Centre for Disability and Rehabilitation Studies

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Browsing Centre for Disability and Rehabilitation Studies by browse.metadata.advisor "Mji, G."

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    The knowledge of registered nurses regarding skin integrity, foot care and nutrition of a diabetic client with a stroke
    (Stellenbosch : Stellenbosch University, 2004-04) Jordaan, Danielle Nicolene; Mji, G.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Centre for Rehabilitation Studies.
    ENGLISH ABSTRACT: One of the proposals of the Bi-Ministerial Task Team (BTT) was that primary health care services in the Western Province should be nurse-driven (Department of Health and Social Services, 2000). This implied that nurses at the primary level of care (see definition of terms, page vii) should have a comprehensive knowledge regarding a variety of fields, e.g., preventive, promotive and curative services and rehabilitation. In the Helderberg area, which is the study area, it has been noted that there is a steady increase in the number of clients with diabetes and hypertension attending the eight community health centres (CHC's)/clinics. Diabetes and hypertension are interlinked and preventable diseases of life style (Provincial Government of the Western Cape (PGWC), 1999). These two conditions are commonly accompanied by a sequel of complications, such as skin breakdown, foot ulcers, stroke and nutritional deficiencies. These complications can further lead to disability when not managed appropriately. Historically the focus of the nurse has been on curative care, with little emphasis on prevention and rehabilitation. There is also a misconception among the medical staff and the clients that the management of complications of diseases of life style, as mentioned in the previous paragraph, is the responsibility of the rehabilitation specialists, e.g., the physiotherapist and the occupational therapist. With the vision of the BTT, the rise in the number of clients with diseases of life style, and the current focus of the nurse, the researcher is questioning the knowledge of the registered nurse at primary level of care in the Helderberg area in respect of skin integrity, foot care and nutrition of a diabetic client with a stroke. In order to answer this question, a descriptive study was done, making use of a self-administered questionnaire. The Helderberg area with approximately 50 registered nurses working at the eight different CHC's/clinics was chosen as the study area. Of the 50 registered nurses actively working, 44 completed the questionnaire, giving the researcher a return rate of 88%. The data was analysed using both quantitative and qualitative methods. Results showed that the overall average score for registered nurses on the three aspects, namely knowledge of skin integrity, foot care and nutrition of a diabetic client who has suffered a stroke, was 80%, the highest % score being 91% for aspects related to nutritional status and the lowest % score was 70% for aspects related to the prevention of skin breakdown, leaving a knowledge deficit of 20%. Not a single registered nurse scored 100% on the three aspects mentioned. Recommendations are made to all the role players, e.g., the registered nurses, the area managers in the Helderberg area and the rehabilitation staff.
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    Primary caregivers' evaluation of a burns rehabilitation programme at the Red Cross Childrens' Hospital
    (Stellenbosch : Stellenbosch University, 2005-04) Parbhoo, A; Mji, G.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Centre for Rehabilitation Studies.
    ENGLISH ABSTRACT: A bum injury is an injury for life, causing scarring on a physical, emotional and psychological level. For these individuals, rehabilitation is a vital aspect of regaining their lives. The bums unit at the Red Cross Children's Hospital aims to provide a comprehensive health care service to all children who have suffered from a bum injury. The service is enveloped by an interdisciplinary team approach to management. The burns team perceives the rehabilitation programme to be an effective one, but this has never been evaluated. The researcher has the perception that the primary caregivers are the people who could evaluate the bums unit at the Red Cross Children's Hospital. Hence the aim of this study was to determine how primary caregivers evaluated the rehabilitation of a child at the burns unit of the Red Cross Children's Hospital. The design of the study was of a retrospective, descriptive and analytical nature. The study population consisted of all primary caregivers of patients who have been managed in the burns unit at the Red Cross Children's Hospital, from the period of 1 June 2001 to 30 July 2003. A sample size of 30 primary caregivers, who suited the inclusion and exclusion criteria, were randomly chosen. They were all interviewed using questionnaires that were compiled by the researcher. Quantitative and qualitative data was collected during the interviews. Results on the evaluation of aspects such as management in hospital, caregiver involvement, discharge planning and rehabilitation outcome, showed that primary caregivers found most aspects to be satisfactory at the burns unit of Red Cross Children's Hospital. The scores on the level of satisfaction of the above aspects were between 86% and 100% for management, between 94%-97% for discharge planning, 97% for caregiver involvement, and 75%-100% for rehabilitation outcome. Factors that were reported to be unsatisfactory were pain management, the child's psychological outcome and service and fit of pressure garments. Recommendations regarding pain management and reintegration of the child into the community were made to team members of the unit. The urgent need for a full time psychologist was advocated to the hospital management. These recommendations were based on the findings of this study.
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    Review of the rehabilitation process of 13 to 16 year old youths in conflict with the law, assessed at the Macassar arrest, assessment and referral centre
    (Stellenbosch : Stellenbosch University, 2004-04) De Bruyn, Dianne Juanita; Mji, G.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Centre for Rehabilitation Studies.