amputees are <strong>of</strong>ten not<br />
accepted by their peers with the result that they leave school. This leaves the question<br />
whether community reintegration was ever done.<br />
1.8 ASSUMPTIONOF THE STUDY r:<br />
It is assumed that proper community-based rehabilitation can contribute to successful<br />
adjustment for the amputees with regard to their physical, psychosocial and vocational<br />
needs.<br />
4