Browsing by Author "Van Zyl, Nicola"

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    Die gebruik van en behoefte aan sosiale ondersteuning onder huishoudings met gesinslede wat as MIV-positief gediagnoseer is
    (Stellenbosch : Stellenbosch University, 2016-12) Van Zyl, Nicola; Greeff, A. P.; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.
    ENGLISH ABSTRACT: The human immunodeficiency virus (HIV) and acquired immune deficit syndrome (AIDS) have a severe effect on society but more specifically families, because when one member of a household is sick or eventually dies, everyone in the household suffers. The HIV epidemic disturbs and often disrupts the family structure in an irreparable or disturbing way (Belsey, 2005). For the purpose of this study, 12 Xhosa households in the Boland were identified where an HIV-positive person was part of the household. The person with HIV was either a child or an adult, but the participants with whom the interviews were conducted were not HIV-positive and had to be 18 years and older. Qualitative data were collected during the study and analysed to answer the research question, namely Which forms of social support are used and which needs are there in terms of social support in these households with an HIV-positive family member? The specific objectives of this study were to describe the use of social support by these HIV households from their perspective; to determine the needs related to social support within these households; and to make recommendations regarding the promotion of social support for HIV households. Following the results, the households involved in the study mainly used psychologists, counselors, social workers, community residents, friends and especially friends who are HIV positive, their family groups and particularly spouses, former spouses, the household itself, support groups or their neighbors as emotional support. For financial support the maintenance paid by the former husband, their family and welfare services were mainly used as support. Practical support in the form of clinics and medication, support from the school, foster care, work colleagues and part-time studies and information relating to the disease were used. Lastly spiritual / religious support was in the form of religious institutions such as the church and prayer groups. The family's needs in terms of social support that were identified during the current research study included: Jobs, support groups and social workers or counselors, HIV grants, healthy food, help with sustaining medication, better housing, more information and education regarding HIV, support from their churches and support by their children's schools. Guidelines are therefore needed to empower these families regarding available social support.. My recommendation is that a program of social support should be developed with the necessary guidance on how to follow it.
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    Occupational therapy intervention intosteo-arthritis of the carpometacarpal joint of the thumb in the South African context
    (Occupational Therapy Association of South Africa, 2017) Teuchert, Robyn Michelle; De Klerk, Susan; Kotze, Marianne; Nieuwoudt, Hester Cecilia; Otero, Manja; Van Zyl, Nicola
    Introduction: The carpometacarpal joint (CMCJ) plays a pivotal role in thumb function and essentially, hand function. Investigation concerning the most preferable occupational therapy treatment approach for osteoarthritis (OA) of the CMCJ was therefore indicated. Factors that affect the course of treatment in the South African context were to be identified. Methodology: A descriptive qualitative research design was implemented with a purposive sample of occupational therapists in the Western Cape. Semi-structured interviews were held. These were transcribed and analysed. Results: A fixed treatment regimen was not followed by participants of the study. Factors contributing to the choice of treatment emerged from the data. These included the source of the referral, aspects of the OT process and the patient. Results demonstrated that it would not be practical to set up a rigid regimen, due to the diverse nature by which OA of the CMCJ presents in patients as well as the contributing factors participants reported to impact intervention. Discussion: The compilation of a basic guideline is proposed. Each phase of the occupational therapy process according to the stage of OA of the CMCJ should be included to provide meaningful intervention. A proposed guideline is presented based on the results of the study.