The use of the ICAM Splint Programme in Zone IV to VII Extensor Tendon Repairs: Patient outcomes and clinician experiences in a specialised hand unit in SA

Mottay, Nicole D; Govender, Pragashnie; Mpanza, December Mandlenkosi

doi:10.17159/2310-3833/2020/vol50no2a4

Cited by 8 publications

(12 citation statements)

References 25 publications

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“…This also allowed the preservation of the patients' finance and time. South African studies 7,17,26 discuss financial constraints of patients as a concern for the continuation of care, corroborating this finding. South African health care users may prioritise earning an income over attending multiple appointments as the financial strain associated with having an upper limb injury is significant 15 .…”

Section: Discussionmentioning

confidence: 56%

“…The traumatic nature of injuries for which patients receive occupational therapy in South Africa, as discussed by other authors 5-7,16-18 may account for this high prevalence of wounds. Additionally, occupational therapy frequently commences within the first few days of surgery or injury, as highlighted in local studies 6,7 , which may contribute to the frequency of encountering wounds.…”

Section: Discussionmentioning

confidence: 99%

“…ries and conditions, implying that this area of practice is viewed as part of holistic care 6,7,[8][9][10][11][12][13] . A practice analysis survey conducted in 2014 investigated contemporary upper limb rehabilitation practices of hand therapists, with a particular interest in wound management 2 .…”

Section: Research Articlementioning

confidence: 99%

“…In South Africa, high rates of interpersonal violence and road accidents (when compared to global statistics 14 ), are reported to contribute to a higher incidence of hand injuries 15 . Moreover, the high rates of work-related hand injuries amongst workers who engage in manual labour, the traumatic injuries seen within South African state hospitals 16,17 together with patients presenting to occupational therapy with firework injuries 6 and tendon injuries 5,7,18 imply a high prevalence of hand injuries with wounds. Wounds may include, amongst others, abrasions, bites, surgical wounds and traumatic wounds 1 .…”

Section: Prevalence Of Wounds In Hand Injuries In South Africamentioning

confidence: 99%

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Examining Wound Management in Hand Therapy within the South African Context

Esterhuizen¹,

Naidoo

Govender

2021

S. Afr. j. occup. ther.

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BACKGROUND: Internationally, it is within occupational therapists' scope of practice to provide interventions for the prevention of wounds, amelioration of wounds and to address occupational dysfunction resulting from wounds. In South Africa, however, the role of occupational therapy in wound management in hand therapy is unclear AIM: This study aimed to describe current wound management practices and views of occupational therapists on their perceived role and preparedness for providing wound management to hand injured patients in South Africa METHOD: A cross-sectional survey was administered with a sample of 106 participants via non-probability convenience sampling. Frequencies and percentages are presented for quantitative data analysed with descriptive statistics. Open-ended responses were analysed via inductive thematic analysis RESULTS: Findings indicated a high prevalence of wounds in patients with hand injuries. Occupational therapists in South Africa have reported experiencing a high demand for involvement in wound management interventions. The identified role of occupational therapists includes providing interventions for the amelioration of wounds and addressing occupational dysfunction resulting from wounds, amongst others CONCLUSION: Improved guidance on the role and scope of occupational therapy in wound management is required. This is a need within the South African context due to the high prevalence of wounds in populations of hand injured patients that occupational therapists serve Keywords: wound management, hand therapy, occupational therapy, International Classification of Functioning, Disability and Health.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Research Articlementioning

confidence: 99%

Section: Prevalence Of Wounds In Hand Injuries In South Africamentioning

confidence: 99%

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Examining Wound Management in Hand Therapy within the South African Context

Esterhuizen¹,

Naidoo

Govender

2021

S. Afr. j. occup. ther.

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“…Violence is a significant public health problem in South Africa. It has been reported that 69% (n=75) of extensor tendon injuries of the hand in KwaZulu-Natal were the result of violence 1 . In the South African context, occupational therapists are faced with a homicide rate that is 5.7 times the global average 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Prevention and intervention for victims of violence in occupational therapy

Young¹

2021

S. Afr. j. occup. ther.

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South Africa has one of the highest rates of violent crime in the world resulting in a significant public health concern. The adverse effects are not limited to death and physical injury, but also include numerous other issues which are of immediate concern to occupational therapists, such as depression, anxiety and occupational disabilities. These are risk factors for substance abuse, relationship difficulties and unsafe sexual practices. Intergenerational effects occur when children witness or experience violence and a cycle of violence is established. Yet, occupational therapists contributing to the South African Journal of Occupational Therapy, South African Society of Hand Therapists and the 2018 World Federation of Occupational Therapy congress do not appear to have prioritised this topic. Occupational therapists have been called to address the social determinants of health, to rethink their roles, to become activists and to promote justice. This opinion piece serves as a stepping-stone to further encourage South African occupational therapists to consider a turnaround (pivot) and to face the challenge of becoming leaders in the Prevention and Intervention for victims of Violence in Occupational Therapy (PIVOT).

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“It was like a bad dream”: Making sense of violent hand amputation and replantation in South Africa

Young¹,

Govender²,

Naidoo³

2023

Journal of Hand Therapy

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Background: South Africa is faced with one of the highest rates of violent crime in the world. Accordingly, therapists treat high numbers of deliberate hand injuries. There is, however, a paucity of literature exploring the lived experiences of these survivors. Purpose: The aim of this study was to describe and interpret the meaning of living through a violent hand amputation and replantation, the impact on occupational adaptation and to reflect on therapeutic intervention, within the context of South Africa. Study Design: An exploratory embedded single case study using a qualitative approach. Methods: Interpretative phenomenological analysis was used to analyze data from: 8 interviews with the primary participant, over a period of 33 months; an interview with his work colleague; interviews with 5 health professionals; a review of the occupational therapy rehabilitation file and a review of the audiovisuals, recorded over 2-years. Results: This narrative reveals a man who understood his terrifying assault to be part of a southern African ritual of spiritual origin -using human body parts for traditional medicine (muti crime) or witchcraft. He perceived his expensive hand replantation and therapy as surreal and violence as normal. Challenges highlighted the importance of being attentive to the psychosocial sequelae of violence; and the most valuable part of therapy was perceived as occupational engagement. Conclusions: The perception of attempted muti murder situates this extreme and unusual case study as a novel contribution to the medical and rehabilitation literature. South African therapists are urged to be actively involved in changing the culture of violence, and hand therapists are reminded of the importance of applying holistic and occupation-based intervention.

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The use of the ICAM Splint Programme in Zone IV to VII Extensor Tendon Repairs: Patient outcomes and clinician experiences in a specialised hand unit in SA

Cited by 8 publications

References 25 publications

Examining Wound Management in Hand Therapy within the South African Context

Examining Wound Management in Hand Therapy within the South African Context

Prevention and intervention for victims of violence in occupational therapy

“It was like a bad dream”: Making sense of violent hand amputation and replantation in South Africa

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