Peripheral Artery Disease Home Care in Delhi | Case Study

Peripheral Artery Disease Home <a href="https://athomecare.in/">Care</a> in Delhi | AtHomeCare Case Study

Case Study

Peripheral Artery Disease Home Care in Delhi

Mobility Support, Circulation Monitoring and Wound Prevention

Summary: A 68-year-old male with Peripheral Artery Disease experienced reduced mobility and leg discomfort. Professional home healthcare was arranged to assist with daily activities, medication adherence, and lower limb observation, ensuring safety and preventing complications.

Patient Age: 68 Years
Gender: Male
Location: East Delhi, Delhi NCR
Primary Condition: Peripheral Artery Disease (PAD)
Duration of Care: 8 Weeks
Final Clinical Outcome: Improved mobility, safe environment, no new wounds, reduced caregiver burden.

Patient Background

The patient is a 68-year-old man living in East Delhi with his family. He has a history of systemic hypertension and hyperlipidemia. He led a moderately active lifestyle until he started experiencing pain and cramping in his calves after walking short distances. This symptom, known as intermittent claudication, progressively worsened.

As his walking distance decreased, he began spending more time indoors. His reduced physical activity led to overall weakness and made it difficult for him to manage household chores and personal routines independently. The family noticed that his feet often felt cold to the touch.

Clinical Diagnosis

Following a consultation with a vascular physician in New Delhi, the patient was diagnosed with Peripheral Artery Disease. PAD is a condition where narrowed arteries reduce blood flow to the limbs, most commonly the legs.

Clinical Findings

The patient presented with classic signs of PAD. These included calf pain triggered by exertion, diminished pedal pulses, and cool lower extremities. There were no active ulcers or open wounds at the time of the home care assessment. Specific laboratory values and Doppler ultrasound results were retained by the family physician and are not detailed in this public case study to protect privacy.

Hospital Treatment

The patient was primarily managed as an outpatient. The vascular specialist prescribed a regimen of antiplatelet therapy and statins to manage cholesterol and improve blood flow. The physician also recommended a structured walking program and stringent foot care.

No surgical intervention was required at this stage. However, the patient was advised to seek immediate hospital care if he experienced sudden severe leg pain, color changes, or non-healing wounds.

Why Home Healthcare Was Needed

Peripheral Artery Disease limits mobility. The patient’s leg discomfort made it difficult for him to walk to the bathroom or move around his East Delhi residence safely. This immobility increased his risk of falls. It also created a risk of pressure sores if he spent too much time in bed.

The family needed peripheral artery disease care at home in Delhi to ensure his safety. They required a trained caregiver to assist with daily hygiene, monitor his lower limbs for skin changes, and ensure he took his medications on time. Professional home nursing was also needed to track his overall vital signs.

Clinical Alert: Foot and Fall Prevention

Patients with PAD have poor circulation. Minor cuts or blisters can quickly turn into chronic, non-healing wounds. Simultaneously, muscle weakness increases fall risks. Home care focuses on meticulous foot care and supervised mobility to prevent these complications.

Home Care Plan by AtHomeCare

AtHomeCare developed a comprehensive plan focusing on safety, monitoring, and education. The aim was to support the patient’s daily needs while maintaining the clinical guidelines set by his vascular physician.

Patient Attendant Support

A trained patient care taker was assigned to assist with personal hygiene, dressing, and toileting. The caregiver ensured the patient moved safely within the home, reducing the risk of falls.

Medication Management

Home nursing staff supervised the medication schedule. They ensured antiplatelet drugs and statins were administered correctly. The nurse monitored for side effects like muscle pain or dizziness.

Foot and Skin Care

The caregiver washed the patient’s feet daily with lukewarm water, dried them thoroughly, and applied moisturizer to prevent cracking. They inspected the feet daily for cuts, blisters, or color changes.

Supervised Mobility

The caregiver encouraged light walking inside the house as per the doctor’s advice. To support this, the family used medical equipment like a walking stick to provide stability.

Recovery Timeline

Day 1 to 3

The care team assessed the home environment. Rugs were removed to prevent tripping. The caregiver took over bathing and dressing duties. The patient was encouraged to keep his legs slightly elevated while resting to promote circulation.

Week 1

The patient adjusted to the new routine. The home nurse began checking his blood pressure daily. The caregiver established a strict foot care protocol. The patient reported less fatigue because he was no longer struggling with daily chores.

Week 2

A physiotherapist was introduced for gentle, supervised exercises. The physiotherapy at home in Delhi focused on improving calf muscle strength without overexertion.

Week 4

The patient could walk short distances inside the house with minimal assistance. His feet felt slightly warmer. No skin breakdown was observed. The family felt confident in managing his daily routines with the caregiver’s support.

Month 2

Care hours were gradually reduced as the patient became more independent. The nurse continued weekly visits to check vitals and review foot health. The patient maintained his medication schedule independently.

Clinical Evidence and Functional Progress

The table below summarizes the functional improvements observed during the home care period. It highlights the transition from high dependency to safer, supported independence.

Parameter	Baseline (Day 1)	Progress (Week 4)	Outcome (Month 2)
Mobility Status	Severe claudication, avoids walking	Walks indoors with aid	Walks indoors independently
Skin Integrity	Dry, cool feet, no wounds	Well moisturized, no wounds	Stable, no wounds
Pain Management	Moderate pain on walking	Mild discomfort only after exertion	Pain well managed
Medication Adherence	Inconsistent	Strictly supervised	Independent and accurate
Fall Incidents	0	0	0

Note: Specific blood pressure and lipid panel values are not displayed to protect patient privacy. Management was based on the vascular physician’s discharge notes and local diagnostic reports.

Medical Authority

Dr. Ekta Fageriya, MBBS

RMC Registration No. 44780

Specialization: Geriatric Medicine

Clinical Experience: 7 Years

Treating Vascular Physician Details

Name:

Qualification:

Hospital:

Medical Registration:

Clinical Comments:

Future Recommendations:

Supporting Clinical Documents

The care plan and observations in this case study were based on the following documents:

Vascular consultation notes detailing the PAD diagnosis.
Prescription records for antiplatelet and lipid-lowering medications.
Home nursing daily progress logs recording vitals and skin assessments.
Physiotherapy assessment and progress notes.

Recovery Outcome

Mobility and Medical Stability

The patient regained confidence in walking indoors. His blood pressure remained stable with medication. The risk of foot ulcers was significantly reduced through daily monitoring and care.

Family Feedback and Remaining Challenges

The family reported feeling secure knowing a professional was observing his condition. The main remaining challenge is managing the underlying vascular disease long-term. He requires lifelong adherence to medication and lifestyle changes.

Key Clinical Learnings

Clinical Insights

Prevention is better than cure: In PAD, a minor foot injury can lead to severe infections due to poor blood supply. Daily foot inspections by a trained caregiver are critical.
Safe mobility matters: While rest is important, complete immobility worsens circulation. Supervised walking helps the body develop collateral blood vessels.
Education empowers families: Teaching the family about the signs of ischemia, such as sudden color changes or severe pain, ensures timely hospital interventions.

Frequently Asked Questions

Peripheral artery disease is a circulation disorder where narrowed arteries reduce blood flow, most commonly to the legs. This causes pain, weakness, and cold feet.

Yes. Patients may benefit from home nursing, caregiving, and mobility assistance. This supports their daily needs while they continue their medical treatment.

Poor circulation means cuts or blisters heal very slowly. If left untreated, they can turn into deep ulcers or infections. Daily foot checks prevent this.

Seek immediate care if the patient experiences sudden severe leg pain, a major change in limb color or temperature, or a new rapidly worsening wound.

No. Home care supports daily needs and monitoring. It does not replace diagnosis, medication, vascular surgery, or follow-up from a qualified healthcare professional.

Most PAD patients do not require ICU at home. However, if a patient has critical limb ischemia and requires advanced monitoring post-surgery, families may consider ICU at home in Delhi after consulting their doctor.

This depends on the patient’s mobility and overall health. Some need short-term support after a hospital stay, while others with severe mobility limits benefit from long-term caregiving.

A caregiver can supervise walking and ensure the patient is safe. For specialized exercises, a trained physiotherapist should be consulted.

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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