Scleroderma Home Care in Delhi: A Clinical Case Study

Patient Background

Mrs. Kavita Mehra (name changed for privacy) is a 52-year-old former school teacher living in South Delhi. She lives with her husband, who is her primary caregiver. Before her diagnosis, she led an active lifestyle, managing her household and engaging in community activities.

Her medical history revealed early signs of Raynaud’s phenomenon several years prior, which was managed during winter. Over the last year, she developed progressive skin thickening on her hands and face, coupled with significant fatigue and joint discomfort. These symptoms gradually impacted her ability to grip objects, dress independently, and maintain her endurance throughout the day.

As her condition progressed, her husband found it increasingly difficult to manage her daily needs, monitor her complex medication schedule, and ensure her safety at home. The family realized they needed professional patient care services in Delhi to help manage her functional decline safely.

Clinical Diagnosis

Mrs. Mehra was evaluated by a rheumatologist after her symptoms worsened. The clinical evaluation revealed thickened skin on the digits (sclerodactyly) and facial skin tightening. She also reported occasional heartburn and difficulty swallowing, indicating possible gastrointestinal involvement.

Scleroderma is an autoimmune connective tissue disease characterized by excessive collagen deposition, causing skin hardening and potential internal organ involvement. Because there is no cure, treatment focuses on symptom management, preventing complications, and maintaining functional ability. The physician prescribed immunosuppressants, vasodilators for Raynaud’s, and proton pump inhibitors for gastric reflux.

Hospital Treatment and Discharge

Mrs. Mehra was managed on an outpatient basis. She did not require hospital admission for the primary diagnosis. Her treatment plan was established during her clinic visits to the rheumatology department in Delhi.

The medical team emphasized that strict medication adherence and physical therapy were critical to prevent joint contractures and maintain hand function. The doctors advised engaging specialized home healthcare to monitor her response to immunosuppressive therapy and to assist with her daily activities safely.

Why Scleroderma Home Care in Delhi Was Needed

Systemic sclerosis presents unique daily challenges. Mrs. Mehra experienced severe fatigue, making it difficult to complete basic household tasks. Her reduced hand mobility meant she struggled with buttons, opening bottles, and maintaining personal hygiene independently.

Furthermore, immunosuppressive therapy lowers immunity, making strict infection control vital. Her husband needed education on managing Raynaud’s episodes and preventing digital ulcers. There was also a risk of aspiration due to gastrointestinal reflux.

Professional home nursing was clinically necessary to provide a safe environment, ensure medication compliance, monitor for early signs of organ involvement, and relieve the physical and emotional burden on her husband.

Home Care Plan by AtHomeCare

AtHomeCare developed a comprehensive care plan in coordination with Mrs. Mehra’s rheumatologist. The objective was to preserve her independence, manage symptoms, and prevent complications.

• Personal Care Assistance: A trained patient care taker was assigned to help her with morning routines, dressing, and grooming. The caretaker used adaptive techniques to respect her autonomy while providing necessary physical support.
• Medication Management: Home nurses ensured her complex schedule of immunosuppressants, vasodilators, and antacids was strictly followed. They monitored for any adverse drug reactions.
• Physiotherapy Support: A specialist from our physiotherapy at home in Delhi team visited twice a week. The sessions focused on range-of-motion exercises to prevent joint contractures, facial exercises to maintain mouth mobility, and energy conservation techniques.
• Nutrition and Hydration: The care team prepared small, frequent, soft meals to accommodate her swallowing difficulties and reduce reflux. They ensured she remained adequately hydrated.
• Infection Prevention: Strict hand hygiene and environmental sanitation protocols were implemented to protect her from respiratory and urinary infections while on immunosuppressants.
• Skin Integrity Monitoring: Nurses regularly checked her hands and feet for digital ulcers, a common and painful complication of scleroderma, ensuring early intervention if any breakdown occurred.

Recovery Timeline

Clinical Evidence and Functional Progress

The following observational metrics were documented by the home care team over three months. Medical data from the treating rheumatologist remains confidential and was used only to guide the care plan.

Medical Authority

Dr. Ekta Fageriya, MBBS

RMC Registration No.: 44780

Specialization: Geriatric Medicine

Clinical Experience: 7 Years

Treating Doctor Details

Recovery Outcome

With consistent Scleroderma Home Care in Delhi, Mrs. Mehra achieved a stable and manageable daily routine. Her fatigue decreased significantly, and she regained the ability to perform most daily activities using adaptive equipment. The structured care prevented the formation of new digital ulcers and effectively managed her gastric reflux.

Her husband reported a substantial reduction in caregiver stress, knowing that clinical professionals were monitoring her condition. While scleroderma is a chronic condition, the home care intervention successfully improved her quality of life and functional independence.

Remaining Challenges: The patient will require lifelong medical management. Continued physiotherapy is essential to prevent joint contractures. The family must remain vigilant for any signs of pulmonary or cardiac involvement.

Key Clinical Learnings

Comprehensive Home Healthcare Services in Delhi NCR

AtHomeCare provides specialized clinical support across Delhi and the wider NCR region. Whether you need dedicated home nursing for complex autoimmune conditions, a compassionate patient care taker for daily assistance, or physiotherapy at home in Delhi to maintain joint function, our team follows strict clinical protocols. Families across South Delhi, New Delhi, and Gurgaon trust our patient care services for evidence-based support.