OOB. A common entry I often wrote on inpatient order sheets. Nurses understood it as Out of Bed, either daily or twice a day. Leaving recovering patients to loll delays their recovery. Nurses know this, but they have a lot of urgencies, from administering medicines, changing IVs, and preparing patients for procedures. Presenting mobilization of recovering patients as a specific task to get checked off as a to-do assures that it does not sink to an undone low priority.
Approaching my mid-70s with few mandatory daily tasks that require mobilization, staying horizontal, whether bed or lounge chair, comes too easily. I sleep there, but also read, banter with my wife sometimes. She watches TV there, though I prefer the recliner of sub-optimal comfort in My Space. As I review daily tasks, most require me to mobilize myself. And even those reading tasks lose attentiveness when done in bed instead of at my desk or at a round table at OLLI.
Staying OOB has a more important objective than productivity, though. It is integral to sleep hygiene. This enables more restorative sleep for the properly assigned sleep times, which leads to more energetic daylight hours. As a result, I've gotten fairly rigid at when I can occupy my bed. Mostly off limits from 6:50AM which I've assigned my rising time to 9:30PM which has become my wind-down hour in preparation for lights out at 10PM. I still have the downstairs sofa as horizontal, something needing its own elimination, and my recliner for watching TV. This unfortunately has become a surrogate for extending my morning sleep hours, though nearly always with an interruption for dental hygiene first.
While I committed myself to following sleep hygiene recommendations, and I note the benefits which have come my way, it remains a hard thing for me to do. The fixed wake and sleep times do not always match my energy cycles. The hours in bed, while maintaining predictable sleep stages, do not always leave me rested. Fortunately, people and other animals have a mechanism for sleep interruption with catch-up later for essential tasks, like answering a baby's cry to escaping a predator. The respect for that daily 6:50AM nudge, though, does not always move me to something essential. And when sleep-deprived, irrespective of reason, I might fall asleep in the lounge chair with the TV's blue emitted light unable to overcome genuine fatigue. Sleep hygiene takes some real effort for some genuine benefits, though physiologic failures require gracious acceptance without berating myself for weakness or inadequate grit.
I do a few things most days as an incentive to avoid my bedroom during assigned waking hours. Either my wife or I make the bed as soon as the second of us arises. I don't want to upset handiwork that took effort, even if only about three minutes. I will place things on the made bed, often a basket of laundry, to make it harder to just plop myself back down at the first hint of sleep. And for some reason, the master bedroom has the least adapted climate control of any room in our house, which has caused me to place a window air conditioner for the summer and an electric space heater for the frigid times. This can discourage being there when I don't need to be.
OOB has a daytime purpose, whether for patients recovering from illness or myself trying to get the most out of my waking times. How well the restrictions I accepted for myself played out in my senior years gets a mixed scorecard. Restricted bed times effectively creates a box of time when the bed is off limits. Productive time is the intent: some creative, some challenging, some maintenance of ordinary household tasks. That requires other specified times. Prime time, the mornings, at my desk. Focus time, another struggle. Appointments: doctors, shabbos services, OLLI. Things to do that have no assigned times: grocery shopping, laundry. Habitual activities: meal preparation, hygiene. And dead times, mostly driving to where I need to go. The assigned bedtimes have the purpose of supporting the waking times. For the most part, my adherence has enabled that, as the sleep hygiene experts suggested it would.
As a result, this remains a priority. How I feel when my clock radio sounds mostly becomes subordinate to my promise to myself to get up, even it requires a snooze in the lounge chair later. At 9:30PM, screens go off in anticipation of lights out a half hour later. Assigned times have only a loose correlation with physiological realities, but close enough to respect them in anticipation of a future benefit. And with this effort, I still feel reasonably spry as my years advance.
