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image. In this way psychological adaptation will be enhanced and amputated individuals
will gain a positive self-concept. According to King's theory this is referred to as
personal growth and development which is the transaction/outcome of education
commenced before and continued after amputation.
3.6.2 INTERPERSONAL SYSTEMS
Successful rehabilitation depends on interactive management by all members of the
rehabilitation team with support by the family members and the community. This type of
management is enhanced by communication among team members performing different
roles and establish rapport with the client in need of care. This facilitates a trust
relationship. This interpersonal system is not only limited to the rehabilitation team
members, client and family but also to different governmental sectors required to meet
the goals or needs ofthe client. An example ofthis is vocational rehabilitation, whereby
the Department of Transport is required to transport vocationally trained amputees to
sheltered employment workshops, and for their employment interaction with the
Department of Manpower, which is essential. The success of this strategy depends on
mutual participation between the nurse who makes the arrangements together with other
members of the rehabilitation team and the amputee who is going to be part of the
workforce. The client should therefore be encouraged to take part in decision-making.
The client should also make his own judgment according to his perception as an
individual whether he/she will manage to work or not. As soon as the client commences
work he/she has to give feedback about the work experience and whether the goals were
met or not.
3.6.3 SOCIAL SYSTEMS
The amputated clients have social needs that should be met. They have families and the
majority ofthem are breadwinners who require social support grants. They are members
of social groups and need to be rehabilitated in such a manner that they become fully
involved in their organizations. They have human rights, which need to be respected.
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