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View/Open - University of Zululand Institutional Repository

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Pffi'SICAL CARE<br />

This item was included in order to focus on the physical aspect <strong>of</strong>the patient, especially<br />

the amputated limb or limbs. This care includes wound care when the stump is new with<br />

a fresh wound, stump bandaging or coning, stump massage, stump position and exercise<br />

<strong>of</strong>the stump thus promoting healing to the wound. Stump coning is done while the stump<br />

has a wound till it heals in order to mould the stump in preparation for the prosthesis.<br />

This item was therefore included to investigate whether amputees are given enough<br />

knowledge and practice to face this challenge. The amputees have to perform these<br />

procedures independently by the time they are discharged.<br />

5.5.1 ITEM 12 CARE OF THE STUMP<br />

TABLES.IO CARE OFTHE STUMP<br />

Health Education Yes Percentage No Percentage<br />

Wound Care 20 80% 5 20%<br />

Stump Bandaging IS 60% 10 40%<br />

Stump Massage 14 56% II 44%<br />

Positioning <strong>of</strong> Stump 10 40% 15 60%<br />

Exercise <strong>of</strong>Stump 10 40% 15 60%<br />

Table 4.10 shows that (20) 80% were educated about wound care, (15) 60% educated<br />

about stump bandaging, and (14) 56% educated about stump massage, as compared to<br />

(15) 60% who were not educated about stump positioning and exercise. This indicates<br />

that there is a need <strong>of</strong> rehabilitation nurses who will be responsible for this aspect <strong>of</strong><br />

rehabilitation. Davis (1994:18) stresses that a rehabilitation nurse must work with the<br />

client and his family and provide a service <strong>of</strong>training, information and support.<br />

50

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