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  1. Article ; Online: Acute burns of the hands - physiotherapy perspective.

    Dunpath, Tanuja / Chetty, Verusia / Van Der Reyden, Dain

    African health sciences

    2016  Volume 16, Issue 1, Page(s) 266–275

    Abstract: Background: Acute burns of the hands are complex and may impact on various aspects of a person's life. Physiotherapy rehabilitation and restoration of hand function is critical for the patient's independence and re-integration into society.: Purpose: ...

    Abstract Background: Acute burns of the hands are complex and may impact on various aspects of a person's life. Physiotherapy rehabilitation and restoration of hand function is critical for the patient's independence and re-integration into society.
    Purpose: This study aimed to explore the perceptions and experiences of physiotherapists in the management of patients with their hand burn injuries.
    Method: Five focus groups consisting of physiotherapists and physiotherapy assistants working with burn injured patients from each of the five selected public hospitals in KwaZulu-Natal were recruited. An explorative qualitative approach was adopted.
    Results: Physiotherapists emphasised that the acute management of the hand was trivialised due to a primary focus on the survival of the burn sufferer. Therapists identified several factors that determined the patients' level of participation and motivation in therapy one of which was the procedural pain experienced. The role of the therapists' within the rehabilitation framework was found to be critical to their recovery however there appeared to be a breakdown in the collaboration and communication among health care professionals to the detriment of effective intervention.
    Conclusion: A multidisciplinary team approach is the foundation in the management of acute burn injuries and during the trajectory of the trauma care continuum.
    MeSH term(s) Adult ; Burns/rehabilitation ; Cicatrix/psychology ; Female ; Focus Groups ; Hand Injuries/rehabilitation ; Humans ; Male ; Middle Aged ; Motivation ; Patient Care Team ; Patient Compliance/psychology ; Patient Participation ; Perception ; Physical Therapists/psychology ; Pilot Projects ; Professional Role/psychology ; Qualitative Research ; South Africa
    Language English
    Publishing date 2016-03
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v16i1.35
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The experience of acute burns of the hand - patients perspectives.

    Dunpath, Tanuja / Chetty, Verusia / Van Der Reyden, Dain

    Disability and rehabilitation

    2015  Volume 37, Issue 10, Page(s) 892–898

    Abstract: Purpose: This study endeavoured to explore the experiences of adult patients with acute burns of the hand in order to gain insight and understanding the effects of the burn injury on their participation in rehabilitation.: Method: A qualitative study ...

    Abstract Purpose: This study endeavoured to explore the experiences of adult patients with acute burns of the hand in order to gain insight and understanding the effects of the burn injury on their participation in rehabilitation.
    Method: A qualitative study design that adopted an explorative and interpretive phenomenological approach was employed, using the International Classification of Function, Disability and Health (ICF) as a conceptual framework. Five participants with acute hand burn injuries were recruited from five public hospitals in KwaZulu-Natal to participate in an in-depth semi structured interview.
    Results: The results revealed that some of the most significant components of the burn experience included the trauma of the incident, fear of the pain during therapy, stigmatisation as well as, more positively, personal growth as a result of overcoming physical limitations and achieving independence in their activities of daily living.
    Conclusion: This study showed that a holistic approach, in which the physical, psychosocial and emotional needs of the individual were addressed, was paramount to the patients' experience of therapy, recovery and future outlook. It emphasised the need for early psychological intervention and the value of providing an understanding and empathetic approach in addressing the needs and expectations of the patient.
    MeSH term(s) Activities of Daily Living ; Adult ; Burns/rehabilitation ; Disabled Persons/psychology ; Disabled Persons/rehabilitation ; Hand Injuries/rehabilitation ; Humans ; International Classification of Functioning, Disability and Health ; Male ; Pain ; Qualitative Research ; Social Stigma ; South Africa ; Young Adult
    Language English
    Publishing date 2015
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.3109/09638288.2014.948129
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Satisfaction and adherence of patients with amputations to physiotherapy service at public hospitals in KwaZulu-Natal, South Africa.

    Verusia, Chetty / Tanuja, Dunpath / Simira, Meghnath / Sarisha, Mothalal / Varuna, Sewmungal / Ursula, Kunene / Thalente, Ntshakala

    African health sciences

    2015  Volume 15, Issue 2, Page(s) 450–456

    Abstract: Background: Individuals who have undergone a lower limb amputation require comprehensive rehabilitation from the multidisciplinary team to ensure optimal treatment outcomes and social integration. Physiotherapists play a pivotal role within the ... ...

    Abstract Background: Individuals who have undergone a lower limb amputation require comprehensive rehabilitation from the multidisciplinary team to ensure optimal treatment outcomes and social integration. Physiotherapists play a pivotal role within the multidisciplinary team and offer patients physical and psychosocial rehabilitative care. Determining patients' satisfaction levels and exploring factors affecting adherence to physiotherapy interventions can inform practice and improve service delivery of rehabilitation within resource poor settings such as South Africa.
    Objectives: To determine the level of satisfaction with physiotherapy services rendered to acute and sub-acute in-patients with lower limb amputations and to explore factors affecting adherence to physiotherapy intervention.
    Methods: A prospective survey of 35 patients with lower limb amputations from four public hospitals in South Africa was undertaken. A modified version of the Hampstead rehabilitation centre patient satisfaction questionnaire was utilised.
    Results: Majority of participants were satisfied with the physiotherapy services whilst a few reported dissatisfaction. Three themes emerged whilst exploring the patients' experience relating to adherence to physiotherapy programmes. Themes included service delivery, patient-therapist interaction and participation barriers and facilitators.
    Conclusion: Recommendations aimed to improve quality of care and healthcare outcomes thereby enhancing the participants' adherence to the physiotherapy programme.
    MeSH term(s) Amputation ; Amputees/rehabilitation ; Cross-Sectional Studies ; Hospitals, Public ; Humans ; Patient Compliance ; Patient Satisfaction/statistics & numerical data ; Personal Satisfaction ; Physical Therapists ; Physical Therapy Modalities/psychology ; Prospective Studies ; South Africa ; Surveys and Questionnaires ; Treatment Outcome
    Language English
    Publishing date 2015-06
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v15i2.19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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