The patient was on
bedrest until postoperative day (POD) 4 when physical therapy for active range of motion (AROM) exercises and transfer and gait training was resumed.
The
bedrest confinement mimics the complete "unloading" of the musculoskeletal system that astronauts feel as they float through space due to the lack of gravity, which accelerates bone loss.
After a week, I was sent home to total
bedrest. Three months later, at 33 weeks gestation, my identical twin boys were delivered via Cesarean section.
Approximately 1 year after the support program began in the NICU, the nurse coordinator of labor and delivery requested that mothers on
bedrest be included in the program.
Multiple data points were collected: if compression stockings were ordered day 1 or day 2 (day 1 was admission day) and placed by staff the same day they were ordered, if ambulation was ordered by the provider day 1 or day 2, the type of anticoagulant drug ordered, if the patient received specific educational materials on DVT upon discharge, if the provider ordered DVT care if the patient was discharged to a facility (rather than home), average length of hospital stay, if compression stockings were ordered at discharge, and if
bedrest was ordered day 1 or day 2.
(3) In acute care much of the therapy we offer our patients is not directed at the primary pathology that caused the hospitalization; rather the rehabilitation is directed at preventing the impairments that accompany the tradition of
bedrest while hospitalized.
In the meantime, try painkillers, heat treatment and stay active - studies show that
bedrest slows recovery.
Bedrest is also widely used in women with preterm labor.
Even the "husband," that chunky
bedrest with arms introduced about 20 years ago by Brentwood, has been reinvented.
It has been proposed that changes in backrest elevation and lateral side-lying positions alter plasma volume and cardiac filling pressures, resulting in cardiovascular and hemodynamic responses in a variety of critically ill patients.[27] Patients with known alterations in autonomic function have diminished or impaired responses to changes in plasma volume and, consequently, to changes in position.[18] Negative sodium and potassium balances, reduced plasma volume, increased urine output, and decreased levels of plasma catecholamines also have been observed in early
bedrest periods (2-10 days), creating further vulnerability during positioning for critically ill patients.[9,22]
While in hospital, Morse is visited by his lady friend Adele Cecil (Judy Loe), and American scholar Millie Van Buren (Lisa Eichhorn), whose book on the Oxford canal murder in the summer of 1859 becomes the detective's preoccupation during his enforced
bedrest.
Combined with the increased use of insulin, it may be that OBs preferred pharmacological interventions, while FPs favored behavioral interventions, such as
bedrest and diet.
Condition/Purpose Procedure Premature labor
Bedrest, drugs, NICU Post dates Prostaglandin, pitocin PROM Induce/augment labor Check progress Vaginal exams Monitor FHR EFM, internal, external Check mec/long labor Amniotomy Dehydration, adm med IV fluids Pain, maternal distress Anesthesia/analgesia Prolonged labor Augmentation VBAC, Maternal med ?Cesarean PI abr/previa, shock Cesarean Cord prolapse Cesarean Fetal distress Cesarean Malpres Cesarean True CPD Cesarean Prevent tears, speed Episiotomy Condition/Purpose Alternatives Premature labor Post dates Lovemaking, acupr, herbs PROM Avoid exams, wait, chk temp Check progress Wait, observe, ask her Monitor FHR Fetoscope, doptone Check mec/long labor Wait, position, nipple stim.
