What Are You Supposed to Do on Bed Rest? A Comprehensive Guide to Healing

While modern medicine has reduced the frequency of prolonged bed rest, it is still a necessary prescription for specific medical conditions. Whether recovering from surgery or managing a high-risk pregnancy, understanding what are you supposed to do on bed rest is vital for a safe and successful recovery.

Quick Summary

Following a doctor's orders for bed rest involves more than just inactivity; it requires actively managing your physical and mental health through modified activities, proper nutrition, permitted exercises, and emotional support to ensure a smooth recovery and minimize potential complications.

Key Points

• Follow Doctor's Orders: Adhere strictly to whether your bed rest is modified or strict, as activity levels can have significant consequences for your recovery.

• Prevent Complications: Combat risks like blood clots and muscle atrophy with approved exercises, regular position changes, and a nutrient-rich diet.

• Engage Your Mind: Combat boredom and isolation by embracing hobbies, reading, online courses, and watching entertainment to keep your mind stimulated.

• Prioritize Mental Health: Stay connected with friends and family, maintain a daily routine, and use mindfulness techniques to cope with the emotional toll of inactivity.

• Lean on Your Support System: Don't be afraid to ask for help with meals, chores, and emotional support from those around you.

The Modern Approach to Bed Rest

Bed rest is not a one-size-fits-all prescription. The days of simply lying motionless for extended periods have largely been replaced by a more nuanced approach, balancing necessary rest with controlled activity. Prolonged inactivity carries significant risks, including muscle atrophy, blood clots (deep vein thrombosis or DVT), and mental health challenges like depression and anxiety. Therefore, your doctor’s instructions will specify the level of rest required, and it is crucial to follow them precisely. What you are supposed to do on bed rest will depend entirely on your specific diagnosis and your healthcare provider's directive.

Strict vs. Modified Bed Rest: Understanding the Nuances

Not all bed rest is created equal. Your doctor will specify the type of restriction, which dictates your allowed activity levels. It's important to clarify the specifics with your healthcare provider to avoid any confusion and prevent complications.

Feature	Strict Bed Rest	Modified Bed Rest
Activity Level	Minimal to no movement. May be confined to lying down, often in a specific position.	Limited movement, but may include sitting up, short walks to the bathroom, or moving to a different room.
Bathroom Privileges	Often requires assistance with a bedpan or commode.	Bathroom privileges usually permitted for short periods.
Sitting/Standing	Not permitted, or only for very brief, specific instances (e.g., eating).	Sitting in a chair or recliner for defined periods may be allowed.
Social Interaction	Can be difficult due to limited mobility, but phone calls and video chats are key.	More freedom for visitors, with an emphasis on preventing emotional stress.

Practical Ways to Pass the Time and Stay Engaged

Being confined to bed doesn't mean your life has to stop. Engaging your mind is crucial for your mental well-being and can help the time pass more quickly. What are you supposed to do on bed rest to stay busy?

• Read or listen to audiobooks: Create a list of books you've always wanted to read or subscribe to an audiobook service. This provides a great mental escape.
• Binge-watch your favorite shows: Catch up on TV series or movies. This is a classic, low-effort way to relax and be entertained.
• Explore new hobbies: Learn to knit, crochet, or draw. These activities can be done comfortably from bed and provide a sense of accomplishment.
• Embrace online learning: Sign up for an online course or webinar. You can learn a new skill, a new language, or explore a new topic of interest from the comfort of your bed.
• Connect with others: Stay in touch with friends and family through phone calls, video chats, and social media. Let them know what you need help with, from errands to simply having a conversation.
• Plan for the future: Use this time to organize and plan. This could involve ordering supplies for a new baby, planning your post-recovery vacation, or mapping out career goals.

Maintaining Your Physical Health While Resting

Even with limited mobility, there are steps you can take to prevent complications associated with prolonged bed rest. Always consult your doctor before starting any exercises.

1. Perform approved range-of-motion (ROM) exercises: Gentle movements like ankle pumps (flexing and extending your feet) can help with circulation and prevent blood clots. Discuss which movements are safe for your specific condition.
2. Prevent pressure sores: Change your position regularly, at least every two hours, or with assistance if needed. Use pillows to relieve pressure on your back, elbows, and heels.
3. Practice deep breathing: This is especially important for post-surgical patients. Taking slow, deep breaths can help prevent lung infections and keep your respiratory system healthy.
4. Stay hydrated: Dehydration can exacerbate many health problems. Keep a water bottle within reach at all times and sip throughout the day.
5. Use support devices: If recommended, use a wedge pillow to elevate your legs or position yourself correctly. This can aid circulation and reduce swelling.

Prioritizing Nutrition and Hydration

Your body's nutritional needs change when you are on bed rest. Because you are less active, you will need fewer calories to prevent unnecessary weight gain. However, nutrient-dense foods are critical for healing and maintaining muscle mass.

• Focus on high-quality protein: To combat muscle loss, ensure you are getting enough protein from sources like lean meats, eggs, and dairy. Older adults, in particular, should focus on this to mitigate the accelerated muscle loss during inactivity.
• Increase fiber intake: Constipation is a common side effect of inactivity. Eating plenty of fruits, vegetables, and whole grains, along with staying hydrated, can help keep things moving.
• Monitor calorie intake: Discuss your dietary needs with your doctor or a nutritionist. They can help you adjust your calorie intake appropriately for your reduced activity level.
• Avoid junk food and excessive sugar: Processed foods and sugary drinks offer empty calories that can contribute to unwanted weight gain and inflammation, hindering your recovery.

Managing Your Mental and Emotional Health

The emotional toll of bed rest can be significant. Feelings of isolation, restlessness, and anxiety are common. Taking proactive steps can help you maintain a positive outlook.

• Maintain a routine: Structure helps provide a sense of normalcy and control. Set consistent times for meals, hygiene, and recreational activities.
• Get some natural light: If possible, arrange your bed near a window. Exposure to sunlight can boost your mood and regulate your sleep-wake cycle.
• Express your feelings: Talk to friends, family, or a therapist about your frustrations and fears. Organizations like Hand to Hold offer resources specifically for those on bed rest due to pregnancy complications.
• Practice mindfulness and relaxation techniques: Try guided meditation, deep breathing exercises, or listening to calming music. These can help manage stress and anxiety.
• Celebrate small wins: Acknowledge your progress, no matter how small. Focusing on your body's healing process can be incredibly empowering.

Conclusion: Active Recovery on Bed Rest

While bed rest can be challenging, a proactive mindset and careful planning can make the experience more manageable and effective. By understanding the specific type of bed rest prescribed, engaging your mind with productive activities, and diligently managing your physical and mental health, you are setting yourself up for the best possible outcome. Always remember that the ultimate goal is a full and safe recovery. Stay in close communication with your healthcare team, and don't hesitate to ask for help from your support network. Active recovery is a process, and by focusing on what you are supposed to do on bed rest, you are taking control of your healing journey.

Hand to Hold offers emotional support for high-risk pregnancy and NICU families.

Frequently Asked Questions

What is the difference between modified and strict bed rest?

Modified bed rest allows for some limited movement, such as brief walks to the bathroom or sitting in a chair. Strict bed rest requires staying in bed almost all the time, often with assistance for basic needs.

Is prolonged bed rest always necessary?

No, recommendations have shifted. Extended bed rest is now used more selectively for specific high-risk conditions, as studies have shown potential harms from prolonged inactivity.

What exercises are safe to do while on bed rest?

This depends on your specific condition and doctor's orders. Often, simple range-of-motion exercises like ankle pumps and arm lifts are permitted to maintain circulation and prevent clots. Always get clearance from your healthcare provider first.

How can I prevent boredom during long-term bed rest?

Plan a variety of activities to keep your mind engaged. This can include reading, listening to podcasts, learning a new hobby like knitting, watching movies, or connecting with friends and family via video calls.

What kind of diet should I follow on bed rest?

Focus on a lower-calorie, nutrient-dense diet to prevent weight gain. Ensure adequate protein intake to minimize muscle loss and consume plenty of fiber and water to avoid constipation. Avoid excessive sugars and processed foods.

How do I cope with the mental and emotional stress of bed rest?

Create a routine to provide structure, stay connected with your support network, practice mindfulness or meditation, and ensure you get some natural light if possible. If you experience significant anxiety or depression, talk to a mental health professional.

What are the biggest risks of not following bed rest instructions?

Ignoring bed rest orders can lead to severe complications, including blood clots, worsening of the underlying condition that required rest, and delayed recovery. It's crucial to follow your doctor's specific guidance.