Complex Neuro-Recovery: Subarachnoid Hemorrhage & Diabetes
Gender
Male
Age
53 Years
Location
CBR Town, Islamabad
Diagnosis
Subarachnoid Hemorrhage (SAH) with Type 2 Diabetes
Care Duration
60 days
Consultant
Dr. Fawad Malik
Healthcare Provider
eHealth Hospital at Home (eHealthPK)
From ICU to Home: A Delicate Transition
Mr. Suleman Shah suffered a Subarachnoid Hemorrhage (SAH), a life-threatening type of stroke caused by bleeding in the space surrounding the brain. Complicated by uncontrolled Diabetes Mellitus, his condition was fragile upon discharge from the hospital.
Dr. Fawad Malik recommended strict home monitoring to prevent re-bleeding and manage vasospasms. The family in CBR Town required a specialized male nurse capable of handling neurological emergencies, managing insulin via sliding scale, and assisting with mobility for a patient with left-sided weakness.
Neurological & Metabolic Challenges
The dual diagnosis of a brain hemorrhage and diabetes creates a high-risk environment. Our team identified these critical challenges during the initial assessment:
Neuro-Rehabilitation Plan
Clinical Nursing Management
- Neurological Monitoring: Hourly GCS (Glasgow Coma Scale) checks.
- Diabetes Control: strict blood sugar monitoring and insulin administration.
- Seizure Precautions: Bed rails implementation and emergency anticonvulsant readiness.
- Skin Care: 2-hourly positioning to prevent bedsores.
- Feeding Support: NG Tube management until swallow reflex improved.
Rehabilitation Goals
- Phase 1: Stabilize consciousness and blood sugar levels.
- Phase 2: Restore swallowing function (Weaning off NG Tube).
- Phase 3: Regain sitting balance and trunk control.
- Phase 4: Assisted standing and speech therapy.
Path to Restoration
Tracking Mr. Shah's recovery from a bedridden state to regaining interaction and mobility.
Week 1: Critical Care
- GCS stabilized at 14/15
- Blood sugar regulated (140-180 mg/dL target)
- Zero pressure sores despite bedrest
- Vital signs stable
Week 3: Functional Gains
- NG Tube removed; patient started soft diet
- Sitting on bedside without support
- Improved alertness and speech clarity
- Insulin dosage reduced as stress levels dropped
Week 6: Mobility Phase
- Standing with walker assistance
- Engaging in conversation with family
- Left arm showing improved range of motion
- Sleeping pattern normalized
Week 8: Independence
- Walking short distances with supervision
- Self-feeding established
- Diabetes managed on oral medication
- Family fully trained on home physiotherapy
Outcomes Under Dr. Fawad Malik's Protocol
Strict adherence to Dr. Fawad Malik's discharge advice, combined with eHealthPK's nursing execution, prevented the common complications of pneumonia and secondary stroke.
Neurological Safety
No episodes of re-bleeding, seizures, or falls during the critical 60-day recovery period.
Glycemic Control
Shifted from sliding scale insulin to stable oral medication as recovery progressed.
Functional Recovery
Patient regained 70% of motor function on the affected side through consistent rehab.
Swallowing Restored
Successfully transitioned from tube feeding to normal oral diet without aspiration.
Client Testimonials
Feedback from the family in CBR Town regarding our stroke rehabilitation services.
Mrs. Shah
The nursing staff was incredibly patient. Dealing with a brain hemorrhage patient is not easy, but they handled his mood swings and medication with such professionalism.
Dr. Fawad Malik's Note
Effective home nursing is an extension of my treatment. The detailed vitals charting provided by the eHealthPK team helped me adjust medications accurately.
Key Factors in Stroke Recovery
What made the difference in this complex neurological case?
Neuro-Competent Nursing
Nurses trained to spot signs of increased intracranial pressure.
Dual-Disease Management
Simultaneous treatment of Stroke and Diabetes.
Safe Environment
Fall-proofing the home for a patient with mobility issues.
Family Involvement
Active participation of family in speech and cognitive therapy.
Specialized Stroke Care at Home
eHealthPK provides ICU-level care for neurological patients across Islamabad.
Service Areas Near CBR Town
We serve CBR Town and surrounding residential societies with rapid response teams:
Every Patient is Family at eHealthPK
We don't just provide medical services—we build relationships, offer emotional support, and celebrate every milestone with our patients and their families.
