Cultural Appropriate Rehabilitation Within the Environmental Context of a Third World Country

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  • shows that therapists must go furthersince active elbow flexion in this pa-thology is not described.

    The study consisted of four semi-

    in the study. The transcultural

    nursing technique involved four es-sential phases; phase one: observa-tion and active listening; phase two:

    graphic study indicated that factorssuch as religion, economy, technology

    tain, accommodate, negotiate, and

    Purpose: In the realm of HandTherapy, hands are often viewedfrom only an anatomical, physiolog-

    active group activity, will introduceparticipants to the main concepts ofthis presentation. Implications forstructured family interviews of chil-dren with hand burns and orCerebral Palsy coupled with obser-vations of their children in therapy,plus four semi-structured interviewsof health care workers at a hospital inZambia and Kenya. The author chosethe ethnographic transcultural nurs-ing method for her study because itrequired the collecting of data by anaturalistic and emic mode in orderto arrive at a therapeutic approachthat would be consistent with theculture. Participants were asked tosign a consent form. An interpreterwas provided prior to participatingOBJECTIVES

    1. Report the result of a caseand reaffirm the importanceof early and global interven-tion on the treatment ofarthrogryposis.

    2. Bring todiscussion the earlyuseof splints onArthrogryposisnotonly for correcting deformities,but also as a modality that caninterfere in contraction, im-provement of muscle functionand on cortical representation.


    Lydia L. Christesen, UnitedStates of America

    Purpose: The purpose of this eth-nographic study was to discoverwhether the therapeutic approachesfrequently utilized by westerntrained therapists would be appro-priate for children and their familiesin developing countries. The studywas designed around the tenets of theTranscultural Nursing ResearchModel.

    Methods: The study was a quali-tative ethnographic research study.then repattern or restructure the in-dividuals therapeutic needs accord-ing to his/her cultural worldview.

    Relevance: The study provides acomplimentary approach to adaptinghand therapy protocols when work-ing in a developing country wherelimitations of resources and culturaldifferences could impact the thera-pists goal of optimum hand functionfor the client.


    1. The therapist will be able toidentify reasons for culturalappropriate hand therapy.

    2. The therapist will be able toapply the transcultural nurs-ing model when working in adeveloping country.


    Susan Hannah, Toronto WesternHospital, Susan Mulholland,Canadaand social structure play a significantpart in the design of an appropriatecultural therapy program for those ina developing country.

    Conclusions: Utilization of thetranscultural nursing model for de-veloping an appropriate therapy pro-gram allowed the therapist todevelop a treatment plan that pro-vides the ability to preserve, main-observation with minimal participa-tion; phase three: semi-structuredopen-ended questions developed bythe researcher with in the context ofthe transcultural nursing sunrisemodel, and phase four: reflectionand reconfirmation of the study torecheck the findings with two generalinformants who are health careworkers at the hospital.

    Results: Results of the ethno-practice, including methods of as-sessment and intervention, will bediscussed. A detailed reference listwill be included.

    Results: Concepts, assessmentsand intervention strategies to ensurea more holistic approach to handtherapy will be presented.

    Conclusions: It is critical to con-sider the meaning(s) associated withhands in order to ensure holistic andculturally sensitive hand therapypractice.

    Relevance: Hand Therapists canbenefit from understanding howthe meaning(s) ascribed to handsfrom individual and world perspec-tives impact recovery following ahand injury. Assessments andintervention strategies will bepresented.


    1. To expand participants un-derstanding of the meaning(s) ascribed to hands fromindividual and worldperspectives.

    2. To understand how thesemeanings influence recoveryfollowing a hand injury.

    3. Participants will be introducedto concepts, assessments andstrategies to ensure a more ho-listic approach to handtherapy.

    OctoberDecember 2010 e21ical, or ethnocentric perspective.Hands are critical for enabling peopleto engage in healthy occupations,however how these activities areperformed, and the meaning(s) as-cribed to the way hands are usedvaries within cultures and individ-uals. A broader view of these mean-ings can inform the practice of handtherapy and ensure a more holisticapproach to recovery. Methods ofassessment and intervention will bediscussed.

    Methods: A stimulating visualpresentation of photo images fromaround the world, and a short inter-