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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.
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