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A bed that lowers, putting the mattress on the floor, a concave mattress...
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Reply to Geaton777
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What is your aim?

If to prevent someone falling out of bed, using a bed lowered to the floor is safer.
Can place bed against a wall with a spare mattress along other side when person not supervised. Raise bed up when providing care.

Confused people can climb OVER the rails & then fall. They also injure themselves trying to squeeze out between the rail & bedend.

If rails are wanted so the person can reposition themself in bed, a curved bedstick may work instead.
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Reply to Beatty
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You are talking about a facility. (You can use bed rails in your own home,)
A hospital bed that is lowered as much as possible with a mattress or pad next to the bed makes a fall out of bed a safer fall.
Lowered as much as possible also makes it a bit more difficult to get out of the bed, it takes m ore effort to stand when you are that low to the floor so there is less chance a person will get out of bed unassisted.

Placing a "tube" around the bed under the sheets creates more of a cradle that can make it more difficult to roll close to the edge of the bed so rolling out of bed is less likely. (Think pool noodles under the bottom sheet on each side of the person.)

Some wedge or body pillows can sometimes work well to keep a person centered in the bed.

If a person is determined to get out of bed they will manage.
the problem with rails, aside from the fact they are considered a restraint is that a person can try to climb over them, under them or through them and there have been arms, legs or feet that have been broken because they have been caught in the rail. And I am sure there has been cases of strangulation as well.

No matter what you do to try to keep a person in bed if they are determined they will get out of bed. So supervision is the best thing. That could be a baby monitor, keeping the door open so you can hear what is going on. Or in a facility just having someone walk halls to listen for activity.
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Reply to Grandma1954
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As said, the law is for facilities not the home. Because of a back injury, I hadva small rail for my Mom to help her pull herself up. Its only about 18 in wide and slides under the mattress. It also helped keep her falling out of bed. Cannot be used in facilities though.
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Reply to JoAnn29
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Is this in a facility? If so you need a bed that drops to the floor and the gym pads.

It is the law in Florida because bed rails caused a lot of choking deaths. The resident would roll into the bed rail, choke, and die.

Tell the charge nurse that you want the bed dropped to the floor and gym pads on the floor.
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Reply to brandee
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