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also be made accessible for the amputees either by building ramps, lifts or escalators to enable them to visit places ofentertainment or enter the workplace, TRANSPORT Public transport specially designed for the disabled should be available in all communities, for instance, buses that have wide passages and space for wheelchairs. This would be comfortable for the amputees unlike ordinary buses and taxis where clients would be off loaded from their wheelchairs into transport seats and wheelchair folded to the side. This involves strenuous physical effort and manpower. The Department of Transport should be involved in this strategy. 6.5.4.8 EMPLOYMENT OPPORTUNITIES FOR THE AMPUTEES The fact that the majority of the amputees were unemployed, is a fundamental problem affecting not only the amputees but also their families as the majority were breadwinners. It is recommended that the govermnent devise a strategy to reinforce protection of disabled persons against unfair discrimination on the basis oftheir disability for working in the open labour market CONCLUSION This study succeeded in evaluating community based rehabilitation. The findings show that there were inadequate community rehabilitation services available in government hospitals and rehabilitation team members which were necessary for physical, psychosocial and vocational rehabilitation were also inadequate. Rehabilitation adjustments were similarly found to be inadequate. The recommendations have made it evident that without community based rehabilitation; the amputees' adjustment to change in body image and adaptation to the environment would be unsuccessful. This proves that the researcher's assumption was correct Limitations and recommendations for further study were made based on the problems experienced during the study. 106
BmLIOGRAPHY 1. Brink, H. 1996. Fundamentals Of Research Methodology For Health Care Professionals. 1" Edition. Juta & Co. LID: Kenwyn. 2. Browse, L.H. 1998. An Epidemiologic Study Of Amputees In The Eastern Harlem Community. HST Update. Issue No.33. Pages 13-27. 3. Caplain, R..T. 1991. Validation OfClinical Practice. 3 n1 Edition Philadelphia: FADavis: Philadelphia 4. Couper, M. 1999. Amputation And Prosthesis. 3 n1 Edition London: Balliere Tindall: London. 5. Davis, P.S. 1994. Nursing The Orthopaedic Patient. 1" Edition. Churchill Livingstone: USA 6. Dittmar, S.S. 1989. Rehabilitation Nursing-Process And Application. 1" Edition. C.V. Mosby Co: USA. 7. Farrel, J. 1986: Illustrated Guide To Orthopaedic Nursing Philadelphia: J.B. Lippincott Company: Philadelphia 8. Felton & Renveson, R. 1994. Text Book For Orthopaedic Nursing And Rehabilitation. 8 th Edition. JB Lippincot Philadelphia 9. Footner, A. 1987. Orthopaedic Nursing. 1" Edition. Ballierre Tindall. London. 10. George, J.B. 1995. Nursing Theories: The Base For The Professional Nursing Practice. 4 th Edition. Prentice Hall, Internationallncl: USA. 11. Jone, R.N. 1997. Discharge Planning And Rehabilitation HST Update. Issue No.13. Pages 17-30. 12. Kubheka, BA & Uys LR. 1995. Amputation History And Rehabilitation Of Black Men Living In The Greater Durban Area Who Have Had Traumatic Amputation OfLower Limb. Curations, VoLl8, No.1 Pages 44-48. 13. Kutner, W. 1997. Atlas Of Limb Prosthesis. Surgical And Prosthesis Principles. 4 th Edition. St. Louis: C.V. Mosby: St Louis. 14. Lamb,H.R. 1994. Concepts OfRehabilitation. Archives OfPhysical Medicine And Rehabilitation, 61(5): 369-373. 107
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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
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4.1 INTRODUcrrON In this chapter th
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as it is a useful self-report instr
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4.6 VALIDITY Al'o'DRELIABILITY The
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caused by accidents. As far as reha
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more ofthese respondents were from
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The members ofthe rehabilitation te
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ehabilitation team, to meet other b
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Pffi'SICAL CARE This item was inclu
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used correctly. Hodkinson, Smith an
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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 and 102: 5.11.3 ITEM 45 AVAILABLE COMMUNITY
Page 103 and 104: Table 528 reveals that amputees exp
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 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
Page 152 and 153: 34.3 Ifno, who does the evaluation
Page 155 and 156: 41.2 Does department of transport p
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