The experience of self of the amputee: an ecosystemic investigation

Abstract

Amputation patients have a great deal more than just physical recovery to contend with and the extent and scope of this condition is largely unknown in South Africa. Rehabilitation programmes for amputees, specifically at state institutions are characterised by lack of resources, lack of information provided to patients and the patients themselves seem to experience lack of support on an emotional and psychological level. This study investigates the experience of self of the amputation patient through a review of the literature available and from an ecosystemic-postmodernist viewpoint. In addition, guided imagery is examined as a technique that could add value to rehabilitation programmes for amputation patients. Health care professionals in two state hospitals in Pretoria were interviewed by means of semi-structured questionnaires to obtain additional information on current rehabilitation programmes as well as the experience of the amputation and the subsequent process for the amputee. Themes extracted from these questionnaires were used to design a suggested rehabilitation programme. This programme, based on the findings of the research, suggests certain enhancements to existing programmes and is focussed on supporting the experience of the process for the amputee through inclusion of specific guided imagery texts.