Robynsveil, I looked up Florence Nightingale's "notes on nursing" on Google books, and it was remarkable for what it revealed that people didn't know. And her writings came after this story was set. So I was thinking that someone who was severely disabled after an accident would be very vulnerable to infections and bedsores, and that the quality of care would have a huge influence on the patient's chances for survival. I doubt that they even knew enough about nutrition to prevent a person who couldn't eat normal food, and who couldn't express their needs verbally, from becoming malnourished. There was no intravenous feeding, no knowledge about sterilisation. A simple cold could become pneumonia so easily. I would think the outlook was very bleak.

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