Aging In Place

Do Bed Rails Prevent Falls?

Diane Carbo

Oct 26, 2023 — 7 min read

Preventing Falls with Bed Rails

Introduction: Preventing Falls with Bed Rails

Falls are a leading cause of injury among the elderly population, and can lead to decreased mobility or functional independence. There are several factors that increase the risk of falls, such as age-related changes, medical conditions, medications, and other environmental factors. Thankfully, bed rails provide an effective way for people to remain safe while in bed and to help reduce the chances of falls.

This guide will explore the types of bed rails available, safety considerations, installation tips, and the benefits and drawbacks of using them in order to assist in the prevention of falls.

Understanding the Problem of Falling

The risk of falling is a serious concern, especially for older adults. A fall can lead to a long recovery time, hospitalization and even death. In fact, falls are the leading cause of injury-related deaths among the elderly population.

There are many factors that can increase the risk of falling in seniors, including medical conditions, medications, physical impairments, and environmental hazards. While some medications may be necessary for treating illnesses, they can also have side effects that include dizziness or sedation. Physical impairments such as difficulty with balance and vision problems can also increase the risk of falling.

What is a Bed Rail?

A bed rail is an assistive device that can be used to help people get in and out of bed safely. It is usually made up of two metal rods, connected at the top with a horizontal bar, and supported by legs that fit underneath the mattress. The rails help provide stability and support for those who may need assistance in transferring or getting out of bed. Bed rails also provide a surface that can be used to help maintain posture while in bed.

Bed rails come in different sizes and styles, and can be used on any size bed. They can also be adjusted depending on the user's individual needs. Some common features of bed rails include: height adjustable rails, locking mechanisms, and a safety strap.

Types of Bed Rails

Bed rails come in several different styles that offer different features and benefits. The most common types of bed rails are:

Full length rails: provide full body protection and support. They are typically designed to fit around three sides of a bed, making it easy to access the bed from either side.
Half length rails: provide stability and support when getting in or out of bed. They are shorter, usually extending only from the head of the bed to the foot of the bed.
Floor length rails: designed for individuals who may need additional stability when standing or walking next to the bed. These rails extend from the foot of the bed to the floor and are typically padded for extra comfort.
Folding rails: designed for portability and come in either full-length or half-length varieties. These rails are designed to fold down when not in use.

No matter what type of bed rail you choose, it is important to make sure it is designed to meet safety and quality standards. Proper installation and regular inspections are also key in making sure that the bed rails are safe for use.

Safety and Quality Standards

When selecting a bed rail, it is important to make sure it meets the safety and quality standards set by the relevant authorities. This will ensure that the bed rail is safe to use and can provide the necessary protection from falls.

The American Society for Testing and Materials (ASTM) provides standards for bed rails as part of their voluntary consensus standards program. Bed rails should meet at least the minimum ASTM standards for performance and design in order to be considered safe for use.

Bed rails should also meet any other applicable safety standards set by the U.S. Food and Drug Administration (FDA). These standards address key features such as size, strength, stability, and ease of use.

Before purchasing a bed rail, always verify that it meets all relevant safety and quality standards. This will help ensure that the bed rail is safe and reliable and can provide effective protection from falls.

Installation Tips

Installing bed rails is not a difficult process, but it is important to ensure that they are properly fitted and secure to provide the optimal support and protection against falls. Follow these tips when installing bed rails:

Measure the bed size to make sure the bed rails are the correct size and fit.
Ensure the bed frame is strong and sturdy, as bed rails must be properly secured to the frame.
Consult the user manual for instructions on installing the bed rail.
Follow the instructions carefully and do not skip any steps.
Secure all screws, bolts, or connections tightly.
Check to make sure the bed rail is securely in place and won't shift when moved.
Make sure the bed rail is properly padded where it comes into contact with the patient to avoid discomfort or injury.

Benefits of Bed Rails

Bed rails can provide many benefits in the prevention of falls among the elderly. They can act as a barrier to help prevent individuals from rolling out of bed or can be used to help them safely get in and out of bed. Bed rails also provide extra support when sitting or getting up, helping reduce the risk of falls. Additionally, they can act as a safety net, providing further protection if an individual does fall out of bed.

The use of bed rails may also help reduce anxiety and improve sleep quality. This is because they provide a sense of security, helping to prevent nighttime falls while individuals are asleep or resting. Studies have also shown that the vast majority of people who use bed rails report a reduction in their fear of falling.

Potential Drawbacks of Bed Rails

Bed rails can be an effective solution in the prevention of falls, but there are some potential drawbacks that must be taken into account when deciding to use them. Some of the most common potential drawbacks include discomfort and entrapment dangers.

Bed rails can be bulky and make movement in and out of bed more challenging for some individuals. In addition, some people may feel confined or cramped due to the presence of bed rails, which could lead to feelings of discomfort. This should be taken into consideration when selecting bed rails.

Another potential drawback to consider is the risk of entrapment. This occurs when an individual’s body or limb gets stuck between the openings in the bed rail. To reduce the risk of entrapment, the size of the openings should be regularly checked and no sheets, blankets or other items should be placed between the mattress and the bed rails.

These potential drawbacks should be taken into account when deciding if bed rails will be an effective solution in the prevention of falls. It is important to ensure that any bed rail being used meets the necessary safety and quality standards.

Other Safety Measures

Using bed rails is an important step in reducing the risk of falls, but there are also several other safety measures to take into consideration. Other than bed rails, these additional safety measures include:

Installing night lights and keeping pathways clear to reduce tripping hazards.
Checking for loose throw rugs and removing them if they are a hazard.
Making sure furniture is stable and secure.
Using a non-skid bath mat or adding a grab bar in the shower or tub to help prevent slips and falls.
Providing assistance when getting in and out of bed.
Providing assistance when getting up from a chair or using the restroom.

These additional safety measures should be taken to maximize the effectiveness of bed rails and reduce the risk of falls. While no single solution can fully guarantee safety, taking these extra steps may help reduce the risk.

Regulations and Resources

When it comes to using bed rails, it is important to be aware of any regulations or guidelines that have been set out in order to ensure their safety. Depending on where you live, there may be different standards and regulations that need to be met when using bed rails. It is important to familiarize yourself with the local regulations in your area before purchasing or installing a bed rail.

Examples and Stories

Bed rails have been effective in helping to prevent falls for many individuals. Here are a few examples of how bed rails have made a significant impact.

A 75-year-old woman had been having difficulty getting out of bed without assistance. After installing bed rails, she was able to get in and out of bed independently and with confidence.
A 65-year-old man suffered from vertigo and frequently felt dizzy when getting in and out of the bed. With the help of bed rails, he was able to get into and out of the bed without feeling dizzy or unsteady on his feet.
An elderly couple in their 80s appreciated having the extra support of bed rails so they could both enjoy a goodnight’s sleep without worrying about falling out of bed.

These stories show just how effective bed rails can be in preventing falls. They offer a sense of independence and security for those at risk of falling.

Conclusion

Bed rails can provide an effective solution to help reduce the risk of falls for elderly individuals, as well as those taking medications that increase their risks. Bed rails can improve stability when getting in and out of bed, helping to provide extra support and security for those who are at risk of falling. When it comes to the safety of bed rails, it is important to seek out models that meet safety and quality standards, and to install them correctly. In addition to bed rails, other safety measures such as non-slip mats, grab bars, or raised toilet seats can be used to help reduce fall risk. Regulations may also be in place in certain areas regarding the installation and use of bed rails. By following these guidelines and taking all necessary precautions, bed rails can be a valuable tool in the prevention of falls.