During the acute emergency, the necessity for intensive therapy to support and restore the severely injured patient may lead to neglect of planning for the eventual recovery of the patient. Neglect to establish a program of total patient care may result in deterioration of the patient's condition. Prevention of deterioration during acute disability is an important factor in securing maximal recovery and should be a part of the program of care during the acute illness. To avoid the deteriorating effects of bed rest, patients should not be confined to bed any longer than is necessary to treat the acute disability. The degenerative effects of the prolonged inactivity may be greater than the beneficial effects of the bed rest.
Kottke FJ. PHYSIATRIC ASPECTS OF CARE OF THE SEVERELY INJURED PATIENT. JAMA. 1957;165(15):1930–1935. doi:10.1001/jama.1957.02980330032008
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