Bedridden
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Being bedridden is a form of immobility that can present as the inability to move or even sit upright. It differs from bed-rest, a form of non-invasive treatment that is usually part of recovery or the limitation of activities. Some of the more serious consequences of being bedridden is the high risk of developing
thrombosis Thrombosis (from Ancient Greek "clotting") is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel (a vein or an artery) is injured, the body uses platelets (thro ...
and
muscle wasting Muscle atrophy is the loss of skeletal muscle mass. It can be caused by immobility, aging, malnutrition, medications, or a wide range of injuries or diseases that impact the musculoskeletal or nervous system. Muscle atrophy leads to muscle weakness ...
(atrophy).


Etymology

The word "bedridden" is derived from the
Middle English Middle English (abbreviated to ME) is a form of the English language that was spoken after the Norman conquest of 1066, until the late 15th century. The English language underwent distinct variations and developments following the Old English p ...
term ''bedrid'', the past tense form of riding a bed, which dates back to the
14th century As a means of recording the passage of time, the 14th century was a century lasting from 1 January 1301 ( MCCCI), to 31 December 1400 ( MCD). It is estimated that the century witnessed the death of more than 45 million lives from political and n ...
.


Bed rest

This is a voluntary
medical Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practic ...
treatment still used today to help cure illness. Current views regarding this treatment are that there are no benefits for most conditions studied. Though bedrest may still be prescribed for pregnant women, it is now considered dangerous. Those who are bedridden can develop complications related to feeding.


Complications

Being bedridden leads to many complications such as loss of muscle strength and endurance. Contractures, osteoporosis from disuse and the degeneration of joints can occur. Being confined to bed can add to the likelihood of developing an increased heart rate, decreased cardiac output, hypotension, and thromboembolism. People with disabilities who are bedridden are at risk for developing pressure sores. Those who are bedridden are at risk in a house fire due to their lack of mobility. Showering can become impossible. Bedsores develop if a person spends most or all of the day in bed without changing position Being confined to bed may result in a person remaining passive and withdrawn. The ability to transfer to a chair and the negative attitudes of caregivers is associated with continued confinement to bed and reduction of such requests. Those who are confined to bed have risks related to falls. Falling from a bed can result in injury.


Prevention

One recommendation for preventing the complications of being bedridden is to eat a healthy, well-balanced diet that contains enough calories and protein needed for optimum health. If someone is confined to a bed, changing position at least every two hours can help prevent complications in addition to changing sheeting and bedclothes immediately if they are soiled, and using items that can help reduce pressure, such as pillows or foam padding.


Studies

One
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
n study of care given to bedridden individuals at home found that family members made up 82% of
caregivers A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most commo ...
. A high rate of medical complications was reported, including
pressure ulcers Pressure ulcers, also known as pressure sores, bed sores or pressure injuries, are localised damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of usually long-term pressure, or pressure in combi ...
and
urinary tract infection A urinary tract infection (UTI) is an infection that affects part of the urinary tract. When it affects the lower urinary tract it is known as a bladder infection (cystitis) and when it affects the upper urinary tract it is known as a kidney ...
s.


Examples in popular culture

In
Roald Dahl Roald Dahl (13 September 1916 – 23 November 1990) was a British novelist, short-story writer, poet, screenwriter, and wartime fighter ace of Norwegian descent. His books have sold more than 250 million copies worldwide. Dahl has be ...
's
Charlie and the Chocolate Factory ''Charlie and the Chocolate Factory'' is a 1964 children's novel by British author Roald Dahl. The story features the adventures of young Charlie Bucket inside the chocolate factory of eccentric chocolatier Willy Wonka. The story was originally ...
, Charlie Bucket's four grandparents, including Grandpa Joe, were always bedridden. In the 1971 film,
Willy Wonka & the Chocolate Factory ''Willy Wonka & the Chocolate Factory'' is a 1971 American musical fantasy film directed by Mel Stuart and starring Gene Wilder as Willy Wonka. It is an adaptation of the 1964 novel ''Charlie and the Chocolate Factory'' by Roald Dahl. The film ...
, they had been in bed for over 20 years. Joe is the only one who got out of bed. In the 1971 film, Charlie helps him get out of bed (after Joe reads Charlie's golden ticket and was very proud of him for actually finding one) and keeps falling down 3 times in a row and fainted the first time, but in the 2005 remake by
Tim Burton Timothy Walter Burton (born August 25, 1958) is an American filmmaker and animator. He is known for his gothic fantasy and horror films such as ''Beetlejuice'' (1988), ''Edward Scissorhands'' (1990), ''The Nightmare Before Christmas'' (1993), ...
, Joe gets out of bed all by himself and tap-dances after seeing Charlie's golden ticket.


References

{{reflist Living arrangements Disability Accessibility