- The patient had alcoholic liver disease and was suggested liver transplantation
- He was operated for Intracranial hemorrhage –decompressive craniotomy and was kept in ICU for a month in the hospital
- He was at his early yet critical stage of recovery when HCAH provided him 24 hours ICU at home
Chandigarh, 12 June 2015: Mr Singh, a 52-year-old man, was dealing with multiple health complications including alcoholic liver disease and Intracranial hemorrhage which is caused when a blood vessel within the skull gets ruptured or leaked. His history of liver cirrhosis along with oesophageal varices, ascites, and portal hypertension in the past had complicated the case.
His condition that required liver transplantation and decompressive craniotomy, a surgical procedure that involves removal of part of the skull to accommodate brain swelling needed 24 hours ICU care post the surgery. However, after a spending a month is the ICU of the hospital, Singh wished to conduct the further recovery procedures at home.
This is when his family contacted HCAH for preparing the home for patient care and ensuring that quality of postoperative care is not compromised. Given his sensitive condition and vulnerability to infections, the patient still needed an ICU set up at home care. HealthCare at Home’s ICU at home stepped forward to professionally the patient’s support recovery process.
Healthcare at Home (HCAH), a leading home healthcare services provider, started its service for the bed-ridden man on 20 April 2015
“It was not the first time that we were providing 24 hours ICU at home to a patient, however, this time it seemed to be bit complicated as per the patient’s condition. Given the fact that we are very well equipped to provide ICU services made sure that everything went according to script. We not only created infection proof ICU-like conditions at his home, we also took care of his daily activities very closely by providing complete 24 hours nursing care, physiotherapy , dietician advise and whole infrastructutre including oxygen suction and a ICU bed at home ,” says Mr. Vivek Srivastava, CEO-HCAH.
In order to ensure proper level oxygen in the body, a surgical procedure was done to opening through the neck into the trachea, known as tracheostomy. During the initial days of the home care, he was fed via nasogastric tube, or NG tube, a special tube that carries food and medicine to the stomach.
“We left no stone unturned to give the best post surgical care to Singh. We not only took care of major things that were described on the discharge summary but also took care of the nuances. Once the oxygen administration was done, we successfully proceeded with closure of tracheostomy and maintained oral care with disinfectants and antiseptics. We not only maintained the saturation of the air in the room, we also took care of due medication. Resultantly, we noticed a visible improvement in Singh’s general condition as he had started with semi solid diet orally and was able to tolerate it well. Gradually, we also initiated with wheel chair ambulation to help move him around within his home,” says Dr Gaurav Thukral, Head Medical Services, HCAH.
We have completed more than 18 months in chd now and have had great experience in managing patients in hospital at home set ps across Punjab . we want to be the custodians of the health at home for the residents of tricity ,” says Mr Pardeep Sharma- Unit Head, HCAH.