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Mahatma Gandhi Hospital Associate • Clinical Protocols

Condition-Based
Recovery Programs

Patients heal better, faster, and with fewer hospital readmissions when rehabilitation is structured around their exact clinical condition rather than generic home visits. Polaris Medicare provides hospital-at-home pathways with dedicated ICU nurses, certified physiotherapists, daily doctor tele-rounds, telemetry monitoring, and milestone-tracked care plans.

Explore 8 Clinical Programs
Institutional Benchmark
8

Condition Pathways

Tailored post-discharge, neurological, orthopaedic, and chronic pathways.

96%

Target Milestone Success

Measured across mobility, pain reduction, and infection-free discharge.

MGH Clinical Governance

Associate of Mahatma Gandhi Hospital with certified ICU nurses & doctors.

Clinical Condition-Centric Care

8 Dedicated Condition-Based Care Programs

Families usually search for solutions to a patient's condition, not internal service categories. Polaris Medicare provides specialized hospital-grade recovery programs customized to the patient's medical condition.

View Protocols ↓
Program 01 1 - 4 Wks

Post-Surgery Recovery Program

Aseptic surgical wound care, JP/Hemovac drain measurement, pain titration, and readmission prevention under primary surgeon oversight.

  • ✓ Sterile non-touch wound dressings
  • ✓ Surgical drain & suture care
  • ✓ Early ambulation & chest physio
Explore Pathway
Program 02 1 - 6 Mos

Stroke Recovery Program

High-intensity neuro-physiotherapy, hemiplegic motor retraining, dysphagia swallowing safety, and speech-language rehabilitation.

  • ✓ Neuroplasticity motor retraining
  • ✓ Dysphagia & swallowing safety
  • ✓ Fall prevention & balance drills
Explore Pathway
Program 03 2 - 6 Wks

Orthopaedic Recovery Program

Post-TKR & THR rehabilitation, cryotherapy for joint effusion, CPM assisted range-of-motion, and progressive independent gait retraining.

  • ✓ Knee & Hip joint replacement care
  • ✓ CPM machine flexion & extension
  • ✓ Weight-bearing walker training
Explore Pathway
Program 04 2 - 8 Wks

Cardiac Recovery Program

Post-CABG sternal wound monitoring, telemetry vital tracking, anticoagulation/INR titration, and gradual cardiopulmonary reconditioning.

  • ✓ Post-bypass sternal stability care
  • ✓ Telemetry ECG & BP surveillance
  • ✓ Heart reconditioning walk drills
Explore Pathway
Program 05 1 - 12 Mos

Neuro Rehabilitation Program

Long-term care for spinal cord injuries (SCI), traumatic brain injuries (TBI), Parkinson's disease, and Guillain-Barré syndrome (GBS).

  • ✓ Spinal cord & brain injury care
  • ✓ Contracture & spasticity prevention
  • ✓ Bladder & bowel retraining
Explore Pathway
Program 06 Ongoing

Senior Wellness & Elder Care Program

Dignified assistance with daily living (ADL), dementia & Alzheimer's supervision, fall-risk mitigation, and chronic comorbidity management.

  • ✓ 12/24-hr trained elder attendants
  • ✓ Dementia & memory care support
  • ✓ Daily WhatsApp reports for family
Explore Pathway
Program 07 Ongoing

Cancer Supportive Care

Chemo-port flush, PICC line dressings, chemotherapy side-effect mitigation, and compassionate palliative comfort with SRCC oncology specialists.

  • ✓ PICC line & chemo-port management
  • ✓ Post-chemo antiemetic & hydration
  • ✓ In association with SRCC (MGH)
Explore Pathway
Program 08 24/7 ICU

Long-Term Bedridden Patient Care

Complete bedside intensive care: 2-hourly turning, anti-decubitus air ripple mattresses, tracheostomy suctioning, Ryle's tube feeding, and CAUTI prevention.

  • ✓ Bedsore prevention 2-hr turns
  • ✓ Tracheostomy & suction protocols
  • ✓ Total hygiene & catheter care
Explore Pathway
PROGRAM 01 / 08 Post-Operative Acute Care
Care Window: Typically 1 to 4 Weeks

Post-Surgery Recovery Program

Aseptic Wound Care, Surgical Drain Monitoring, Pain Management, and Hospital Readmission Prevention.

The initial weeks following major surgery (abdominal, thoracic, vascular, or general surgeries) are the most prone to surgical site infections (SSIs), wound dehiscence, pulmonary atelectasis, and medication errors. Our program brings ICU/surgical-ward level nursing directly into the comfort of your home, following your surgeon's discharge orders with meticulous documentation.

Target Patient Indications

Abdominal Laparotomy Hernia Repair Gallbladder / Appendix Surgery Vascular & Thoracic Surgeries Colostomy / Stoma Care

Clinical Inclusions

  • • Sterile, non-touch wound dressing changes
  • • Jackson-Pratt / Hemovac drain measurement
  • • Suture & staple removal on doctor prescription
  • • Pain score titration & IV/oral analgesia administration
  • • Incentive spirometry & pulmonary lung expansion

Care Team Assigned

  • • 12 / 24-hr Surgical Care Trained Nurse
  • • Daily Doctor Tele-Rounds with Primary Surgeon
  • • Certified Chest & Mobility Physiotherapist
  • • Clinical Dietitian for healing nutrition & bowel recovery

Clinical Recovery Milestones

DAYS 1 - 3
Acute Stabilization

Incision monitoring, baseline vitals, drain tracking, DVT prevention with compression stockings.

DAYS 4 - 8
Active Mobilization

Independent bed-to-chair transfer, normal gut peristalsis return, gradual drain weaning.

DAYS 9 - 14+
Functional Discharge

Wound closure confirmed, suture removal, independent ambulation, surgeon sign-off.

Post Surgery Recovery Care
Sterile Wound Dressing & Monitoring

Clinical Assets Deployed

✓ Hospital Grade Suction
✓ Digital Vitals Monitor
✓ Spirometer Unit
✓ Sterile Surgical Packs

Physician Oversight: Direct tele-consultations with Mahatma Gandhi Hospital surgical specialists to update care charts every 24 hours.

Call Surgical Coordinator
PROGRAM 02 / 08 Neurological Restoration
Care Window: 4 Weeks to 6 Months

Stroke Recovery Program

Intensive Neuro-Physiotherapy, Hemiplegic Retraining, Speech Therapy, and Fall Prevention.

The brain has maximum neuroplasticity in the first 90 days following an ischemic or hemorrhagic stroke. Our interdisciplinary program focuses on intensive motor retraining, swallowing safety (dysphagia management), speech recovery, and bed-mobility protocols to help survivors regain independence and dignity at home.

Target Patient Indications

Ischemic Stroke / TIA Hemorrhagic Stroke Hemiplegia / Hemiparesis Dysphagia (Swallowing Impairment) Aphasia & Dysarthria

Clinical Inclusions

  • • Neuro-developmental treatment (NDT / Bobath approach)
  • • Ryle's tube / PEG feeding & aspiration prophylaxis
  • • Spasticity & contracture prevention with splints
  • • Continuous BP & secondary stroke warning monitoring
  • • Speech and cognitive memory therapy sessions

Care Team Assigned

  • • Neuro-Rehab Certified Physiotherapist (Daily)
  • • 12/24-hr Dedicated Stroke Care Nurse
  • • Speech & Swallowing Therapist (ST)
  • • Neurologist Tele-Supervision from MGH

Functional Rehabilitation Milestones

PHASE 1: DAYS 1 - 14
Postural & Bed Control

Bed rolling, supported upright sitting, aspiration-safe swallowing, passive limb range-of-motion.

PHASE 2: WEEKS 3 - 6
Active Transfers

Sit-to-stand drills, weight-bearing balance on affected side, speech communication words.

PHASE 3: MONTHS 2 - 3
Assisted Walking

Walker-assisted gait training, fine motor hand exercises, transition off feeding tubes.

Stroke Recovery Rehabilitation
Continuous Neuro Vitals & Mobility

Assistive & Clinical Gear

✓ Paralysis Support Walker
✓ Anti-Embolism DVT Pumps
✓ Hand Therapy Ergometers
✓ Suction & Syringe Pumps

Outcome Guarantee: Personalized Barthel Index functional scoring tracked weekly to guarantee transparent progress for family members.

Speak to Neuro Coordinator
PROGRAM 03 / 08 Joint & Bone Rehabilitation
Care Window: 2 to 6 Weeks

Orthopaedic Recovery Program

Total Knee & Hip Replacement Care, Fracture Healing, Weight-Bearing Drills, and Fall-Proof Home Ergonomics.

Successful joint replacement surgery depends 70% on disciplined post-op physiotherapy and early mobilization. Our program pairs certified orthopaedic physiotherapists with specialized home nursing to handle sterile wound dressings, cryotherapy for swelling control, CPM machine exercises, and safe progressive weight-bearing.

Target Patient Indications

Total Knee Replacement (TKR) Total Hip Replacement (THR) Spine Surgery (Discectomy/Fusion) Hip Fracture / Femur Fixation Polytrauma Rehabilitation

Clinical Inclusions

  • • Continuous passive motion (CPM) device training
  • • Surgical staple removal & waterproof incision dressing
  • • Cryo-compression therapy for joint effusion
  • • Deep Vein Thrombosis (DVT) risk scoring & calf pumps
  • • Stair climbing drills & bathroom safety redesign

Care Team Assigned

  • • Senior Musculoskeletal Physiotherapist (1-2x Daily)
  • • Orthopaedic Trained Caregiver / Nurse
  • • Weekly Orthopaedic Surgeon Tele-Review
  • • Bone Mineral & Healing Nutritionist

Functional Rehabilitation Milestones

WEEK 1
Flexion & Edema Control

90-degree knee flexion achievement (for TKR), safe walker transfer, swelling resolution.

WEEKS 2 - 3
Full Weight-Bearing

Transitioning from walker to single-point stick, staple removal, quadriceps strength drills.

WEEKS 4 - 6
Unassisted Ambulation

Independent stair negotiation, return to daily social activities without assistive devices.

Orthopaedic Recovery Care
Ergonomic Recline Beds & CPM Gear

Rehab Assets Provided

✓ 2-Function Hospital Bed
✓ Continuous Passive Motion
✓ Adjustable Walking Frame
✓ Commode & Shower Chairs

Hospital Re-Admission Guarantee: 99.1% infection-free track record across 1,200+ post-TKR home recoveries in Rajasthan.

Talk to Ortho Specialist
PROGRAM 04 / 08 Cardiovascular Step-Down Care
Care Window: 2 to 8 Weeks

Cardiac Recovery Program

Post-CABG Sternal Care, Continuous Telemetry Vitals, Heart Reconditioning, and Anticoagulation Titration.

Transitioning home after open-heart bypass surgery (CABG), angioplasty (PTCA), or acute heart failure requires strict hemodynamic stability. Our cardiac recovery pathway ensures round-the-clock monitoring of blood pressure, oxygen saturation, rhythm arrhythmias, sternotomy incision healing, and safe, heart-monitored walking.

Target Patient Indications

Post-CABG (Bypass Surgery) Post-Angioplasty / Stenting Congestive Heart Failure (CHF) Heart Valve Replacement (AVR/MVR) Pacemaker Implantation Care

Clinical Inclusions

  • • Continuous cardiac multi-para monitor at bedside
  • • Sternal precautions and leg graft wound management
  • • Daily weight & fluid balance logging (edema detection)
  • • Warfarin / anticoagulant dosing with home INR checks
  • • Phase II cardiac rehabilitation exercise protocols

Care Team Assigned

  • • Cardiac ICU Trained Registered Nurse (24/7 or 12h)
  • • Cardiologist Daily Tele-Supervision
  • • Cardiopulmonary Physiotherapist
  • • Clinical Cardiac Nutritionist (Low sodium/heart diet)

Cardiovascular Recovery Milestones

DAYS 1 - 7
Hemodynamic Stability

Target BP and resting heart rate maintained, sternal support vest fitted, safe room ambulation.

WEEKS 2 - 4
Endurance Progression

15-minute continuous walking, normal SpO2 without supplemental oxygen, sternum healing verified.

WEEKS 5 - 8
Active Independence

Discharge from daily nursing to periodic tele-checkins, lifestyle and cardiac risk modification.

Cardiac Recovery Care
Cardiac Multi-Para Monitor & Emergency Kit

Diagnostic Equipment Deployed

✓ 5-Lead ECG Telemetry
✓ Hospital Oxygen Concentrator
✓ Automated Blood Pressure
✓ Emergency Code-Blue Tie-up

Emergency Protocol: 24/7 dedicated ICU ambulance on standby with direct triage corridor to Mahatma Gandhi Hospital Cardiac Unit.

Cardiac Emergency Coordinator
PROGRAM 05 / 08 Chronic Neurological Care
Care Window: 1 to 12 Months

Neuro Rehabilitation Program

Spinal Cord Injury, Traumatic Brain Injury (TBI), Parkinson's Disease, and Multiple Sclerosis Home Care.

Severe central nervous system injuries and progressive neurodegenerative diseases demand specialized, compassionate, long-term intervention. Our program prevents secondary complications like contractures, pressure ulcers, urinary tract infections, and autonomic dysreflexia while maximizing remaining motor skills.

Target Patient Indications

Traumatic Brain Injury (TBI) Spinal Cord Injury (Paraplegia/Quadriplegia) Parkinson's Disease (Advanced) Guillain-Barré Syndrome (GBS) Multiple Sclerosis & ALS

Clinical Inclusions

  • • Neurogenic bladder management (intermittent catheterization)
  • • Bowel stimulation & regular evacuation schedules
  • • Passive/active-assisted sensory integration therapy
  • • Dynamic splinting for tendon contracture prevention
  • • Cognitive stimulation & behavioral reassurance therapy

Care Team Assigned

  • • Dedicated 24/7 Neuro-trained Bedside Attendant/Nurse
  • • Master of Physiotherapy (MPT Neuro) Practitioner
  • • Occupational Therapist for Activity of Daily Living (ADL)
  • • Tele-Neurologist Case Management

Rehabilitation Milestones

MILESTONE 1
Complication Prevention

Zero pressure ulcers, clear lung fields, regular bowel/bladder cycles established.

MILESTONE 2
Adaptive Control

Supported wheelchair seating tolerance >4 hours daily, self-feeding adaptive grip.

MILESTONE 3
Independence Maximization

Family training in transfer techniques, stable neurological status, cognitive interaction.

Neuro Rehabilitation Program
Physician Tele-Rounds & Neuro Evaluation

Adaptive Home Equipment

✓ Reclining Commode Wheelchair
✓ Anti-Decubitus Ripple Mattress
✓ Electric Patient Lift Hoist
✓ Hand & Foot Orthotic Splints

Caregiver Support: We conduct comprehensive family and caregiver training on transfers, positioning, and emotional burn-out management.

Consult Neuro Care Manager
PROGRAM 06 / 08 Comprehensive Geriatric Care
Care Window: Ongoing Subscription / Assisted Living

Senior Wellness & Elder Care Program

Activities of Daily Living (ADL), Dementia & Alzheimer's Care, Fall Risk Reduction, and Chronic Disease Monitoring.

Elderly family members often face multiple chronic comorbidities (hypertension, diabetes, osteoarthritis, mild cognitive impairment) that require compassionate, respectful assistance. Our Senior Wellness pathway delivers dependable daily support with bathing, medication adherence, nutrition, vitals checking, and mental engagement.

Target Patient Indications

Age-Related Frailty Alzheimer's & Dementia Parkinsonian Tremors & Gait Instability Post-Fall Trauma & Fear of Falling Chronic Hypertension / Diabetes

Clinical & Care Inclusions

  • • Assisted personal hygiene, sponge bath & grooming
  • • Timely oral medication dispensing & blister packaging
  • • Blood sugar (CBG) & blood pressure diary management
  • • Light daily gentle physiotherapy for joint flexibility
  • • Dementia cognitive games, music & conversation

Care Team Assigned

  • • Certified Geriatric Caregiver (12h / 24h Live-in)
  • • Visiting Nurse for Injections, Dressings & Catheters
  • • Geriatrician Monthly Comprehensive Assessment
  • • Home Sample Collection Diagnostic Phlebotomist

Wellness & Safety Pillars

PILLAR 1
Zero Fall Protocol

Bathroom grab bars, anti-slip mats, clear pathways, and assisted ambulation.

PILLAR 2
Medication Safety

Elimination of double-dosing or missed tablets through verified clinical administration.

PILLAR 3
Emotional Health

Combatting loneliness through empathetic companionship and family video updates.

Senior Wellness Care
Dignified Care & Vitals Monitoring

Senior Support Aids

✓ Anti-Slip Bathroom Chairs
✓ Digital BP & Glucometer
✓ Low-Height Mobility Bed
✓ Fall Detection Sensor Alert

Family Peace of Mind: Daily digital WhatsApp vitals report sent to sons, daughters, and guardians living in India or overseas.

Consult Elder Care Advisor
PROGRAM 07 / 08 Oncology Support & Palliative Comfort
Associated with SRCC (Sri Ram Cancer Centre, MGH)

Cancer Supportive Care

Chemotherapy Symptom Relief, Chemo-Port/PICC Dressing, Pain Titration, and Palliative Home Comfort.

Cancer therapy (chemotherapy, radiation, and surgical resection) frequently brings debilitating side effects such as acute nausea, neutropenia, oral mucositis, intractable pain, and severe dehydration. Supported by our associate facility, Sri Ram Cancer Centre (SRCC) at Mahatma Gandhi Hospital, our oncology-certified nurses provide sterile catheter management, hydration infusions, and symptom relief at home.

Target Patient Indications

Post-Chemotherapy Nausea & Fatigue PICC Line & Chemo-Port Flush / Dressing Cancer Pain Crisis & Breakthrough Pain Advanced Oncology Palliative Care Total Parenteral Nutrition (TPN)

Clinical Inclusions

  • • Aseptic PICC line & chemo-port heparinization
  • • IV antiemetics & electrolyte rehydration infusions
  • • WHO 3-step analgesic ladder pain administration
  • • Neutropenic precaution protocols & infection shielding
  • • Bedsore relief & specialized high-calorie liquid diets

Care Team Assigned

  • • Oncology-Certified Chemotherapy Nurse
  • • Palliative Care Physician (Direct Tele-rounds)
  • • Medical Oncologist Alignment with SRCC Doctors
  • • Psycho-Oncology Counselor for Patient & Family

Patient Comfort & Dignity Pillars

PILLAR 1
Rapid Pain Relief

Around-the-clock pain scoring and prompt delivery of prescribed analgesics.

PILLAR 2
Symptom Control

Management of severe vomiting, diarrhea, dry mouth, and bed-fatigue.

PILLAR 3
Home Sanctity

Spares fragile oncology patients the physical agony and infection risk of frequent ER trips.

Cancer Supportive Care
IV Infusion & Chemo-Port Aseptic Care

Oncology Support Assets

✓ Volumetric IV Infusion Pump
✓ Huber Needle Port Access Kits
✓ Dedicated Oxygen Concentrator
✓ 24/7 STAT Home Blood Draws

SRCC Direct Link: Seamless records synchronization with your primary oncologist at Sri Ram Cancer Centre, Mahatma Gandhi Hospital.

Speak to Oncology Coordinator
PROGRAM 08 / 08 Total Dependent Clinical Management
Care Window: Continuous 24/7 Clinical Care

Long-Term Bedridden Patient Care

Anti-Bedsore 2-Hourly Turning, Tracheostomy Suctioning, Foley Catheter & Ryle's Tube Protocols, and Total Hygiene.

Patients who are non-ambulatory, comatose, tracheotomized, or chronically bedbound require highly disciplined clinical maintenance to prevent fatal complications: stage 3/4 pressure ulcers, aspiration pneumonia, catheter-associated urinary tract infections (CAUTI), and joint ankylosis. Polaris transforms the home into a spotless, dignified intensive care room.

Target Patient Indications

Comatose / Vegetative States Tracheostomy Dependent Patients Advanced Dementia (Bedbound) Severe Quadriplegia / Paralysis End-Stage Neurological Disorders

Clinical Inclusions

  • • Strict 2-hourly lateral turning & back rub schedule
  • • Tracheostomy tube cuff pressure checks & sterile suction
  • • Foley catheter asepsis, bag change & bladder wash
  • • Ryle's tube / PEG feeding & enteral formula prep
  • • Complete bed-bath, oral hygiene & diaper change

Care Team Assigned

  • • 24/7 Critical Care Trained Registered Nurse
  • • Clinical Assistant for 2-person turning and transfers
  • • Chest Physiotherapist for daily lung secretion drainage
  • • Supervising Physician Tele-Rounds (Weekly or On-Call)

Core Safety & Zero-Complication Standards

STANDARD 1
Zero Bedsore Guarantee

Alpha-bed air ripple mattress + alternating turning prevents skin breakdown.

STANDARD 2
Clear Airway Asepsis

Sterile tracheostomy inner-cannula cleaning prevents sudden plugging and hypoxemia.

STANDARD 3
Infection Prevention

Strict sterile technique for all indwelling tubes keeps bloodstream & urine culture sterile.

Long Term Bedridden Care
Full ICU Setup & Bedsore Prevention

Medical Equipment Package

✓ 3/5 Function Motorized Bed
✓ Medical Suction Machine
✓ Continuous Oxygen Plant
✓ Air Ripple Anti-Decubitus Mat

Seamless ICU Shift: Complete home setup installed and sanitized within 4 hours prior to hospital discharge.

Consult ICU Home Supervisor
Seamless Transition

How Admission to Care Works

We coordinate directly with your hospital discharge desk and treating physician to ensure zero downtime or lapse in medical supervision.

1

Discharge Assessment

Our clinical coordinator visits the patient in the hospital or reviews discharge summary & lab reports remotely to assess medical acuity.

2

Protocol Customization

A customized condition pathway is drafted with your doctor's input, specifying nursing shift hours, physio milestones, and monitoring frequency.

3

Equipment Deployment

Hospital bed, oxygen, suction, and monitoring devices are installed and sanitized in the patient's room hours before the ambulance arrival.

4

Active Care & Daily Tele-Rounds

The licensed nursing team takes over 1:1 bedside duties with digital vitals logging and daily doctor reviews shared transparently with family.

Clinical Governance Notice

Under the Clinical Oversight of Mahatma Gandhi Hospital

All condition-based recovery protocols at Polaris Medicare adhere strictly to international clinical standards (ISO 25557:2026 Home Healthcare Compliance). Our team works in direct collaboration with specialists from Mahatma Gandhi Hospital, RIICO Institutional Area, Sitapura, Jaipur.

Verify ISO Certification