Browsing by Author "Mduzana, Luphiwo Lakhanya"
Now showing 1 - 1 of 1
Results Per Page
Sort Options
- ItemSuitability of ‘Guidelines for screening of prosthetic candidates: lower limb’ for Eastern Cape(Stellenbosch : Stellenbosch University, 2017-03) Mduzana, Luphiwo Lakhanya; Visagie, Surona; Mji, Gubela; Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Rehabilitation Studies.ENGLISH SUMMARY : Background: Major lower limb amputation has a severe impact on functional mobility. While mobility can be salvaged with a prosthesis, it is not always the most optimal choice. It is often difficult to decide whether to refer someone for a prosthesis. An evidence-based prosthetic screening tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ is used for prosthetic prescription in the Western Cape Province of South Africa. Objectives: The study aimed to explore the suitability of the tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ for use in the Eastern Cape Province of South Africa. Method: A qualitative study was conducted with conveniently sampled occupational therapists (n=10), physiotherapists (n=12) and medical orthotists/prosthetists (n=6) in government employment in the Buffalo City Metro Municipality. Participants were trained to use the tool and then used it for four weeks. Their experiences of the tool were assessed through three focus group discussions. Emergent themes were identified during analysis. Findings: Participants indicated that the tool could assist with prosthetic prescription, goal setting, communication and teamwork. They thought the tool was multidisciplinary in nature, comprehensive and practical. Findings showed challenges with regard to teamwork in the study setting. Resistance to change and a lack of time might hamper implementation of the tool. Participants suggested a longer test period, with structured feedback sessions, and supported by hospital management. Conclusion: The tool can assist with managing the backlog for prostheses and to guiding prosthetic prescription in the Eastern Cape Province.