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Ad-hoc wireless networks are becoming a major platform for decentralized time-critical apps, thanks to technological improvements. Because the topology of mobile ad hoc networks (MANETs) is so variable, it's difficult to meet users' demands for greater and more consistent Quality of Service (QoS) providing for multimedia real-time apps. Because of the architecture, sharing, bandwidth, and resource shortages in wireless nodes, providing QoS for navigation in a MANET is a huge difficulty. Security is an important part of distributing QoS, as rogue nodes can pose a range of dangers to MANETs. Although many MANET defense mechanisms have been proposed, most are either effective against a specific type of attack or offer privacy at the expense of QoS. This study analyzes a model of a wireless patient surveillance system for cardiac condition control and evaluated its implications in an ad hoc network setting. This is because maintaining wireless mobile connection in rural areas and hilly landscapes may not always be practicable, and these areas frequently lack great doctors and sufficient medical services to cure different disorders. This work proposes a trust-based, reliable QoS routing strategy that incorporates social and QoS trust. The suggested scheme's main solution focuses on reducing the number of nodes that exhibit various packet forwarding violations and determining how to assure safe interaction through the authentication mechanism. The results are compared using QoS factors such as channel condition, remaining energy, signal strength, and so on.