At the Jayadeva hospital in Bengaluru, India, a staff nurse named Girish Balakrishnappa conducts an ad hoc classroom session in the critical care unit. Patients and their families gather around as he teaches them how to care for themselves post-surgery, dispels myths about medical procedures, and explains the importance of following medical advice. This approach is part of a decade-long experiment in Asia that aims to involve loved ones in the medical process to improve patient recovery. In a country like India, where there is a shortage of healthcare workers and communication barriers exist between doctors and patients, this approach has shown positive results in reducing post-surgery complications and improving patient outcomes.

The Covid-19 pandemic highlighted the challenges faced by health systems worldwide, including a dangerous shortage of healthcare workers. In India, there is a significant deficit of doctors and nurses compared to the population. This shortage, combined with a lack of communication between medical staff and patients, can negatively impact patient health. Organizations like Noora Health have introduced programs like the “care companion” initiative, which trains hospital staff to educate patients and their families about medical procedures and recovery. This has helped reduce anxiety in healthcare settings and improve patient satisfaction.

Girish Balakrishnappa not only teaches patients about managing side effects and following medical advice but also provides emotional support and comfort to patients and their families. Patients view him as a therapist, coach, friend, and philosopher rolled into one. Through his classes, patients and families form strong bonds, sharing the challenging experience of life and death in a hospital setting. His teachings extend beyond medical instructions, encompassing holistic care that considers the emotional and psychological well-being of patients.

Patients who have interacted with Girish Balakrishnappa appreciate the time they spend with him, describing it as the highlight of their day. Dilip Kumar, a 9-year-old boy who underwent heart surgery and spent time in the ICU, credits Mr. Balakrishnappa for preparing him for the recovery process. His mother, Manjula, acknowledges the significant impact Mr. Balakrishnappa had on their family, teaching them how to care for Dilip post-discharge. The personalized care and emotional support provided by Mr. Balakrishnappa have helped patients like Dilip and their families feel more confident and supported during their medical journey.

Noora Health’s programs have become increasingly relevant during the pandemic, as family members have taken on the role of primary caregivers for Covid-19 patients with complex illnesses. By expanding virtual training programs and developing guidelines for respiratory hygiene and mental health, organizations like Noora Health are addressing the evolving needs of patients and families. The role of caregivers and family members in the medical process has become even more pronounced, emphasizing the importance of involving loved ones in patient care to enhance recovery outcomes.

In a country where healthcare resources are limited and superstitions about medical procedures persist, the involvement of family members in the medical process can have a profound impact on patient recovery. Through innovative approaches like the “care companion” program and dedicated healthcare professionals like Girish Balakrishnappa, patients in India are receiving not just medical treatment but holistic care that considers their emotional and psychological well-being. By bridging the gap between patients, families, and healthcare providers, these initiatives are transforming the patient experience and improving outcomes in critical care settings.

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