Multiple Sclerosis Home Care in Gurgaon: Neurological Rehabilitation After an Acute Relapse

Day 1: First Home Visit in DLF Phase IV

The home healthcare team visited within 48 hours of discharge. The nurse conducted a comprehensive neurological assessment, verified medication compliance, and established baseline fatigue and symptom scores. The physiotherapist assessed strength, balance, and walking ability with the quad cane. The attendant began daily support.

Patient response: Motivated to begin rehabilitation but visibly fatigued. Expressed anxiety about whether she would regain her previous level of function.

Day 3: Physiotherapy Programme Begins

First physiotherapy session focused on baseline assessment and gentle exercises. Lower limb strength was graded. Balance testing identified specific deficits. The session was kept short to avoid overexertion. The attendant had established a daily routine including meal preparation, hydration monitoring, and scheduled rest periods.

Family observation: Husband noted that having a structured daily routine reduced the chaos and anxiety that had characterized the days immediately after discharge.

End of Week 1: Establishing the Rehabilitation Rhythm

Five physiotherapy sessions completed. Walking with quad cane remained limited but the patient was consistently participating. Fatigue was being managed through scheduled rest. Medication compliance was confirmed by the nurse. No new neurological symptoms were detected. First education session on relapse warning signs conducted with husband and mother.

Nursing intervention: Nurse provided detailed education on distinguishing between expected post-relapse fatigue and symptoms that might indicate a new relapse.

End of Week 2: Early Strength Gains

Lower limb strength showed early improvement. Walking distance during physiotherapy had increased slightly. Balance exercises were progressing. The patient reported that fatigue remained the most limiting symptom, but she was learning to pace her activities more effectively. Stair climbing was attempted for the first time with assistance.

Doctor review: Neurology follow-up near Golf Course Road. The neurologist reviewed progress notes. No new relapse symptoms. Disease-modifying therapy continued as prescribed.

End of Week 4: Noticeable Functional Progress

Walking endurance had improved measurably. Balance exercises had become more challenging as the patient’s ability improved. She was able to manage more household tasks with rest breaks. Fatigue episodes, while still present, were less frequent. The attendant reported that the patient was becoming more proactive about requesting rest rather than pushing through exhaustion.

Patient response: Ms. Malhotra expressed that seeing incremental progress each week was helping her manage the anxiety about her condition. She began discussing a timeline for returning to remote work.

Month 2: Approaching Functional Goals

Walking endurance had improved substantially. Stair climbing was achieved with supervision. The patient began transitioning from the quad cane to unassisted walking for shorter distances. She started part-time remote work with scheduled rest breaks. The attendant’s role gradually shifted from hands-on support to encouragement and monitoring as independence increased.

Nursing intervention: Education expanded to include long-term disease management, stress management, and planning for potential future relapses.