bed rest


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bed rest

 
restriction of a patient's activities, either partially or completely. A person on strict bed rest must remain in bed at all times. Many patients are placed on bed rest with bathroom privileges and are permitted to ambulate to a toilet in the bathroom. Bed rest may be prescribed to maintain a pregnancy. It is associated with many hazards of immobility and may be a greater stressor to the patient than a less restrictive activity prescription would be.

The cardiovascular, pulmonary, gastrointestinal, and musculoskeletal systems all suffer from inactivity and the recumbent position. Cardiac output and capacity, depth of respiration, and peristalsis decrease, while the risk of orthostatic hypotension, thromboembolism, and pulmonary disorders increases. Muscle tone, strength, and endurance decrease. Losses of muscle strength as much as 10 to 15 per cent have been demonstrated after only one week of bed rest. Over extended periods of immobility, collagen components of soft tissues begin to rearrange, resulting in joint capsule tightening and muscle contracture and atrophy. Osteoporotic changes with loss of bone density result from lack of weight bearing and reduction of muscular forces on the bones.

Measures to offset the deleterious effects of immobility are indicated for those confined to bed rest, specifically bed mobility and exercise. Such activities and exercises condition not only the musculoskeletal system, but also other body systems stressed by bed rest. Daily range of motion exercises prevent stiffness in muscles and joints and provide sensory and proprioceptive stimulation. Conditioning exercises enhance cardiac, pulmonary, and gastrointestinal function. Instruction and assistance with an appropriate exercise program can do much to promote the well-being of a patient immobilized by bed rest.

bed rest

maintenance of the recumbent position, in bed, to minimize activity and help recovery from disease; formerly used extensively in treatment of tuberculosis, myocardial infarction, and other diseases.

bed rest

(bed rest)
Maintenance of the recumbent position, in bed, to minimize activity and facilitate recovery from disease.
References in periodicals archive ?
According to the researchers, the combination of exercise and supplements was able to counter the effects of extended bed rest on the muscles.
The medical report signed by one Dr Francis Uche, the Medical Director of the hospital recommended among others that Onnoghen must observe 72 hours bed rest for his high blood pressure to be properly monitored.
During a visit to Morriston Hospital to see the scheme in action today, Professor White said:Speaking to some of the patients here, Ive been able to see the benefits that simply getting out of bed and getting dressed has to offer in terms of recovery.Patients, in general, prefer to be at home rather than in hospital, and research suggests that too much bed rest could do more harm than good.
Anj Periyasamy, clinic director of Sprint Physiotherapy in London, says: "One of my biggest bugbears is when patients are prescribed painkillers or bed rest and nothing else.
Actor Arshad Warsi, who has been hospitalised after suffering a "bad knee injury", says he has been advised bed rest for two weeks.
Loss of bone density is also another common problem associated with prolonged bed rest. This is due to bones in the body, particularly the leg bones, no longer performing their normal weight-bearing function.
Don't routinely recommend activity restriction or bed rest during pregnancy for any indication.
The Kuwaiti singer paid a visit to one of his close buddies, composer Abdullah al Qu'ood, who's on bed rest after undergoing surgery this month.
The 50-year-old actor, who is playing a wrestler in the sports drama, said he will resume shooting for the film after a week's bed rest. "Hey guys its not such a major injury.
Conservative methods suggest lateral decubitus bed rest, a pelvic girdle, walking aids, and progressive mobilization [9-10], although some clinicians also use pelvic traction [7].