Trauma Rehabilitation Care

In Kathmandu, trauma most often means a road accident, a fall at home, a work injury, or the recovery period after orthopaedic surgery. The hospital fixes the fracture, stitches the wound, sets the plate; what comes next — the long, uneven weeks between "medically stable" and "back to daily life" — is where families need help. Naman is built for exactly that stretch: skilled nursing, physiotherapy calibrated to the injury, and time. We are not a hospital; we are the place a recovering body can rest in and rebuild from, without the rush of a ward and without the risks of an unsupervised home.

Early trauma recovery is fragile. Fractures need protected time before load returns; wounds need clean, patient dressing changes; pain has to be controlled well enough that the person can eat, sleep, and move a little every day. Our nurses handle dressings and drains, monitor for the quiet complications trauma throws — swelling, fever, a wound not settling as it should — and coordinate directly with the treating doctor when medications need adjustment. Physiotherapy starts gently: the joints and muscles above and below the injury, breathing work if the chest was involved, sitting and standing as the bone allows. We never push a recovery past what the surgeon has cleared.

The mental side of trauma is where families sometimes feel most alone. Sleep changes. Appetite changes. A parent who was cheerful becomes quiet; a father who never worried starts asking, at 4am, whether he will walk again. Our staff make room for this without making it a project. Time in the garden, a quiet room away from the ward's rhythm, a nurse who sits for the extra ten minutes when the family cannot be there — small things, done consistently, that carry someone through the low weeks. Where distress persists we involve our doctor, and where a formal referral would help we say so honestly.

The last stretch of a trauma stay is preparation, not therapy. Our physiotherapist reworks the exercise plan to what a home floor and a home bathroom actually look like. Family members are shown the transfers, the safe way to help with dressing, the pace of return to normal activities. Nurses write the medication schedule out clearly, and a follow-up window is agreed — a WhatsApp thread, a first out-patient physiotherapy visit — so nobody is walking out into a silence. Both branches (Pipalbot in Maharajgunj, Bansbari) run the same programme; families usually pick the branch that is easier for daily visits.