Multiple Sclerosis Care at Home in Greater Noida: Personalised Nursing and Daily Living Support

Patient Background

The patient is a 52-year-old individual residing in Greater Noida. Before the progression of their condition, they led an active lifestyle and managed their household independently. Over the past year, they began experiencing significant fatigue, balance difficulties, and reduced mobility.

The patient lives with their spouse, who took on the primary role of caregiver. However, as the symptoms fluctuated and mobility declined, the spouse found it increasingly difficult to manage daily tasks safely. The family sought professional assistance to prevent falls, ensure personal care was maintained, and allow the primary caregiver to rest.

Clinical Diagnosis and Assessment

Primary Diagnosis: Multiple sclerosis (MS), a neurological condition that can affect movement, coordination, sensation, and daily functioning.

During the initial home care assessment, the patient was medically stable but experiencing an exacerbation of fatigue and balance concerns. They had difficulty completing some daily tasks without assistance and required supervision during transfers and walking.

Hospital Treatment

The patient did not require acute hospitalisation at the time of care initiation. They were under the regular outpatient care of a neurologist. During a recent medical evaluation, the treating clinician reviewed the patient’s symptoms, mobility limitations, and ongoing treatment requirements.

The clinician recognized that the patient’s home environment needed adaptation to support their changing abilities. The goal was to maintain the patient at home safely, avoiding hospital admissions for preventable complications like falls.

Why Home Healthcare Was Needed

Multiple sclerosis presents unpredictable symptoms. Fatigue can be overwhelming, and balance issues increase the risk of falls. Home care provided a familiar environment, which reduced the cognitive and physical stress of traveling for routine care.

The family needed professional support to manage daily activities safely. Professional home nursing ensured that the patient followed their prescribed care plan, while an attendant handled the physical demands of daily living. This dual approach provided family caregiver support and improved the patient’s quality of life.

Home Care Plan by AtHomeCare

The care plan was designed to address the specific challenges of MS, focusing on energy conservation, fall prevention, and medical monitoring.

Risks Being Monitored

Recovery and Care Timeline

The timeline below illustrates the patient’s progress over 12 weeks of structured home support.

Clinical Evidence and Functional Status

The following table outlines the patient’s functional assessment. No specific laboratory values are presented as the focus was on functional and supportive care.

Medical Authority

Dr. Ekta Fageriya, MBBS

RMC Registration No: 44780

Specialization: Geriatric Medicine

Clinical Experience: 7 Years

Treating Doctor Details

Qualification:

Hospital:

Medical Registration:

Clinical Comments:

Future Recommendations:

Supporting Clinical Documents

In a standard clinical setting, the following documents would be referenced to support this case study:

• Neurologist’s outpatient evaluation notes and prescription records.
• Initial home nursing assessment and care plan documentation.
• Physiotherapy assessment reports detailing mobility limitations.
• Daily nursing logs tracking fatigue levels and functional progress.
• Caregiver handover notes documenting family education sessions.

Recovery Outcome (After 12 Weeks)

In this illustrative scenario, consistent care helped improve daily routine management, home safety, and caregiver confidence. The patient experienced fewer near-falls due to the implementation of safety equipment and standby assistance.

While the underlying multiple sclerosis remained, the patient’s quality of life improved. The family felt equipped to handle daily challenges and knew exactly when to contact the treating clinician. The primary remaining challenge is adapting to the progressive nature of MS, which requires ongoing reassessment and flexible care planning.

Key Clinical Learnings

• Tailored care is essential: MS symptoms vary daily. Care plans must be flexible and tailored to the patient’s current energy levels and mobility.
• Fatigue management: Pacing daily activities and scheduling rest breaks is as important as physical assistance.
• Fall prevention: Environmental modifications like grab bars and clear pathways are critical to patient safety.
• Caregiver support: Professional home care prevents family caregiver burnout, allowing families to focus on emotional support rather than just physical tasks.