First Assessment
Free
45 minutes, at home
- Full clinical examination at the patient's home
- The likely cause explained in plain language
- A realistic recovery plan and what it will cost
- No obligation to book any further sessions
When a stroke happens in a Fursungi household, the hospital stay is often in Hadapsar or the city, a long way along Saswad Road. When the patient comes home, the family becomes the rehabilitation team, with grandparents, parents and children all affected by the change. That makes the home plan, and the people who carry it out, central.
Our stroke rehabilitation guide describes recovery in general. This page is about what we do in a Fursungi home.
A home shared by generations
Joint households have strengths in stroke recovery: there is usually someone around. They also have difficulties, such as different people helping in different ways, a patient who is moved by whoever is nearest, and a small home with a step at the door and a floor-level toilet. The physiotherapist begins by watching how the patient currently moves between bed, chair and toilet, and by agreeing one method that everyone uses.
- The threshold. A raised step at the door or the bathroom is a trip risk for a weak leg. We practise it with a guard beside the patient and, where needed, suggest a low ramp or a rail.
- Sleeping and rising. If the patient sleeps on a mat, we check whether a raised bed would make getting up safer.
- The toilet. A floor-level toilet is dangerous after a stroke. A raised seat, a commode chair or a rail may be advised.
- Quiet space. A corner of the room where practice can happen without interruption helps, even for ten minutes.
Treatment matched to the stage of recovery
Early on, treatment centres on positioning, safe movement in bed and sitting up. Later it moves to sitting balance, standing, shifting weight onto the weak leg, walking, and using the weak arm and hand in everyday tasks. The physiotherapist watches for stiffness, shoulder pain on the weak side and fatigue, and adjusts the load. Progress is reviewed each visit and the plan changed when the patient improves or stalls.
Family members are shown how to stand when guarding, how to cue the patient to use the weak side, and which movements to avoid, such as pulling on the weak arm. Instructions are demonstrated, so that the exercises can be repeated safely between visits.
Follow-ups far from home
A trip from Fursungi to a city hospital can mean a long ride, a crowded waiting room and a return journey. Ask the treating team for the most suitable time of day, carry the medicine list and previous reports, and let the physiotherapist show you how to transfer the patient into a car or rickshaw. Older patients are often well served by the plan on elderly physiotherapy in Fursungi, which overlaps in balance and fall prevention.
When to call an ambulance
A new stroke needs an ambulance at once. Warning signs include sudden weakness or numbness on one side, a drooping face, slurred speech, sudden loss of vision, severe headache or confusion. Chest pain, a hot swollen calf, a fall with head injury or a seizure also needs emergency care. Note the time the symptoms began and tell the team. Do not wait for the next home visit.
Arranging visits
Because Fursungi is far from our base, visits are booked in advance. Request a home visit with your house or building name, a landmark on Saswad Road and the floor, and keep the discharge papers ready. For more on the area, see home physiotherapy in Fursungi.