View/Open - University of Zululand Institutional Repository
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2.5.4 COMMUNITY AITITUDES Sakuma (1997:98) states that the disabled patients who progress favorably in the psychological accommodation to disability and restoration ofphysical function still face a formidable hurdle. He adds that disabled patients experience staring rejection, intimate personal questions concerning the disability and degree of dysfunction, or intrusive assistance, which they do not need. Wright (I998:258) stresses that healthy acceptance of the disabled is related to qualities in the non-disabled, such as a positive self-image, sound, stable interpersonal relationships, personal confidence and security in their own concept ofbody image and self-worth. 2.6 VOCATIONAL REHABILITATION Vocational rehabilitation is commenced while the patients are still admitted in the hospital. It forms part ofdischarge preparation. Vocational training is the responsibility of the vocational rehabilitation counselor working in conjunction with the occupational therapist The vocational rehabilitation counselor prepares the patient psychologically and physically to return to the old work or change to light duty in the same employment, depending on the results ofvocational assessment done by the occupational therapist If the patient cannot return to the old employment then the vocational rehabilitation team liaisewith the Department ofManpower to place such a patient in sheltered employment workshops (Dittmar, 1989:137 cited by Siyothula & Kubheka, 2002:26). These vocational team members work together with the disablement resettlement officer who is placed in the nepal tment ofManpower. The disablementresettlement officer assesses the patient's potential ability for work, provides training and places the patient within specialized centres. A vocational study that was done by NdIovn and Couper (1998:59) at Manguzi Hospital, Northern Zululand, revealed that amputees who were well rehabilitated had limited opportunities for placement in the sheltered employment workshops or light duty in their old work place. Couper (1999:64), an occupational therapist in this hospital added that 18
the only solution in the study that was done in the same Manguzi Community in 1998 was to survey the amputees in the community to find out what they could do to earn a living. There is now a vegetable garden. handiwork and cement block-making projects running as an answer to amputees' employment problems. Ndlovu (1998:4) in the same study adds that the only problem they faced was maintenance ofthese projects to make them sustainable. Davis (1994:Il8) stresses that there is a need for investigation of occupational possibilities to promote return to previous employment or to establish the need for returning to a new job. Met and Wilson (1990:98) contendthat the main aim of their rehabilitation centre in Cape Town is to prepare the physical disabled persons for suitable employment in the open labour market, by training and educating them in the work place that resembles the realistic work situation as much as possible, Gillies (1993:185) agrees with the above view point in that correct placement ofthe employee with disability is of paramount importance, ensuring he is able to be effective in his job and remaining with the company. A physical impairment need not affect one's lifestyle. With the right aids and facilities, someone with an impairment may function just as productive in society as someone without It is up to society to enable people with disabilities to function optimally in a suitable environment. 2.7 CONCLUSION This chapter highlighted the goals ofcommunity-based rehabilitation and the importance of rehabilitation to amputees and other disabled persons. It explained the types of rehabilitative modalities needed to meet the biopsychosocial and vocational needs ofthe amputees, highlighted the importance of multidiscipIinary approaches for forming the rehabilitation teams and also support of the amputees. It descnbed the environmental barriers encountered by amputees that hinder rehabilitation progress and other ancillary factors that affect rehabilitation. In the next chapter King's theory of an Open Systems Framework and the theory of Goal Attainment win be discussed, with the emphasis on the theoryofan Open Systems Framework as it forms the basis ofGoal Attainment 19
- Page 2 and 3: TABLE OF CONTENTS PAGE The Titlefor
- Page 4 and 5: DEDICATION This dissertation is wri
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- Page 9 and 10: 5.1 - 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5
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- Page 17 and 18: 6.5.4 6.5.4.1 6.5.42 6.5.4.3 6.5.4.
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- Page 30 and 31: 2.3 PSYCHOLOGICAL REHABILITATION Ku
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the only solution in the study that was done in the same Manguzi Community in 1998<br />
was to survey the amputees in the community to find out what they could do to earn a<br />
living. There is now a vegetable garden. handiwork and cement block-making projects<br />
running as an answer to amputees' employment problems. Ndlovu (1998:4) in the same<br />
study adds that the only problem they faced was maintenance <strong>of</strong>these projects to make<br />
them sustainable.<br />
Davis (1994:Il8) stresses that there is a need for investigation <strong>of</strong> occupational<br />
possibilities to promote return to previous employment or to establish the need for<br />
returning to a new job. Met and Wilson (1990:98) contendthat the main aim <strong>of</strong> their<br />
rehabilitation centre in Cape Town is to prepare the physical disabled persons for suitable<br />
employment in the open labour market, by training and educating them in the work place<br />
that resembles the realistic work situation as much as possible, Gillies (1993:185) agrees<br />
with the above view point in that correct placement <strong>of</strong>the employee with disability is <strong>of</strong><br />
paramount importance, ensuring he is able to be effective in his job and remaining with<br />
the company. A physical impairment need not affect one's lifestyle. With the right aids<br />
and facilities, someone with an impairment may function just as productive in society as<br />
someone without It is up to society to enable people with disabilities to function<br />
optimally in a suitable environment.<br />
2.7 CONCLUSION<br />
This chapter highlighted the goals <strong>of</strong>community-based rehabilitation and the importance<br />
<strong>of</strong> rehabilitation to amputees and other disabled persons. It explained the types <strong>of</strong><br />
rehabilitative modalities needed to meet the biopsychosocial and vocational needs <strong>of</strong>the<br />
amputees, highlighted the importance <strong>of</strong> multidiscipIinary approaches for forming the<br />
rehabilitation teams and also support <strong>of</strong> the amputees. It descnbed the environmental<br />
barriers encountered by amputees that hinder rehabilitation progress and other ancillary<br />
factors that affect rehabilitation. In the next chapter King's theory <strong>of</strong> an <strong>Open</strong> Systems<br />
Framework and the theory <strong>of</strong> Goal Attainment win be discussed, with the emphasis on<br />
the theory<strong>of</strong>an <strong>Open</strong> Systems Framework as it forms the basis <strong>of</strong>Goal Attainment<br />
19
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