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5.7.3 ITEM 32 MEMBERS OF THE REHABILITATION TEAM THAT VlSITEDTHE RESPONDEl\"TS HOME TABLE S.18 ME.l\mERS OFTHE REHABD..ITATlON TEAM THAT VISITED THE RESPO!\'DElIl'TS HOME Members ofPersonnel Frequency Percentage Physiotherapist - - Occupational Therapist - - Social Worker - - Rehabilitation Nurse I 4% Medical Practitioner - - Never Visited By Any Member 24 96% Total 25 100% Table 5.18 shows that (24) 96% ofthe amputees were not visited by any member ofthe rehabilitation team, while only (1) 4% respondent was visited at home by the rehabilitation nurse. This member of the rehabilitation team is only employed private hospitals, therefore, this service should be extended to government hospitals as well so that all amputees' homes are visited, to ensure continuity of care after a patient's discharge and a warm welcoming home and community. This also enhances successful reintegration ofthe amputees to the community. All members of the team should work together to do home visits successfully. This item still needs to be looked at for improvement. Visitation of the amputee's home in preparation for community reintegration is the purpose of rehabilitation in order to prevent a dependent life style afterdischarge (Dittmar, 1989:106). 5.7.4 ITEM 33 HOME TRIAL LEAVE Home trial leave is needed for each patient so as to see whether they will adjust after discharge. Thishelp the amputees becanse they are more able to identify their own needs, in comparison with what is obtained by the rehabilitation team during their visits, such as 70
accessibility of the home, easy movement of the wheelchair inside the house and to assessthe available rehabilitation servicesin the community; Ji'IGURE5.14 HOMETRIALLEAVEBEFOREDISCHARGE jmvesl E1No Figure 5.14 shows that (16) 64% amputees were not given home trial leave before discharge as compared to (9) 36% amputees who were given. Amongst the (9) 36% amputees, one requested a leave ofabsence before discharge because he had no hope of being able to stay at home because of poor infrastructure. This indicates that the amputees are aware thatthey need to go home for trial leave or'visitsto see whether they will cope or not. The amputees. who were not granted leave of absence experienced problems that they had to deal with on their own until the next follow-up date. These amputees experiencedrejection by family, usually becausethe fumilies were notprepared beforehand to receive the patient, The family members did not know how to care for these amputees and thought that they should not yet have been discharged, These are amputees whose home assewnent and visit were not done by the rehabilitation team; therefore family members did nothaveinsight on their care. This is supportedby Sakuma (1997:97), who states thatthe disabled patients who progress favorably in psychological accoinmodation to disability and restoration offunction, still face a problem with home and commrmity adjustmentifnot well preparedby the rehabiIitation team for discharge and integration into the community. He adds that they at times get intrusive assistance, which theydo notneed. 7I
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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
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
Page 68 and 69: Pffi'SICAL CARE This item was inclu
Page 70 and 71: used correctly. Hodkinson, Smith an
Page 72 and 73: 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 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 124 and 125: also be made accessible for the amp
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
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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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