Patient Details
Name: Abhishek Patnaik (Name changed for confidentiality)
Age: 86
Gender: Male
Residence: Ranchi, Jharkhand
Name: Sarla Devi (Name changed for confidentiality)
Age: 76
Gender: Female
Residence: Ranchi, Jharkhand
Medical History and Background
Abhishek Patnaik and his wife, Sarla Devi, are elderly residents of Ranchi, Jharkhand. They faced significant stress recently due to Mr. Patnaik’s stroke, which was compounded by the geographical separation from their children. Their eldest son resides in Mumbai, their daughter is studying in Pune, and their youngest son lives and works in the USA.
Concerned for their parent’s health, the children contacted a pan-Indian geriatric home healthcare company for assistance with medical consultation and regular checkups. in collaboration with Ayurdad, the company arranged comprehensive at-home healthcare services for the elderly couple in Ranchi, Jharkhand.
Initial Assessment
During the first home visit:
Abhishek Patnaik
- Medical Conditions:
- Uncontrolled hypertension
- Uncontrolled diabetes
- Recent stroke
Sarla Devi
- Medical Conditions:
- Uncontrolled hypertension
- Uncontrolled diabetes
- Bilateral knee pain
- Low back pain radiating to the bilateral lower limbs
- Tingling sensation in the lower limbs
Physical Examination
- Mr. Patnaik: Elevated blood pressure, high blood glucose levels, signs of recent stroke recovery.
- Mrs. Devi: Elevated blood pressure, high blood glucose levels, joint pain, lumbar spine tenderness, reduced lower limb sensation.
Management Plan
Dr. Judhajit Roy Choudhury, partner and co-founder of Ayudad, took charge of their case. The management plan included:
- Regular Home Visits:
- Routine checkups
- Monitoring blood pressure and blood glucose levels
- Evaluation of stroke recovery for Mr. Patnaik
- Assessment of pain and neurological symptoms for Mrs. Devi
- Medications:
- Antihypertensives for both patients
- Antidiabetics for both patients
- Pain management for Mrs. Devi’s knee and back pain
- Neuroprotective agents for Mr. Patnaik’s post-stroke care
- Physiotherapy:
- Physiotherapy sessions arranged through Ayudad’s Associate Physiotherapist, Dr. Mukund, focusing on:
- Pain relief and mobility improvement for Mrs. Devi’s knee and back issues
- Strengthening exercises to improve overall physical function
- Lifestyle Modifications:
- Dietary adjustments to manage diabetes and hypertension
- Encouragement of mild physical activity as tolerated
- Stress reduction techniques for both patients
Follow-Up and Outcome
Through consecutive and regular home visits, both patients showed gradual improvement. The close monitoring and tailored management plan were effective in controlling their hypertension and diabetes. Physiotherapy sessions significantly reduced Mrs. Devi’s pain and improved her mobility.
Final Assessment
On the last visit:
- Mr. Patnaik:
- Blood pressure and blood glucose levels were well-controlled.
- Showed significant recovery from the stroke.
- Mrs. Devi:
- Reduced knee and back pain.
- Improved mobility and decreased tingling sensation in the lower limbs.
- Better blood pressure and glucose control.
Both patients were in much better health and reported improved overall well-being.
Conclusion
The coordinated effort between Ayudad and the pan-Indian healthcare company provided comprehensive and effective at-home healthcare support for Abhishek Patnaik and Sarla Devi. The combination of at-home medical management, physiotherapy, and regular monitoring led to significant improvements in their health conditions. The involvement of their children and our professional healthcare team was crucial in achieving these positive outcomes.
Confidentiality Notice: The patients’ names have been changed to maintain confidentiality.
Sustaining Life 