Multiple Myeloma Home Care in Delhi | Case Study

Multiple Myeloma Home <a href="https://athomecare.in/">Care</a> in Delhi | Patient <a href="https://athomecare.in/">Care</a> Case Study

Case Study

Multiple Myeloma Home Care in Delhi

Nursing, Mobility and Daily Support

Summary: A 67-year-old patient with Multiple Myeloma experienced severe weakness and reduced mobility after hospital discharge. Structured home healthcare provided practical daily assistance, improved safety, and supported the family in maintaining a consistent routine.

Patient Age: 67 Years
Gender: Male
Location: South Delhi, Delhi NCR
Primary Condition: Multiple Myeloma
Duration of Care: 8 Weeks
Final Clinical Outcome: Improved mobility, safe environment, reduced caregiver burden.

Patient Background

The patient is a 67-year-old man residing in South Delhi with his spouse and working-age children. Before his diagnosis, he led an active lifestyle. He managed his household responsibilities and walked daily in a local park in New Delhi. His medical history included mild hypertension, which was well controlled with medication.

Over a few months, the family noticed he was becoming unusually tired. He started having difficulty standing up from a low chair. These changes prompted a visit to the hospital, leading to his diagnosis.

Clinical Diagnosis

Following a series of blood tests and a bone marrow biopsy, the treating oncologist confirmed a diagnosis of Multiple Myeloma. Multiple Myeloma is a cancer of plasma cells. It often affects bones, particularly the spine and pelvis. This leads to bone pain, hypercalcemia, and anemia.

Clinical Findings

At the time of discharge, the patient presented with generalized weakness, mild anemia, and reduced muscle strength. He had difficulty maintaining his balance while walking. His vital signs were stable. He did not have acute kidney injury at this stage. There were no active neurological deficits, but his overall functional status had declined significantly.

Hospital Treatment

The patient was admitted to a tertiary care hospital in Delhi NCR for induction therapy. The hospital course lasted three weeks. During this time, he received targeted chemotherapy. He also received supportive care, including blood transfusions for anemia and bisphosphonates to protect his bones.

By the end of the treatment cycle, his blood parameters improved. However, the prolonged hospital stay and the disease process left him physically depleted. He was discharged home with a prescription for oral medications and strict instructions to avoid falls.

Why Home Healthcare Was Needed

Multiple Myeloma weakens the bones. A simple fall can result in a pathological fracture. The patient lived on the first floor of a house in South Delhi. His spouse could not safely assist him with bathing or moving around the house alone. Lifting him incorrectly could injure both the patient and the spouse.

The family needed post hospital care for cancer patients in Delhi. They required a structured environment where the patient could recover safely. They needed professional support for personal hygiene, mobility assistance, and medication monitoring. The treating oncologist recommended home nursing for multiple myeloma Delhi to ensure clinical observations were recorded, while an attendant handled daily activities.

Clinical Alert: Fall Prevention

Patients with bone involvement from Multiple Myeloma are at high risk for fractures. Fall prevention involves removing rugs, ensuring adequate lighting, and providing physical support during transfers.

Home Care Plan by AtHomeCare

AtHomeCare designed a personalized care plan focusing on safety and daily support. The goal was to maintain the clinical stability achieved in the hospital while improving the patient’s quality of life at home.

Patient Attendant Support

A trained caregiver was assigned to assist with activities of daily living. This included bathing, dressing, and toileting. The caregiver helped the patient move from the bed to a chair safely. This multiple myeloma caregiver Delhi service ensured the patient did not exert himself unnecessarily.

Medication Management

The home nurse ensured all prescribed medications were given at the correct times. They monitored for any side effects, such as nausea or dizziness, which could increase fall risks. The clinical team coordinated with the treating oncologist for any dosage queries.

Nutrition and Meal Support

Cancer recovery requires adequate nutrition. The caregiver assisted with meal preparation and feeding when the patient was too fatigued. The family was educated on providing small, frequent, high-protein meals that are easy to digest.

Mobility and Transfers

The caregiver was trained in safe transfer techniques. They used a gait belt during walking assistance to prevent sudden falls. The family also arranged medical equipment like a hospital bed and a commode chair to make daily tasks easier and safer.

Recovery Timeline

Day 1 to 3

The care team established a baseline routine. The patient was mostly confined to bed due to fatigue. The caregiver managed hygiene and meals. The family felt immediate relief knowing a professional was monitoring the patient.

Week 1

The patient showed slight improvement in energy. The nurse began taking routine vital signs. The patient was assisted to sit in a chair for thirty minutes daily to prevent bedsores and improve lung expansion.

Week 2

A physiotherapist visited the home to begin gentle strengthening exercises. The patient started walking short distances inside the room with the caregiver’s support. The family reported better sleep patterns.

Week 4

The patient could walk to the bathroom with minimal assistance. He was taking his meals at the dining table. The need for continuous bedside monitoring decreased as his stability improved.

Month 2

The care plan was revised. The full-time attendant was transitioned to part-time support. The patient resumed light household activities. The family scheduled regular follow-ups with the oncologist.

Clinical Evidence and Functional Progress

The following table outlines the functional and clinical observations recorded by the home nursing team during the care period.

Parameter	Baseline (Day 1)	Progress (Week 2)	Outcome (Month 2)
Mobility Status	Bed-bound, severe fatigue	Walks short distances with assistance	Independent walking indoors
ADL Dependency	Total dependency	Moderate dependency	Minimal dependency
Pain Management	Mild bone discomfort	Well controlled with oral medication	Pain-free without PRN medication
Nutritional Intake	Poor appetite	Improved, taking 3 meals daily	Normal appetite
Fall Incidents	0	0	0

Note: Specific laboratory values are not displayed in this public case study to protect patient privacy. Clinical decisions were based on hospital discharge records and ongoing blood tests conducted at local Delhi diagnostic centers.

Medical Authority

Dr. Ekta Fageriya, MBBS

RMC Registration No. 44780

Specialization: Geriatric Medicine

Clinical Experience: 7 Years

Treating Oncologist Details

Name:

Qualification:

Hospital:

Medical Registration:

Clinical Comments:

Future Recommendations:

Supporting Clinical Documents

This case study is based on the following records shared by the family:

Hospital Discharge Summary detailing induction therapy and discharge medications.
Hematology reports confirming the Multiple Myeloma diagnosis.
Home nursing progress notes documenting vital signs and daily function.
Prescriptions provided by the treating oncologist.

Recovery Outcome

Mobility and Medical Stability

The patient regained the ability to walk independently within his home. His vitals remained stable throughout the home care period. No infections or falls occurred.

Family Feedback and Remaining Challenges

The family reported a significant reduction in stress. Having a professional caregiver allowed them to focus on emotional support rather than physical lifting. The long-term care plan involves ongoing monitoring, as Multiple Myeloma requires sustained medical management.

Key Clinical Learnings

Clinical Insights

Safety over speed: In Multiple Myeloma, bone integrity is compromised. Recovery focuses on safe mobility rather than rapid physical exertion.
Caregiver education is vital: Families must understand that their loved one is fragile. Teaching safe transfer techniques prevents secondary injuries to both patient and family.
Structured routines aid recovery: Professional patient care services provide consistency in medication, meals, and rest. This consistency directly impacts the patient’s energy levels and immune recovery.

Frequently Asked Questions

A caregiver assists with daily activities like bathing, dressing, and eating. They help the patient move safely to prevent falls, manage medication schedules, and observe the patient for any changes that need a doctor’s attention.

Multiple Myeloma often causes bone weakness, especially in the spine and ribs. A minor fall can lead to serious fractures. Home caregivers use techniques and equipment to ensure the patient moves safely.

Home care does not replace hospital visits for treatments like chemotherapy. It supports the patient between hospital visits by managing daily care, monitoring for side effects, and reducing the need to visit the hospital for minor issues.

Pain is managed strictly according to the oncologist’s prescription. The home nurse ensures pain medication is given on time and monitors its effectiveness. They report any unmanaged pain to the treating doctor immediately.

If a cancer patient requires ventilator support, multiple invasive monitors, or critical care interventions that cannot be managed with standard home nursing, families may consider ICU at home facilities after consulting their primary physician.

Yes. Gentle physiotherapy at home helps maintain muscle strength and joint flexibility without stressing the bones. It is a crucial part of recovery once the doctor clears the patient for movement.

The duration depends on the patient’s recovery. In this case, intensive daily support was needed for about a month, followed by reduced hours. Multiple Myeloma is an ongoing condition, so some level of home support or monitoring may be beneficial long-term.

Families should watch for high fever, sudden severe pain, difficulty breathing, confusion, or any signs of bleeding. These symptoms require immediate contact with the treating oncologist or a visit to the emergency room.

Explore Related Home Healthcare Services

AtHomeCare provides specialized medical support across Delhi and Gurgaon. Learn more about how we can assist your family:

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. The information in this case study is for educational purposes only and should not replace professional medical advice.

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