My grandmother was 85 when she fell at home in 2004 and fractured her hip. It's a common danger for elderly people living alone, and one most families are completely unprepared for.
The surgery went well. Then, just as she was ready for discharge, complications set in. Her hospital stay stretched on, and when she finally came home, she came home bed-bound.
Arranging a hospital cot and nursing assistance for her turned out to be a herculean task. Nothing about it was straightforward, and there was nobody to ask.
It took us nine to twelve months to get her home care right. Manpower that didn't turn up. Equipment that broke down. Staff whose experience didn't match what she actually needed.
Around then, I began visiting other patients coming home from hospital. Families in the same position we had been in, working it out alone, a few months behind us.
The same gaps appeared everywhere. Nobody explained what discharge really meant. Nobody managed the transition of care. Nobody was there when something went wrong at home. That became the research this business was built on.
She had made us promise never to take her back to the hospital, and that she would go home with her family around her. We kept it. She lived to 91 and died peacefully at home in 2011, having seen a granddaughter married and two great-grandchildren born.
We started N.O.R.M.S in 2014, not as a new idea, but as nine years of house calls finally given a structure.
Every patient going home from the hospital still reminds me of my grandmother. She's the reason we look ahead of the discharge rather than behind it, and every day is a learning curve for every one of us here.
- Dr. Avinash Rajkumar,
Founder & Managing Director.