31 July 2024
Written by Jennifer Clarke,
Clinically reviewed by Sharon Coyle
With limited mobility, it can be difficult to get into or out of bed. You may also find that you need some extra protection from falls or rolling out of bed. Bed rails can give you a helping hand and keep you or your loved one more secure.
There are many different options for you to choose from which can make it hard to know where to start or even know what’s out there. This guide outlines the main types and alternatives, to help make your decision easier.
There are different types of bed rails, so some might suit you better than others. Below, we describe some of the different types available:
These rails are sometimes called ‘bed sticks’, ‘bed levers’, or ‘bed rails’. They are made up of one handle, which attaches to the bed frame or under the mattress, or at floor level for low or divan beds. The handle height is above the mattress, so you can hold it to support you as you stand up or sit down on the bed. Great for double or single beds, single-sided grab rails can be used in all sorts of bedrooms.
It’s important to remember that grab rails are not intended to be used for fall prevention or stopping you rolling out of bed, so you may need additional or alternative aids if this is something you would benefit from as well.
Providing handles on both sides of the bed, these rails are the same style as a single-sided grab rail with a frame sitting below the mattress but support you on either side. They’re often width adjustable so that they fit securely to a range of mattress sizes.
Bed guards can also be referred to as ‘side rails’ or ‘cot sides’. They help to prevent rolling out of bed and the risk of injury from falling. Often these rails are extendable, so that they can protect most of the length of the bed, or have folding mechanisms. This also ensures they’re out of the way when you get in and out of bed.
However, bed guards are not intended to support you as you stand or sit, so you’ll have to use additional aids for support if you need this as well.
They can be available as singles or as pairs, depending on whether you need coverage on both sides of the bed, and some have handy pockets built in to keep items
Useful for extra thick mattresses of 12” and up, these bed rails are taller so they can still stand above the mattress and help to protect you from falls.
If you have a solid frame, there are some bed rails that fasten with straps, or some with clamps. For others, the rails are designed to fit under the mattress or even to be at ground level to fit under low divan beds.
Check the style of bed you have, to make sure you choose the right bed rail or bed guard.
Make sure that your chosen bed rail or guard isn’t going to interfere with other devices such as hoists, or activities such as transferring from the bed to a wheelchair, or to other equipment.
The main questions to ask are: have you picked the most suitable aid for your needs and your bed? And is it installed correctly?
Make sure that the bed rail you choose won’t add any risks to your bed routine – that could be ensuring it provides the correct level of support, or that it will not add any risk of limbs being trapped between the rail and mattress.
It’s vital that the bed rail or guard is fitted correctly, following each products’ own instructions, to make it safe for you to use. NRS Healthcare has developed a useful Bed Rail Measuring Guide to help you fit a bed rail correctly, minimising risk. Suitable for side rails and grab rails, it also links to help videos and general advice.
You also need to keep regularly checking your bed rail or bed guard to ensure it’s still in the right position, and still suitable for your needs.
Though it might not be top of the list to consider for a new aid, we all want our bedrooms to look nice and feel homely. Many aids might have a clinical feel, but you can get ones in various finishes and colours, even with natural wood or wood effects. You won’t necessarily need to sacrifice your bedroom décor to still feel safe and secure in bed.
These wedge-shaped foam cushions are placed along the edges of a bed as an alternative to bed rails. They attach with a draw sheet that uses straps and quick release buckles to keep it securely in place, but are easy to move with Velcro-type fastenings when needed.
These cushions attach to bedside rails, foot- or headboards to add extra protection, giving a softer surface that helps to prevent injuries from knocking or moving against harder surfaces of the bed frame or rails.
Some bed rails may have covers available to fit over the metal, making them softer as well as warmer to the touch.
Want to know more about the types of bedroom aid available? Read our guide to bedroom accessories for a look at the various aids you can use throughout your bedroom. Or for tips on making it easier to get around your home, check out how to create an accessible home so you can move around freely.
If you're still unsure which bed rail or other bedroom aids might be your perfect match, you can get in touch with our Occupational Therapists, for free expert advice.
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