Manguzi Hospital has a well established rehabilitation department that was started in 1970 by Pam MacLaren. The department has strong ties with the community and 30% of services are rendered as community outreach programmes.
CURRENT STAFFING:
Physiotherapy:
- one Assistant Manager (Head of Rehabilitation Department)
- two junior physiotherapists
- two community service physiotherapists
- one physiotherapy technician
Occupational Therapy:
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- one chief occupational therapist
- one assistant director occupational therapist
- one production level occupational therapist
- two community service occupational therapist
- four occupational therapy technicians
- one general assistant supervising health education, CBR and group sessions
Speech and Language Therapy:
- one junior speech and language therapist
- one community service therapist
- one general assistant helping with the High Risk Baby program
Audiology:
- two junior audiologists
- one community service audiology.
PROGRAMMES:
Screening and Prevention Programmes:
1. High Risk Baby Programme (OT)
2. School screening, assessment, support (OT, SLHT, Audio)
3. MDR TB monthly audiometry screening (audio)
Health Promotion Programmes:
1. Ante-natal clinic health education (OT)
2. Kangaroo Mother Care programme (OT, SLHT)
3. Post-natal health education (SLHT)
4. Chronic clinic health education and screening (PTT)
Support and exercise groups:
1. arthritis exercise groups(PT)
2. TB ward exercise groups (PT)
3. TB ward sewing and craft groups (OT)
4. CP stimulation and support groups (OT)
5. malnutrition and paediatric ward stimulation group (OT)
6. Concept groups and language stimulation groups for potential school candidates with learning difficulties (OT)
Intervention Programmes/Areas:
Service Areas:
1. wards (medical, surgical, paediatric, maternity, TB and MDR TB wards)
2. Outpatients (bulk of daily work for all sections concerned)
3. remote clinics (18 in total, visited once or twice monthly according to need). This also includes twice monthly wheelchair seating and repair clinics
4. Community and home visit services (a combination of clinical home visits and CBR community work)- all staff
remote clinic
These services address the following conditions/requirements:
- school assessments ad support
- orthotics and prosthetics clinic
- neurology (CP, developmental delays, head injuries, spinal cord injuries/pathologies, stroke, TB and cryptococcal meningitis, Downs Syndrome and other congenital conditions, UMNL and LMNL, myopathies and dystrophies, post-polio)
- musculoskeletal (traumatic and insidious conditions, hand injuries, orthopaedics, congenital abnormalities, CRPS)
- pulmonology (TB, asthma, COPD, abscesses, pneumo and haemothorax)
- rheumatology (OA, RA, AS, MJD)
Rehabilitation Program/Areas:
1. Home Based Care/Community Rehabilitation
2. Psychology clinic
3. Psychiatric clinic (OT)
4. Wheelchair repair workshops (all)
5. Sign language training for therapists and mothers of hearing impaired
children(audio, SLHT and OT)
6. High Risk Baby program (OT and SLHT)
7. Schools placement and support program (OT and SLHT)
8. Orthotics and Prosthetics clinic (all)
9. Kangaroo mother care and antenatal health education (OT and SLHT)
10. Concept group (OT and SLHT)
11. TB ward exercise groups and craft/skills sessions (OT and PT)
EQUIPMENT/RESOURCES:
Our department is well equipped to provide the required interventions. We may omit certain modalities from our services for reasons concerning frequency of care and aims of care. Examples of omissions include most electrotherapy modalities and wax baths: we see patients at most twice a month, and the emphasis is thus on education and advice, self management, exercises and some hands-on where indicated.
For neurological treatments we have Bobath plinths, balls, wedges, rollers, mirrors. For mobility training we have crutches, walking frames, parallel bars, standing bars, quadropods, wheelchairs, buggies, CP chairs, transfer boards and wheelchair trays and cushions.
For musculoskeletal injuries we have splinting material, strapping (elastoplast, fuxomill, leuko P and K), acupuncture needles, goniometers, reflex hammers, sensation kits, theraband, wobble mats, weights, medicine balls, volley balls, steps, exercise bicycles). We also have a range of orthoses such as wrist splints, lumbar corsets, hinged knee braces and aircasts. Insoles, moulded boots and prostheses can be ordered once a month at our orthotics/prosthetics clinic.
For pulmonology we have a portable nebulizers, a portable suction machine and a spirometer. (We make our own blowbottles.)
For paediatrics we have a wide range of educational, therapeutic and fun toys as well as chalk and black boards. We have screening tools for school assessments and developmental delays as well as a sewing machine and pressure garment material. We also have Thick ‘n Easy for swallowing and feeding assessments and a laryngeal mirror. We have a fully functional audio booth and portable screening audiometer. Unfortunately we still cannot perform ABR, nor can we source calibrated noise making toys.
We have access to a 4x4, and are working on securing a second car.
WORK HOURS:
We work Monday-Friday, 07h30-16h30. There is half an hour for tea and one hour for lunch (forfeited if you go to clinic). Weekends are your own, and there is more than enough to keep you busy here!
