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1.6.4 Do amputees experience physical, psychosocial and vocational problems in the<br />

community?<br />

1.7 MOTIVATION "<br />

The researcher has observed amputees in the community who were neglected and<br />

rejected by their families in such a way that some were in the streets begging. These<br />

amputees were physically, psychosocially and vocationally neglected. They lack<br />

rehabilitation in all aspects <strong>of</strong> life, especially so in the suburban communities. Some <strong>of</strong><br />

the suburban amputees do not receive disability grants hence cannot even afford to buy<br />

their prostheses.<br />

Some amputees come to the outpatient clinics with broken prostheses or old broken<br />

crutches, not knowing anything about disability grants or having no money to attend the<br />

hospital or the clinic to purchase these appliances (Kubheka & Uys, 1995:44). Amputees<br />

with prostheses that are in good working condition <strong>of</strong>ten do not use them because they<br />

complain <strong>of</strong> pressure sores and heaviness <strong>of</strong> the prosthesis, as well as a physical<br />

environment which is not easily accessible. They cannot even attend follow-up clinics to<br />

report these problems because <strong>of</strong> financial problems and unemployment, especially<br />

clients living in remote areas (Mbeki, 1997:6). School-going amputees are <strong>of</strong>ten not<br />

accepted by their peers with the result that they leave school. This leaves the question<br />

whether community reintegration was ever done.<br />

1.8 ASSUMPTIONOF THE STUDY r:<br />

It is assumed that proper community-based rehabilitation can contribute to successful<br />

adjustment for the amputees with regard to their physical, psychosocial and vocational<br />

needs.<br />

4

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