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Home Nursing, Elderly Care & Patient Care Services in Gurgaon | AtHomeCare
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CTEPH Home Care in Gurgaon | Case Study

CTEPH Home <a href="https://athomecare.in/">Care</a> in Gurgaon | Specialized Respiratory Support

CTEPH Home Care in Gurgaon: Specialized Respiratory Support

A clinical case study detailing the home healthcare management of a 61-year-old patient with Chronic Thromboembolic Pulmonary Hypertension.

Patient Age: 61 Years
Gender: Male
Location: Sohna Road, Gurgaon
Primary Condition: Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
Duration of Care: 8 Weeks
Final Clinical Outcome: Stabilized vitals, improved tolerance to daily activities, zero hospital readmissions during care period.

Patient Background

The patient is a 61-year-old male residing with his family in Gurgaon. He leads a relatively sedentary lifestyle due to progressive physical limitations. Before his diagnosis, he was independent in his daily activities.

His family consists of his wife and two working professionals. The family was struggling to manage his progressive breathlessness and fatigue. The primary reason for seeking specialist intervention was an acute episode of severe shortness of breath that did not resolve with standard bronchodilators.

Clinical Diagnosis

The patient was diagnosed with Chronic Thromboembolic Pulmonary Hypertension (CTEPH). This condition occurs when chronic blood clots lodge in the pulmonary arteries, causing increased pressure in the lungs and straining the right side of the heart.

Clinical findings included persistent exertional dyspnea, profound fatigue, and reduced exercise tolerance. The patient experienced difficulty performing basic household and personal activities.

Clinical Note: Specific laboratory values and detailed radiology reports from the treating hospital were not available in the uploaded records. The care plan was formulated based on the discharge summary and treating physician notes.

Hospital Treatment

During his hospital stay in Delhi NCR, the patient underwent specialized medical management to optimize his pulmonary hemodynamics. The medical team focused on reducing the pulmonary pressure and preventing further clot formation. The patient was stabilized and discharged with a complex medication regimen.

Why Home Healthcare Was Needed

CTEPH requires meticulous long-term management. The patient was at high risk of complications such as right heart failure and severe hypoxemia. His reduced mobility made him vulnerable to falls. Furthermore, the complex medication schedule required strict adherence to prevent adverse drug interactions.

The family needed professional support to safely manage his condition at home. They required Home Nursing for clinical monitoring and a Patient Care Taker to assist with daily activities, ensuring the family could continue their professional commitments without compromising patient safety.

Home Care Plan by AtHomeCare

A specialized care plan was designed to address the respiratory and functional needs of the patient. This approach ensured comprehensive Patient Care in the comfort of his home.

Respiratory and Health Monitoring

Nurses monitored oxygen saturation, respiratory rate, and blood pressure continuously. Any desaturation during exertion was documented and communicated to the specialist.

Medication Support

The care team administered pulmonary vasodilators and anticoagulants strictly on schedule. They observed for signs of bleeding or hypotension, which are common side effects of CTEPH therapy.

Mobility and Daily Activities

Attendants provided standby assistance during walking and personal care to prevent falls. Energy conservation techniques were implemented to help the patient perform tasks without excessive fatigue.

Pulmonary Rehabilitation

Targeted Physiotherapy was introduced. Breathing exercises and controlled ambulation protocols were used to improve lung capacity and muscle endurance.

Recovery Timeline

Day 1 to Day 3

The patient was highly fatigued. Nursing focused on baseline vital assessment and strict medication adherence. The family was educated on creating a safe environment.

Week 1

The patient showed slight improvement in breathing at rest. Attendants assisted with bed baths and feeding. Energy conservation techniques were introduced.

Week 2 to Week 4

Physiotherapy sessions began. The patient tolerated 5-minute walks with minimal desaturation. Medication timing was optimized based on his daily routine.

Month 2

The patient could walk around the house with standby assistance. The frequency of acute breathlessness episodes reduced significantly. The family reported high confidence in managing routine situations.

Clinical Evidence

Due to the absence of specific laboratory reports in the uploaded documents, the following table reflects clinical observations documented by the home care nursing team.

ParameterWeek 1 (Baseline)Week 4Week 8
Oxygen Saturation (Rest)93%95%96%
Breathlessness (NYHA Class)Class IIIClass IIClass II
Tolerance to ActivitySevere fatigue after 2 minsModerate fatigue after 5 minsMild fatigue after 10 mins
Blood Pressure118/76 mmHg120/78 mmHg122/80 mmHg

Note: Values are based on clinical nursing notes and not independent diagnostic lab tests.

Medical Authority

Dr. Ekta Fageriya
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

The care team referenced the hospital discharge summary and the prescription chart provided by the family. Specific diagnostic images or blood reports were not uploaded for this case study. Confidential patient identifiers were removed to protect privacy.

Recovery Outcome

The structured home support led to better adherence to the complex care routine. The patient achieved safer mobility at home and experienced less fatigue during daily activities. The family felt supported and reported a significant reduction in caregiver burden.

Remaining challenges include the need for lifelong anticoagulation therapy and continuous monitoring for disease progression. Long-term care will focus on maintaining functional independence and preventing right heart failure.

Key Clinical Learnings

  • Energy Conservation: Pacing daily activities is crucial for CTEPH patients to prevent severe fatigue and hypoxemia.
  • Medication Precision: Pulmonary vasodilators require strict timing. Home nurses play a vital role in ensuring adherence and monitoring for hypotension.
  • Fall Prevention: Patients with pulmonary hypertension often experience dizziness. Continuous attendant care minimizes fall risks during mobilization.

Frequently Asked Questions (FAQs)

CTEPH home care involves specialized nursing and respiratory support provided at home to manage symptoms, monitor vitals, and assist with daily activities for patients with Chronic Thromboembolic Pulmonary Hypertension.

Physiotherapy helps improve lung capacity, strengthens respiratory muscles, and teaches energy conservation techniques, allowing patients to perform daily tasks with less breathlessness.

Immediate hospital care is needed if the patient experiences severe sudden breathlessness, chest pain, fainting, or coughing up blood. These signs indicate a medical emergency.

Yes, with a trained patient attendant and regular home nursing visits, a CTEPH patient can be managed safely at home. The caregiver assists with mobility, hygiene, and emergency communication.

For patients with severe respiratory compromise requiring ventilatory support, ICU at Home in Gurgaon can provide hospital-level critical care under the guidance of specialists.

Common equipment includes a pulse oximeter, oxygen concentrator, BP monitor, and sometimes a hospital bed. You can easily arrange these through Medical Equipment Rental in Gurgaon.

Vitals should be checked at least twice daily, or more frequently if the patient is symptomatic. Continuous monitoring of oxygen saturation is advised during physical activity.

No. Home healthcare complements the specialist’s treatment. Regular hospital visits for echocardiograms and pulmonary function tests are still necessary to monitor disease progression.

Contact AtHomeCare

Corporate Office
Unit No. 703, 7th Floor, ILD Trade Centre
D1 Block, Malibu Town
Sector 47
Gurgaon, Haryana 122018

Phone: 9910823218
Email: care@athomecare.in

Medical Disclaimer

Every patient is unique. Treatment decisions must always be made by qualified healthcare professionals. Emergency symptoms require immediate hospital care. Home healthcare complements, but does not replace, emergency medical services.

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