Suitability of 'Guidelines for Screening of Prosthetic Candidates: Lower Limb' for the Eastern Cape, South Africa: A qualitative study.
Background Major lower limb amputation has a severe impact on functional mobility. Mobility can be salvaged with a prosthesis, but this is not always the best option. It is often difficult to decide whether to refer someone for a prosthesis or not. A prosthetic screening tool 'Guidelines for Screeni...
| Publicado en: | South African Journal of Physiotherapy Vol. 74; no. 1 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
African Online Scientific Information System PTY LTD
2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134579484&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134579484 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03796175 GO5 jtl: South African Journal of Physiotherapy issn: 03796175 maglogo: N pubinfo: dt: 2018 vid: 74 iid: 1 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 134579484 134579484 134579484 10.4102/sajp.v74i1.396 134579484 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Suitability of 'Guidelines for Screening of Prosthetic Candidates: Lower Limb' for the Eastern Cape, South Africa: A qualitative study. aug: au: Mduzana, Luphiwo L. Visagie, Surona Mji, Gubela affil: Department of Rehabilitation Medicine, Faculty of Health Sciences, Walter Sisulu University, South Africa sug: subj: Amputees Limb Prosthesis Utilization Patient Assessment Methods Clinical Assessment Tools Utilization Human Male Female Adult Middle Age South Africa Qualitative Studies Convenience Sample Focus Groups Audiorecording Attitude of Health Personnel Decision Making, Clinical Goal-Setting Communication Teamwork Attitude to Change Time Factors Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background Major lower limb amputation has a severe impact on functional mobility. Mobility can be salvaged with a prosthesis, but this is not always the best option. It is often difficult to decide whether to refer someone for a prosthesis or not. A prosthetic screening tool 'Guidelines for Screening of Prosthetic Candidates: Lower Limb' was developed and is used for prosthetic prescription in parts of the Western Cape province of South Africa. Objectives This 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 (OTs) (n = 10), physiotherapists (PTs) (n = 12) and prosthetists (n = 6) in government employment in the Buffalo City Metro Municipality. Participants were trained in the use of the tool and used it for four weeks with patients. Their experiences of the tool were assessed through three focus group discussions with emergent themes being identified during inductive data analysis. Findings Participants indicated that the tool could assist with prosthetic prescription, goal setting, communication and teamwork. They thought that the tool was multidisciplinary in nature, comprehensive and practical. Findings showed a lack of teamwork in this study setting. Resistance to change and a lack of time might also hamper implementation of the tool. Conclusion The tool can assist with managing the backlog for prostheses and to guide prosthetic prescription in the Eastern Cape province. Clinical implications A prosthesis can help to salvage functional mobility after lower limb amputation. However, not all people who had above knee amputation manage to walk with a prosthesis. The tool reported on in this article provides information that can guide prosthetic prescription and rehabilitation goals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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