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5.12 SECTION K: PROBLEMS El'iCOlJNTERED . Inclusion of this section was based on the problems that were being encountered by the amputees soon after discbarge. These problems were either physical, if the amputees were not well prepared for discharge or not given enough health education about stump care. The other problems were socially related, when the amputees could not financially afford visits to the health care centres for stump care, ifthey were offered there. 5.12.1 ITEM 46 PROBLEMS EXPERIENCED BY AMPUTEES AT HOME TABLE 5.28 PROBLEMS EXPERIENCED BY Al\1PUfEES AT HOl\lE Problems Experienced by Amputees at Home Frequency Percentage Physical Problems Septic Stump Wound 5 20% Non-fitting ofProsthesis 5 20% Inability to use Prosthesis 10 40% Psychosocial Problems Financial Problems 23 92% Depression 25 100% Rejection, Stigmatization and Poor Perception 4 16% Housing Uusuitable for Adaptation 20 80% Environmental Barriers No Driveways 3 12% Muddy Driveways 2 8% Bumpy, Sloppy Yards 4 16% Pit Toilet FarFrom the House 5 20% Vocational Problems Unemployment 23 92% 84
Table 528 reveals that amputees experienced physical, psychosocial and vocational problems. Psychosocial problems, especially depression, were expressed by all amputees (25) 1000/0, as loosing a limb causes anxiety and makes one uncertain about life. Financial problems were also a major issue for (23) 920/0, because even amputees who were getting disability grants were breadwinners and the disability grant is too small to support the family. Another major problem was vocational, whereby the majority ofthe amputees experienced unemployment (23) 92%. Even amputees who had undergone a fuJI work assessment were never employed. Another psychosocial problem that was experienced by most amputees was housing that was not suitable for adaptation for the amputees (20) 80%, since there were no modifications done, doors were small and the house itself small and restricting movement in the house. Physical problems were the inability to use a prosthesis (10) 40%, as these amputees ended up by not using the prosthesis, with non-fitting of the prosthesis (5) 200/0, as patients did not get enough support from home. The stump needs to be molded or coned in preparation for fitting into . the prosthesis and septic stump wounds occurred in (5) 20% cases, due to inadequate wound care. Some amputees experienced rejection, stigmatization and poor perception (4) 16%. Environmental barriers also posed a problem to adaptation ofamputees at home, namely, pit toilets far away from the houses (5) 20%, bumpy sloppy yards (4) 16%, no driveways (3) 12%, and ifthey were available, they were very muddy and slippery, and unable to be used on a rainy day (2) 8%. These problems may seem to be minor, but when not attended to become major issues as stnmp wounds could become septic such that the client may even require revision ofthe stnmp. Financial problems and unemployment became the predisposing cause for all the problems, as amputees defaulted follow-up appointments, could not care for themselves physically or psychosocially and became stressed as they could not provide for their families. Among these amputees there were those who visited local health centres but could not get relevant care, as there were no resources. 85
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TABLE OF CONTENTS PAGE The Titlefor
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DEDICATION This dissertation is wri
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The University of Zululand for prov
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5.1 - 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5
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CHAPTER3 THEORETICAL FRAMEWORK PAGE
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5.9 SECTIONH: EMPLOYMENT AFTERAMPUT
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6.5.4 6.5.4.1 6.5.42 6.5.4.3 6.5.4.
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• 1.1 INTRODUCTION CHAPTER 1 Reha
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1.6.4 Do amputees experience physic
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1.10 CONCLUSION In this chapter an
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2.2.1 GENERAL PHYSICAL REHABILITATI
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2.2.5 ACCESS TO HOME AND COMMUNITY
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2.3 PSYCHOLOGICAL REHABILITATION Ku
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Itis the duty ofthe social worker a
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2.5.3 STAFF A(((rUDES An examinatio
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the only solution in the study that
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small and large groups. and social
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esponsibilities in positions they o
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what muses do with and for individu
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3.4.8 TIME Time refers to the seque
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3.5.3 MODIFIED CONCEPTUAL FRAMEWORK
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image. In this way psychological ad
Page 51 and 52: 4.1 INTRODUcrrON In this chapter th
Page 53 and 54: as it is a useful self-report instr
Page 55: 4.6 VALIDITY Al'o'DRELIABILITY The
Page 59 and 60: caused by accidents. As far as reha
Page 61: more ofthese respondents were from
Page 64 and 65: The members ofthe rehabilitation te
Page 66 and 67: ehabilitation team, to meet other b
Page 68 and 69: Pffi'SICAL CARE This item was inclu
Page 70 and 71: used correctly. Hodkinson, Smith an
Page 72 and 73: time to be visited by old coping am
Page 74 and 75: TABLE 5.14 F1NA.l\(CIAL msroav Fina
Page 76 and 77: 5.5.8 ITEM' 19 RESPONDENTS WHO MANA
Page 78: they were fit for their old work or
Page 81: not be effectivelyproductive atwork
Page 84 and 85: other disabled families there is a
Page 86: 5.7· SECTIONF:COMMU1'olTfYRElNfEGR
Page 89 and 90: accessibility of the home, easy mov
Page 92 and 93: muddy and slippery when it is raini
Page 94: to their preVIOUS jobs or to be tra
Page 97 and 98: are community group projects, there
Page 99 and 100: 5.11 SECTION J: REHABILITATION AIDS
Page 101: 5.11.3 ITEM 45 AVAILABLE COMMUNITY
Page 106 and 107: Chapter three described the theoret
Page 108 and 109: 6.5.2 OBJECTIVE TWO To evaluate phy
Page 110 and 111: • Another (4) 16% were seen by th
Page 112 and 113: -DISABILITY GRANT The disability gr
Page 114 and 115: TRANSPORT It is the aim ofcommunity
Page 116 and 117: • Eleven (11) 44% amputees report
Page 118 and 119: 6.5.3.1 PHYSICAL PROBLEMS SEPTIC ST
Page 120 and 121: DISCHARGE PREPARATION The fmdings r
Page 122 and 123: 6.5.4.3 DISCHARGE PREPARATION Th'VO
Page 124 and 125: also be made accessible for the amp
Page 126 and 127: IS. Mbeki, T.M 1997. White Paper On
Page 128 and 129: BIBLIOGRAPHY 1. Brink, H. 1996. Fun
Page 130 and 131: ANNAXUREI LEITER REOUESTING PERMISS
Page 132: ANNAXURE2 PERMISSION LEITER FROM DE
Page 135 and 136: The ChiefMatron King Edward VIIIHos
Page 138: '- ANNAXURE 5 -.:') OUESTIONNAIRE F
Page 142 and 143: Psychologist o Vocational rehabilit
Page 144 and 145: 14. WHO TAUGHT YOU THESE ABOVE ACTI
Page 146 and 147: 17.5 Ifthis financial assistance en
Page 148 and 149: Other o Ifother, please specify: _
Page 150 and 151: 31. HOME VISIT BY TIIE REHABILITATI
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34.3 Ifno, who does the evaluation
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41.2 Does department of transport p
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