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Managment of the Bedfast Patient

AB
orthostatic hypotensionineffective circulatory response to an upright position causing a drop in BP, dizziness and possibly fainting
thrombophlebitisinflammation in the wall of a vessel causing a blood clot
decubitis ulcercomplete skin breakdown due to compression of skin and subcutaneous tissues between bony prominences and contact surface
atrophydecrease in muscle mass
contractureshortening of soft tissue structures around a joint
supine positionhorizontal position with face up
prone positionhorizontal position with face down
breathing and coughing exercisesincrease expansion capability of lungs and aids in removal of bronchial secreations
graded physical reconditioningPROM, AAROM, and AROM exercises to increase circulation and help prevent contractures
confusionexample: patient not knowing whey they are
fearexample: concern for unknown such as how sick are they
depressionexample: feeling that nobody really talks to them
exaggerated reactionspatient states even smallest presence of pain

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