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Cavendish Homecare was initially contacted during the COVID-19 pandemic by Janet, who sought assistance for her husband, who needed a swab test at home. This first care visit established a relationship of trust with Cavendish Homecare, which evolved significantly in the months that followed. Janet, who had a complex medical background, later reached out again after undergoing Transcatheter Aortic Valve Implantation (TAVI). Following this, during her recovery, she was diagnosed with stage 4 bladder cancer. This marked the beginning of a unique and ongoing care journey that spanned two countries and involved multifaceted, specialised homecare. Janet required long-term, multidisciplinary support and coordinated care across borders, management of multiple comorbidities, and transition from home support to end-of-life care.
Janet was primarily based in Italy but spent extended periods in the UK, which necessitated flexible, international care. The enquiry following her TAVI procedure focused on medical monitoring and support while she recovered in the UK. Her condition was complicated by an extensive medical history, including ischaemic heart disease, osteoarthritis, an atrophic right kidney, hypertension, and hyperlipidaemia. At the time of contact, she had minimal local support in the UK and was understandably apprehensive about transitioning to full-time care.
She expressed a desire to “maintain as much independence as possible whilst ensuring my health is being properly monitored.” The emotional strain of her diagnosis was compounded by frequent changes in symptoms and uncertainty about her prognosis. Cavendish Homecare provided not only clinical guidance but also empathy and reassurance, which was critical in helping the family feel confident in the care pathway and subsequent end of life situation.
A tailored care plan was developed and adapted over time to meet Janet’s evolving needs. In the initial phase, while in the UK, Cavendish Homecare provided daily eight-hour nursing support focused on post-operative care, medication management, and assistance with mobility and personal care. During the transitional phase, after Janet returned to Italy, weekly virtual consultations were arranged. These one-hour reviews concentrated on monitoring medications, tracking rehabilitation progress, and adjusting pain management as needed.
As her condition deteriorated in the advanced phase, the need for hands-on support increased. A specialist nurse was flown to Italy to provide end-of-life care. Specific care interventions during this time included repositioning for comfort and to prevent pressure sores, feeding and hydration support, the use of creams to manage dry, flaky skin on her legs and feet, and catheter care involving regular emptying, bladder washouts, and pad changes. A Sara Steady was used to aid mobility and ensure safe transfers. Emotional and sensory stimulation played a vital role, with activities such as watching tennis, listening to classical music, and enjoying visits from her husband, children, and grandchildren. This highly personalised and responsive approach ensured Janet remained comfortable, emotionally supported, and medically stable throughout the remainder of her life.
Janet’s care plan highlighted the critical need for flexible, international homecare services tailored to individuals with complex health needs. Janet’s journey with Cavendish Homecare, from a simple COVID swab to end-of-life care in another country, showcased the Cavendish Homecare’s commitment to continuity, compassion, and clinical excellence. This case highlighted the importance of building trust early, demonstrated the need for adaptable care planning for geographically mobile clients, showed the value of virtual consultations in providing consistent international support, and emphasised the role of holistic care that integrates medical management with quality-of-life improvements.
Disclaimer: For privacy and confidentiality reasons, the names and locations in this case study have been changed. The events and outcomes described are based on real situations, but identifying details have been altered.
At Cavendish Homecare, we understand that travelling, whether for a holiday or a family visit, can be challenging when care needs are involved. Our experienced and compassionate carers and registered nurses provide tailored support to ensure comfort, safety, and peace of mind throughout your journey. From assistance with travel logistics to delivering high-quality care at your destination, we make it possible for you to travel with confidence and ease.