Progressive Supranuclear Palsy Home Care Case Study
A detailed clinical documentation of how coordinated home healthcare, including physiotherapy, swallowing rehabilitation, fall prevention, and caregiver education, helped a 71-year-old retired college principal in Amritsar maintain mobility, safety, and quality of life after a PSP diagnosis.
Walking endurance improved from 90 meters to approximately 700 meters with supervision. Zero major fall-related injuries. No aspiration pneumonia. No hospital readmissions. Nutritionally stable with no significant weight loss.
Patient Background
Medical History and Lifestyle
Mr. Baldev Singh Chawla, a 71-year-old retired college principal, lived with his wife in Amritsar. His daughter, who lived nearby, served as the secondary caregiver. Before his neurological symptoms began, he was an active individual who managed his daily routines independently. He had been living with controlled Type 2 Diabetes Mellitus, Hypertension, Osteopenia, and Chronic Constipation, all of which were managed through regular medication and outpatient follow-up.
His role as a college principal meant he was accustomed to an intellectually engaged lifestyle. He enjoyed reading, conversing with family, and maintaining a structured daily routine. This cognitive engagement remained largely preserved even as his physical symptoms progressed, which became an important factor in planning his rehabilitation.
How Symptoms Began
Approximately two years before his hospital admission, Mr. Chawla started noticing subtle changes in his balance. He began experiencing frequent backward falls, which initially seemed like occasional clumsiness. Walking gradually became stiffer and more effortful. He found it particularly difficult to look downward when using stairs, which made navigating his home increasingly hazardous.
His wife observed additional changes over the following months. His speech had slowed noticeably. His facial expressions had reduced, making him appear less responsive than before. Routine household tasks that he once performed without difficulty became progressively more challenging. These changes were gradual enough that the family initially attributed them to normal ageing, which is a common reason for delayed diagnosis in PSP patients.
PSP shares several features with Parkinson’s disease, including stiffness, slow movement, and postural instability. However, the presence of early backward falls, vertical eye movement limitation, and axial rigidity (stiffness primarily in the trunk and neck rather than the limbs) are distinguishing features. Recognizing these differences is important because the management approach for Parkinson’s disease differs significantly from PSP care.
Reason for Hospital Admission
Over the months preceding admission, Mr. Chawla’s symptoms worsened despite medication adjustments. He developed swallowing difficulty, particularly with thin liquids, and experienced recurrent choking episodes during meals. His neck became increasingly rigid, making it difficult for him to look down at his plate while eating. The frequency of backward falls increased, and he sustained a minor head injury during one such fall. This injury prompted the family to seek hospital evaluation, leading to a 10-day admission during which the diagnosis of Progressive Supranuclear Palsy was confirmed through neurological examination and MRI brain imaging.
Clinical Diagnosis
Confirming the Diagnosis
During the 10-day hospital stay, the medical team conducted a comprehensive neurological evaluation. The diagnosis of Progressive Supranuclear Palsy was established based on clinical findings supported by MRI brain imaging. The MRI showed characteristic midbrain atrophy, which helped distinguish PSP from other parkinsonian disorders.
A Fibreoptic Endoscopic Evaluation of Swallowing (FEES) was performed to objectively assess the swallowing difficulty. This was clinically important because the patient’s choking episodes suggested aspiration risk, and understanding the exact nature of the swallowing impairment would guide dietary modifications and therapy planning after discharge.
Procedures Performed During Hospitalization
| Procedure | Clinical Purpose |
|---|---|
| MRI Brain | Identify midbrain atrophy and rule out other structural causes |
| Neurological Examination | Assess eye movements, tone, reflexes, and cognitive function |
| Swallowing Assessment (FEES) | Evaluate aspiration risk and guide dietary modification |
| Speech Therapy Evaluation | Assess dysarthria severity and plan communication strategies |
| Gait and Balance Assessment | Document fall risk level and determine mobility aid needs |
| Blood Investigations | Evaluate metabolic status, diabetes control, and overall health |
| Nutritional Assessment | Identify malnutrition risk and plan appropriate dietary support |
| Physiotherapy Evaluation | Establish baseline mobility, flexibility, and balance parameters |
Disease-Specific Neurological Assessment
Vital Signs at Discharge
| Parameter | Value | Assessment |
|---|---|---|
| Blood Pressure | 132/80 mmHg | Adequately controlled with medication |
| Heart Rate | 74 bpm | Normal sinus rhythm |
| Respiratory Rate | 18/min | Within normal range |
| Temperature | 98.3 degrees F | Afebrile |
| Oxygen Saturation | 98% (Room Air) | Normal |
Associated Medical Conditions
In addition to PSP, Mr. Chawla had four pre-existing conditions that required ongoing management alongside his neurological rehabilitation. Each of these conditions influenced the home care plan in specific ways.
Hospital Treatment Course
During the 10-day hospitalization, the treatment focused on medical stabilization, comprehensive assessment, and initiation of rehabilitation. Symptomatic neurological medications were adjusted. Swallowing rehabilitation and speech therapy were started to address the dysphagia and dysarthria. Physiotherapy was initiated to assess baseline mobility and begin fall prevention training. Occupational therapy helped evaluate the patient’s ability to perform daily activities safely.
Nutritional modification was introduced based on the FEES assessment findings. The family received initial education about the nature of PSP, the expected progression, and the importance of fall prevention. By the time of discharge, a comprehensive home healthcare plan had been developed to ensure continuity of care.
After medical stabilization, Mr. Chawla did not require acute hospital-level interventions. His vital signs were stable, and his care needs centered around rehabilitation, supervision, and safety monitoring. These needs are better met in a familiar home environment where the patient can practice functional mobility in real-life settings. Research consistently shows that post-discharge recovery at home, when clinically appropriate, reduces the risk of hospital-acquired infections and supports better functional outcomes.
Why Home Healthcare Was Needed
Several clinical factors made professional home healthcare the most appropriate care setting for Mr. Chawla after discharge. The decision was not based on convenience alone. It was driven by specific medical reasoning that aligned with his diagnosis, functional limitations, and risk profile.
High Fall Risk
PSP causes sudden backward falls due to impaired postural reflexes. Combined with osteopenia, even a minor fall could result in a fracture. Continuous supervision at home was essential to prevent falls during daily activities like walking, turning, and using the bathroom. Falls in neurodegenerative conditions require structured prevention protocols.
Aspiration Risk
The FEES assessment confirmed mild dysphagia for thin liquids. Aspiration of food or liquid into the lungs could lead to aspiration pneumonia, a leading cause of mortality in PSP patients. Home nursing was needed to monitor every meal, ensure dietary modifications were followed, and watch for warning signs. Aspiration prevention requires trained observation during and after meals.
Mobility Rehabilitation
Without regular physiotherapy, patients with PSP rapidly lose mobility due to rigidity and balance deterioration. Home-based physiotherapy allowed Mr. Chawla to practice walking in his actual living environment, which is more effective than clinic-based therapy for functional mobility goals. Physiotherapy at home in Amritsar provides consistent, environment-specific rehabilitation.
Caregiver Education and Support
The patient’s wife was the primary caregiver, but she needed practical training on safe transfer techniques, fall prevention, meal preparation according to swallowing precautions, and recognition of warning signs. Professional caregiver support and family education reduce the risk of caregiver burnout and medical errors.
Complex Medication Management
Mr. Chawla was on medications for PSP, diabetes, hypertension, and constipation. Ensuring correct timing, dosing, and monitoring for side effects or interactions required structured medication management. Medication safety in elderly home care involves careful oversight to prevent errors and interactions.
Home Safety Modifications
The patient’s home needed specific modifications to reduce fall risk and support safe daily activities. Professional assessment was needed to identify hazards, recommend equipment, and implement changes. Creating a senior-friendly home involves targeted modifications based on individual needs.
Presenting Condition After Discharge
At the time of discharge, Mr. Chawla presented with multiple active symptoms that required ongoing management. Understanding each symptom and its clinical significance helps explain why the home care plan was structured the way it was.
Functional Assessment at Discharge
| Domain | Status |
|---|---|
| Mobility | |
| Walking Distance | 90 meters with U-Step neurological walker |
| Supervision During Ambulation | Close supervision required |
| Bed Mobility | Independent |
| Chair Transfers | Minimal assistance required |
| Stair Negotiation | Unable to safely negotiate stairs |
| Activities of Daily Living | |
| Requires Assistance With | Bathing, stair climbing, outdoor walking, shopping, cooking, medication organization, transportation, meal preparation |
| Independent In | Eating modified meals, communication, decision-making, personal grooming, toileting with grab bars, reading and conversation |
The combination of backward falls, poor protective balance reactions, difficulty turning, inability to look down, and osteopenia placed Mr. Chawla in the high fall risk category. This classification meant that fall prevention was not optional but a critical safety requirement. Every aspect of the home care plan needed to account for this risk.
Home Care Plan by AtHomeCare
Each component of the plan was designed to address specific clinical needs identified during the hospital assessment.
Home Nursing
Clinical monitoring and medical oversight
A trained home nurse was assigned to provide regular clinical monitoring. The nurse’s role was not limited to basic observations. She was responsible for monitoring swallowing safety during and after meals, observing any changes in neurological status that might indicate disease progression, assessing nutritional intake and hydration status, and ensuring all medications were administered correctly and on time.
Pressure injury prevention was included in the nursing plan because reduced mobility, combined with the patient’s age and diabetes, increased the risk of skin breakdown. The nurse conducted regular skin inspections, particularly over bony prominences, and guided repositioning. The nurse also educated the family about disease progression, what changes to expect, and when to seek urgent medical attention.
Patient Attendant
Daily living assistance and continuous supervision
While the nurse provided clinical oversight, a trained patient attendant was assigned for day-to-day assistance and continuous supervision. The attendant assisted with safe walking by staying close beside the patient during all ambulation activities, supervised transfers from bed to chair and chair to standing, and provided hands-on assistance during bathing to prevent falls in the bathroom.
The attendant was trained to prepare texture-modified meals as prescribed by the speech therapist. This included thickening fluids to the recommended consistency and ensuring food textures were soft enough to be safe. The attendant also supported the patient during his daily exercise sessions, provided emotional companionship, and ensured the home environment remained free of fall hazards throughout the day.
Physiotherapy at Home
Balance, mobility, and rigidity management
Physiotherapy was a central component of the home care plan. The physiotherapist worked on improving balance through specific exercises that targeted the postural reflexes affected by PSP. Joint flexibility exercises addressed the axial rigidity in the neck and trunk, which was contributing to the patient’s stiff walking pattern and difficulty looking down.
Gait training focused on teaching the patient safer walking strategies using the U-Step neurological walker. This included practicing turning techniques, as PSP patients are particularly vulnerable to falling when changing direction. Posture correction exercises helped counteract the tendency toward a backward-leaning posture that is characteristic of PSP. Home-based physiotherapy allows for consistent, frequent sessions in the patient’s actual living environment, which improves the transfer of rehabilitation gains to daily function.
Doctor Home Visit
Medical review and care coordination
Regular doctor home visits provided medical oversight without requiring the patient to travel to a clinic, which itself carried fall risk and significant logistical effort for the family. The visiting doctor monitored neurological progression by tracking changes in balance, eye movements, speech, and swallowing function. Medications were reviewed and adjusted as needed, with particular attention to the interaction between PSP medications and the drugs prescribed for diabetes and hypertension.
The doctor also evaluated rehabilitation goals periodically to ensure the physiotherapy and speech therapy plans remained appropriate as the patient’s condition evolved. An important function of the doctor visit was coordinating with the neurologist for specialist follow-up, ensuring that hospital and home care teams remained aligned in their approach.
Medical Equipment at Home
Safety and monitoring devices
Specific equipment was arranged to support the home care plan. Each piece served a clinical purpose and was selected based on the patient’s assessed needs.
Daily Care Plan
A structured daily routine ensured that all therapeutic interventions, monitoring, and care activities were delivered consistently. The plan was designed around the patient’s energy levels and therapy requirements.
Morning Routine
- Vital signs monitoring including blood pressure, heart rate, and oxygen saturation
- Medication administration as per prescribed schedule
- Gentle stretching exercises to reduce overnight stiffness
- Supervised walking practice with neurological walker
- Swallowing exercises guided by speech therapy plan
- Soft, high-protein breakfast prepared per swallowing safety guidelines
Afternoon Routine
- Physiotherapy session focusing on balance and gait training
- Specific balance training exercises with progressive difficulty
- Speech therapy exercises for articulation and breath control
- Lunch with texture-modified diet, supervised by attendant
- Rest period to manage fatigue
Evening Routine
- Indoor supervised walking practice
- Neck flexibility exercises to reduce rigidity
- Family interaction time for emotional wellbeing
- Medication review and evening dose administration
- Hydration monitoring to ensure adequate fluid intake
Night Routine
- Light, soft-texture dinner with thickened fluids if needed
- Safe positioning in bed with appropriate supports
- Skin inspection for pressure areas
- Fall prevention checks including bed rail positioning and call bell within reach
- Sleep routine establishment
PSP patients benefit significantly from a predictable daily routine. The disease affects their ability to initiate movement and switch between tasks. A structured plan reduces cognitive load, ensures exercises and meals are not missed, and helps the patient anticipate what comes next, which reduces anxiety and improves cooperation with care activities.
Risks Being Monitored
The home care team tracked multiple risk categories throughout the 12-week period. Each risk was monitored through specific observations and interventions.
Recovery Timeline
The following timeline documents the clinical progress, interventions, and observations across the 12-week home care period. It is important to note that PSP is a progressive condition. The improvements documented below reflect better management of symptoms, improved functional adaptation, and reduced complication risk, not a reversal of the underlying disease.
Day 1: Transition from Hospital to Home
The home care team arrived at the patient’s residence before his discharge to set up the hospital bed, install grab bars, place anti-slip mats, and arrange all equipment. The home nurse received a detailed handover from the hospital nursing team, including the FEES results, medication list, physiotherapy baseline assessment, and dietary prescriptions.
The patient was anxious about being at home after his falls. The nurse spent time orienting him to the modified environment and explaining how each piece of equipment would help keep him safe.
Day 3: Establishing the Daily Routine
The structured daily plan was fully implemented. Morning vital signs showed blood pressure at 130/78 mmHg, which was within the target range for his hypertension. The first full physiotherapy session at home was conducted, focusing on gentle range-of-motion exercises for the neck and trunk, and introductory balance activities in sitting.
The patient managed to walk approximately 60 meters with close supervision and the neurological walker, which was slightly less than his hospital assessment of 90 meters. This was expected given the change in environment and early fatigue.
During breakfast, the nurse observed that the patient coughed once when drinking water. The fluid was immediately thickened per the speech therapy plan, and no further coughing occurred during the meal.
Week 1: Adaptation Phase
By the end of the first week, the patient had adapted to the daily routine. His walking distance gradually increased to approximately 100 meters per session. The physiotherapist introduced standing balance exercises with support, including weight shifting and controlled reaching movements.
Swallowing exercises were now being performed consistently twice daily. The patient showed good understanding of the exercises and could perform them with verbal cues. Meal times became more structured, with the attendant ensuring correct fluid thickness and food texture.
One near-fall occurred when the patient attempted to turn quickly without warning. The attendant was positioned close enough to catch his arm and prevent a fall. This incident was documented and used to reinforce the importance of slow, announced movements.
Week 2: Building Momentum
Walking distance increased to approximately 200 meters per session with continuous supervision. The patient reported feeling slightly more confident, particularly when using the U-Step walker, which he described as feeling more stable than the standard walker he had tried in the hospital.
Neck rigidity showed early improvement with daily stretching. The patient could now look slightly further downward, which helped during meals. The physiotherapist noted that his walking pattern remained slow and stiff but was becoming more consistent.
No choking episodes were reported during the second week, suggesting that the dietary modifications and swallowing exercises were having a positive effect. Blood sugar levels remained stable with the modified diet, which was a positive finding given the challenge of balancing diabetes nutrition with swallowing safety.
Week 4: Measurable Functional Gains
At the one-month mark, walking endurance had improved to approximately 350 meters per session. The patient could now walk from his bedroom to the living room and complete a circuit of the ground floor with supervision. Turning while walking remained challenging but had improved with specific turning practice during physiotherapy.
The speech therapist noted measurable improvement in speech clarity, although the patient still spoke slowly. Swallowing safety continued to improve, with the patient able to manage mildly thicker liquids without coughing.
Weight remained stable, which was an important indicator that nutritional intake was adequate despite the swallowing modifications. Blood pressure was consistently within the 126-134/76-82 mmHg range.
Month 2: Consolidating Progress
By the end of the second month, the patient was walking approximately 500 meters per session. His confidence had improved noticeably. He began initiating short walks within the house with the attendant, rather than waiting to be prompted. Chair transfers required less assistance, and the patient could sometimes stand from a chair with verbal cues alone.
Neck flexibility continued to improve, making eating and looking at the ground while walking easier. The physiotherapist introduced more challenging balance exercises, including standing on a compliant surface with the walker for support.
The family reported that the patient was more socially engaged, spending more time talking with his daughter and reading the newspaper. This improvement in mood and engagement was noted as a positive secondary outcome of the structured care plan.
Month 3: 12-Week Clinical Outcome
At the 12-week assessment, the patient’s walking endurance had improved from 90 meters to approximately 700 meters with continuous supervision and use of the neurological walker. This represented a significant functional gain that directly impacted his daily life, allowing him to move around his home with greater freedom.
No major fall-related injuries had occurred during the entire 12-week period. While a few minor balance losses were recorded, the attendant’s presence and the home modifications prevented these from resulting in falls.
Swallowing safety had improved substantially. Choking episodes had reduced significantly with dietary modifications and speech therapy exercises. Neck rigidity and muscle stiffness had reduced through daily physiotherapy, contributing to better posture and comfort. The patient remained nutritionally stable with no significant weight loss.
Most importantly, no aspiration pneumonia developed, and no hospital readmission was required during the 12-week period.
Clinical Evidence: Outcome Comparison
Functional Outcome Comparison: Discharge vs 12 Weeks
| Parameter | At Discharge | At 12 Weeks | Change |
|---|---|---|---|
| Walking Endurance | 90 meters | Approximately 700 meters | Significant improvement |
| Fall-Related Injuries | Recent head injury | Zero major injuries | Eliminated |
| Choking Episodes | Recurrent | Significantly reduced | Marked reduction |
| Neck Rigidity | Significant | Reduced | Improved |
| Muscle Stiffness | Significant | Reduced | Improved |
| Nutritional Status | At risk | Stable, no weight loss | Maintained |
| Transfer Confidence | Minimal assistance needed, hesitant | Improved confidence | Improved |
| Aspiration Pneumonia | Risk present | Not occurred | Prevented |
| Hospital Readmissions | N/A (just discharged) | Zero | Prevented |
Outcome Progress Indicators
Family Education Provided
The caregivers received practical, hands-on education on the following aspects of PSP care. This education was not a one-time session but an ongoing process that was reinforced throughout the 12-week period.
PSP commonly causes sudden backward falls without warning. The family was trained to stay within arm’s reach during all walking activities, even when the patient felt confident. Night-time fall risk is particularly high in neurodegenerative conditions and requires additional precautions.
Hurried movements, sudden turns, and quick position changes trigger loss of balance in PSP. The family learned to cue the patient verbally before any movement and to encourage a slow, deliberate pace for all transitions.
The wife was trained to prepare soft or texture-modified meals and to thicken fluids as recommended after the FEES assessment. Managing swallowing difficulty at home requires consistent adherence to texture recommendations. She was shown how to test fluid thickness and adjust food consistency.
The family was educated to monitor for coughing during or after meals, choking episodes, fever, breathing difficulty, or chest congestion. Any of these signs could indicate aspiration and required immediate medical contact. Aspiration risk monitoring is a critical safety skill for family caregivers.
The attendant and wife were shown how to assist with daily stretching to reduce stiffness and maintain joint flexibility. The physiotherapist provided a printed exercise chart with clear instructions and illustrations for each movement.
The family was guided to keep hallways, bathrooms, and walking areas free of loose rugs, clutter, and low furniture. Home safety modifications are a foundational component of fall prevention for elderly patients with balance disorders.
The family was trained on the correct use of the U-Step neurological walker and was instructed to ensure the wheelchair was always available for longer outdoor distances where walking was not safe or practical.
The importance of attending regular neurologist, speech therapy, and physiotherapy follow-up appointments was emphasized. The doctor home visit schedule was coordinated with these specialist appointments to ensure continuity.
Recovery Outcome Summary
Mobility
Walking endurance improved from 90 meters to approximately 700 meters with continuous supervision. The patient could navigate his home more independently using the neurological walker. Chair transfers required less assistance. Turning while walking remained the most challenging mobility task but showed measurable improvement.
Safety
No major fall-related injuries occurred during the 12-week period. This was achieved through the combination of continuous supervision, appropriate equipment, home modifications, and improved balance from physiotherapy. A few minor balance losses were recorded but were managed safely by the attendant.
Nutrition and Swallowing
Swallowing safety improved with dietary modifications and speech therapy exercises. Choking episodes reduced significantly. The patient remained nutritionally stable with no significant weight loss. Nutrition and hydration monitoring in elderly care is particularly important when swallowing precautions alter normal eating patterns.
Medical Stability
Blood pressure remained controlled within the target range. Diabetes management remained stable. No aspiration pneumonia developed. No hospital readmissions were required. All associated medical conditions remained well-managed alongside the PSP rehabilitation.
Family Feedback
The patient’s wife reported that the structured home care plan gave her confidence and reduced her constant anxiety about falls. She valued the education she received and felt more capable of managing daily care tasks. The patient’s daughter appreciated the regular updates and the coordination between the home care team and the hospital specialists.
Mr. Chawla himself expressed satisfaction with the improvement in his walking ability and said he felt safer moving around his home. He remained cognitively engaged and appreciated being included in decisions about his care.
Remaining Challenges
It is important to acknowledge that PSP is a progressive condition. While the 12-week period showed meaningful functional improvement, the underlying disease continues to advance. The patient still required close supervision during walking. Turning remained difficult. Stair negotiation was still not safe. Speech remained slow, and swallowing modifications would likely need to be intensified as the disease progressed.
The care plan would need ongoing adjustment as the patient’s needs evolved. Long-term planning for potential future needs, including possible wheelchair dependence and more intensive swallowing support, was discussed with the family.
Long-Term Care Considerations
Key Clinical Learnings
PSP Requires a Different Care Approach Than Parkinson’s Disease
While both conditions involve movement disorders, PSP’s hallmark features of early backward falls, vertical gaze palsy, and axial-predominant rigidity require specifically tailored rehabilitation strategies. Standard Parkinson’s exercise protocols are not directly applicable. The physiotherapy approach for PSP must prioritize fall prevention, posture correction, and safe turning techniques rather than the limb-focused exercises more common in Parkinson’s rehabilitation. Movement assistance in Parkinson’s and related conditions must be diagnosis-specific.
Early and Consistent Fall Prevention Saves Lives
In this case, the combination of a neurological walker, continuous supervision, home modifications, and physiotherapy-based balance training eliminated major fall-related injuries over 12 weeks. Given the patient’s osteopenia, a single fall could have resulted in a hip fracture, which carries significant morbidity and mortality in the elderly. Fall prevention in patients with osteoporosis is a medical necessity, not a lifestyle recommendation.
Swallowing Assessment Before Discharge Is Non-Negotiable
The FEES assessment performed during hospitalization provided objective data that guided dietary modifications and prevented aspiration. Without this assessment, the patient would have been sent home with standard diets, significantly increasing the risk of aspiration pneumonia. Every patient with PSP or any neurodegenerative condition affecting swallowing should receive a formal swallowing assessment before hospital discharge.
Home Modifications Must Be Diagnosis-Specific
Generic home safety tips are insufficient for PSP patients. The modifications must account for the specific pattern of falls (backward), the difficulty looking down (which means floor-level hazards are less visible), and the need for specific types of walking aids. A U-Step walker, for example, provides lateral support that standard front-wheeled walkers do not offer, making it more appropriate for PSP patients who tend to fall backward.
Family Education Is as Important as Clinical Intervention
Even with professional home healthcare, the family remains the primary support system outside of scheduled care hours. In this case, the wife’s understanding of fall prevention, safe meal preparation, and warning sign recognition directly contributed to the patient’s safety. Recognizing caregiver stress and providing ongoing education prevents burnout and maintains care quality.
Multidisciplinary Coordination Is the Foundation of Effective PSP Care
No single discipline could have achieved the outcomes documented in this case. The improvement in walking endurance resulted from physiotherapy. The reduction in choking episodes resulted from speech therapy and dietary modification. The prevention of falls resulted from the combined effect of nursing supervision, attendant presence, equipment, and home modifications. The prevention of hospital readmission resulted from all of the above working together under medical oversight. Comprehensive elderly care requires this kind of multidisciplinary coordination.
Realistic Goal-Setting Maintains Credibility and Trust
The care team did not promise recovery or reversal of PSP. Goals were framed around maintaining function, preventing complications, and improving quality of life within the reality of a progressive disease. This honest approach helped manage family expectations and maintained trust throughout the 12-week period. When families understand what to expect, they are better prepared to participate constructively in the care process.
Medical Authority
Dr. Ekta Fageriya, MBBS
Dr. Ekta Fageriya specializes in Geriatric Medicine with seven years of clinical experience in managing complex elderly patients with multiple comorbidities, neurodegenerative conditions, and post-hospitalization rehabilitation needs.