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ANNAXURE1 ANNAXURE2 ANNAXURE3 ANNAXURE4 ANNAXURES ANNAXURES Letter requesting permission to conduct study- Department ofHealth 110 Permission letter from Departmentof'Health, lll Letter requesting permission to conduct study - King Edward Hospital 112 Permission letter from Deputy Director King Edward Hospital 113 Questionnaire for theamputees 114 (xix)
• 1.1 INTRODUCTION CHAPTER 1 Rehabilitation is the word used to descnbe ways of helping those with disabilities to become fully participating members of society, with access to all benefits and opportunities ofthat society (Mbeki, 1997:26). It is the responsibility ofthe Government to make sure that the disabled are well rehabilitated by providing all facilities and health services that they need. This is made possible through community development programmes, welfare organizations as well as provincial and local authorities (VIole, 1993: 205). The National Health Care Delivery System aims at moving away from long term institutionalization of disabled patients to a short term stay during resuscitation, with health care to be continued in the community (ANC, WHO & UNICEF, 1994:75). This enables individuals to use theirremaining capabilities through rehabilitation. The amputees especially experience many problems in the community, often caused by lack of proper discharge planning, lack ofadequate information about the care of their stumpsand lack ofcommunity-based resources. Examples ofthese problems are pressure sores on the stump, flexion contructures due to poor positioning, or poorly fitting prosthesis due to improper shapingofthe stump (Kubheka & Uys, 1995:45). McNett (1991:250) states that from fifty amputees discharged within three years from urban rehabilitation facilities, ten were wheelchair bound and functionally effective. With . theremaining forty, ten were using prostheses and crutches and were coping effectively. This includes all aspects, that is physical, psychosocial and vocationally. McNett(I991:251) indicates that available social support was ineffectively utilized due to lackofknowledge and poor community reintegration. This means that from this study, only 20%ofamputees were productive and successfully rehabilitated. Itwould seem that, 1
Page 2 and 3: TABLE OF CONTENTS PAGE The Titlefor
Page 4 and 5: DEDICATION This dissertation is wri
Page 6: The University of Zululand for prov
Page 9 and 10: 5.1 - 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5
Page 12: CHAPTER3 THEORETICAL FRAMEWORK PAGE
Page 15 and 16: 5.9 SECTIONH: EMPLOYMENT AFTERAMPUT
Page 17: 6.5.4 6.5.4.1 6.5.42 6.5.4.3 6.5.4.
Page 22 and 23: 1.6.4 Do amputees experience physic
Page 24 and 25: 1.10 CONCLUSION In this chapter an
Page 26 and 27: 2.2.1 GENERAL PHYSICAL REHABILITATI
Page 28 and 29: 2.2.5 ACCESS TO HOME AND COMMUNITY
Page 30 and 31: 2.3 PSYCHOLOGICAL REHABILITATION Ku
Page 33 and 34: Itis the duty ofthe social worker a
Page 35 and 36: 2.5.3 STAFF A(((rUDES An examinatio
Page 37 and 38: the only solution in the study that
Page 39 and 40: small and large groups. and social
Page 41 and 42: esponsibilities in positions they o
Page 43 and 44: what muses do with and for individu
Page 45 and 46: 3.4.8 TIME Time refers to the seque
Page 47 and 48: 3.5.3 MODIFIED CONCEPTUAL FRAMEWORK
Page 49 and 50: 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
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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
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TABLE 5.14 F1NA.l\(CIAL msroav Fina
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5.5.8 ITEM' 19 RESPONDENTS WHO MANA
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they were fit for their old work or
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not be effectivelyproductive atwork
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other disabled families there is a
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5.7· SECTIONF:COMMU1'olTfYRElNfEGR
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accessibility of the home, easy mov
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muddy and slippery when it is raini
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to their preVIOUS jobs or to be tra
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are community group projects, there
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5.11 SECTION J: REHABILITATION AIDS
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5.11.3 ITEM 45 AVAILABLE COMMUNITY
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Table 528 reveals that amputees exp
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Chapter three described the theoret
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6.5.2 OBJECTIVE TWO To evaluate phy
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• Another (4) 16% were seen by th
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-DISABILITY GRANT The disability gr
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TRANSPORT It is the aim ofcommunity
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• Eleven (11) 44% amputees report
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6.5.3.1 PHYSICAL PROBLEMS SEPTIC ST
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DISCHARGE PREPARATION The fmdings r
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6.5.4.3 DISCHARGE PREPARATION Th'VO
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also be made accessible for the amp
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IS. Mbeki, T.M 1997. White Paper On
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BIBLIOGRAPHY 1. Brink, H. 1996. Fun
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ANNAXUREI LEITER REOUESTING PERMISS
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ANNAXURE2 PERMISSION LEITER FROM DE
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The ChiefMatron King Edward VIIIHos
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'- ANNAXURE 5 -.:') OUESTIONNAIRE F
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Psychologist o Vocational rehabilit
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14. WHO TAUGHT YOU THESE ABOVE ACTI
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17.5 Ifthis financial assistance en
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Other o Ifother, please specify: _
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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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