The 10 Best Senior's Bed Rails

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This wiki has been updated 33 times since it was first published in January of 2016. If you care for someone with limited mobility, or if you have trouble moving about on your own, one of these seniors' bed rails can make the task of getting in and out of bed a whole lot easier and safer. Many will also prevent users from rolling out while asleep. We've included removable, unobtrusive models as well as more permanent versions that can stand up to years of use. When users buy our independently chosen editorial picks, we may earn commissions to help fund the Wiki.

1. Drive Medical Home

2. Stander Advantage Traveler

3. Able Life Mighty

Editor's Notes

August 17, 2020:

These senior’s bed rails can improve the quality of life of the elderly, as well as some people who suffer from arthritis or are recovering from certain types of injuries. They’ll help those with limited mobility to maintain a level of independence and keep them from falling out of bed during the night. Many feature a component that slides between the bed’s mattress and box spring to hold them in place securely.

In today’s update, we added in the MedPro Contoured, which is built with an M-shaped handle that’s unique among the models on our list. It allows you to place your hands in various positions for a secure grasp as you lie down or lift yourself up. In addition to a handy storage pouch that’s attached, it incorporates multiple crossbars to help prevent entrapment. For a design that’s more compact than many of the others, look to the newly added Stander PT BedCane. Its square-shaped open handle is easy to wrap both hands around for extra leverage as you get up or reposition yourself while in bed. Like the MedPro, this one comes with a convenient storage pouch. It’s backed by a lifetime guarantee and is good for mattresses of up to 17 inches in thickness. We also added in the Carex Health Brands Adult, which is a viable solution for anyone looking for both protection from falls and for a sturdy handle to grasp onto. Leaving the list to make room for these models is the currently unavailable AdirMed Assist. We also decided to remove the Vive Assist Standing and the Drive Medical ADJ, both of which are highly similar to the Secure Assist Support, and we felt the somewhat unique models added more value to the selection.

For safety’s sake, be sure a bed rail is installed properly to avoid injury or entrapment. You should check with your doctor when determining whether a particular type of bed rail is right for your needs. In addition, be sure any model you’re interested in is compatible with your bed’s design and dimensions.

October 19, 2018:

Keeping in mind that mobility issues can range drastically from limited to the extreme, we wanted to provide a larger variety of options to accommodate both ends of that spectrum. The Drive Medical Home secures both sides of a bed and extends nearly to the full length of a mattress. Meanwhile, the Stander Advantage Traveler is a great choice for those who are still quite active and even still hit the road regularly, but just need a little assistance.

Special Honors

Bedside Rail Mobility Thanks to a large cushioned handle and aircraft-grade aluminum construction, this rail can have you transferring in and out of bed independently. Although it weighs less than 2 pounds, it can support up to 300 pounds in weight. It collapses to fit easily into small spaces for storage or travel. The included four-pocket organizer pouch gives you a place to keep your essentials. A safety strap secures the rail between the mattress and bed frame. It’s suitable for use with either a home or a hospital bed.

4. MedPro Contoured

5. Stander EZ Adjust

6. Essential Medical Supply

7. Stander PT BedCane

8. Secure Assist Support

9. Carex Health Brands Adult

10. Stander 30-Inch

Bed Rail Safety

If sleepers become tangled or stuck in or near the rail, they may not have the coordination or strength to extricate themselves, leading to injury or even suffocation.

When used correctly, bed rails have the potential to improve quality of life, but with improper use, bed rails can cause harm to users. According to the FDA, the most common causes of bed rail injury are falls and entrapment, which occurs when the user becomes stuck between the rail and something else (like the mattress or headboard). Fortunately, there are ways to help prevent these issues.

The best line of defense is ensuring that the rail is installed properly according to all directions given by the manufacturer. If the rail doesn’t fit or seems too loose, don’t try to force it or invent creative solutions to hold it in place. Spend the time, instead, to find the bed rails that fit properly. Once a rail is installed, there should be no gaps between it and the mattress or the other parts of the bed. It’s also recommended to check for gaps regularly, as the mattress, frame, or rail can shift during use.

After the bed rails are properly installed, users should only utilize them as intended and never attempt to climb over them. For those in sound health, perhaps this isn’t as much of an issue; however, sleepers with dementia and other cognitive impairments may become confused and attempt to crawl over the rails to get out of bed. For this reason, experts suggest that bed rails are not the best solution for individuals with such issues. Rather, a monitoring or radio tracking device and a secure room are better at keeping such a sleeper safe in the nighttime.

Individuals suffering from extreme physical disabilities are also considered high-risk for bed rail injuries when these are used as a device to prevent falls during sleep. If sleepers become tangled or stuck in or near the rail, they may not have the coordination or strength to extricate themselves, leading to injury or even suffocation. For these individuals, again, other options may be the better choice. Your doctor or physical therapist can help you find the aids that will work best.

Choosing Senior's Bed Rails

Overall, bed rails are best used by those who have trouble moving between seated and standing positions, and those who may fall during sleep, but do not have extreme cognitive deficiencies or physical handicaps. In these situations, as you choose bed rails for yourself or someone in your care, you’ll need to consider a few details to get the safest, most useful aid for your situation. These include installation, weight tolerance, size, and use.

For this reason, it’s crucial that you understand whether the rail will fit the bed.

Installation is arguably the most important factor, because if you cannot install the rails properly, they could be hazardous. For this reason, it’s crucial that you understand whether the rail will fit the bed. Manufacturers give information about what type of frame or box spring the rail can be used with, including sizes and measurements. Take the time to measure, and if you don’t have the proper bed equipment, you may need to look at another option. For instance, don’t attempt to install a rail on a thin gel mattress pad if you don’t have the required box spring.

The weight tolerance of a bed rail refers to how much weight it is designed to safely support. Manufacturers indicate this in pounds (or kilograms), with most limits in the 250- to 300-pound range. Placing the force of excess weight against a railing may cause it to break, leading to a fall or other injury. In cases where individuals exceed bed rail weight ratings, a bariatric bed might be the better choice.

A bed rail’s size usually differs in two main ways: length and height. For home use nowadays, shorter rails, usually between one and two feet, are more common, as these offer enough space for the rail to be grasped during transitions between seated and standing positions. Longer rails are available for keeping users in bed during sleep, but these should only be chosen when the user is not at a high risk for entrapment, whether due to physical or cognitive ailments.

When it comes to use, one main difference in models is between those that fold down and those that do not. Users who are having trouble adjusting to the need for a mobility aid might find the fold-down kind to be a good choice, as they are less noticeable and keep a bedroom from looking like a hospital room.

Keeping Seniors Safe

For those seniors who need a little extra help performing the day-to-day activities that many people take for granted, the modern world has a lot of help to offer. Today, if you can imagine a device for making a quotidian task easier, it’s probably available, making life for seniors much more comfortable.

Seniors with arthritis also have plenty of options for making their daily lives a little simpler.

Those with common cognitive impairments caused by age, for instance, can now lead less stressful lives thanks to a range of tools designed for safety. Anti-scald shower heads and faucets, stoves that turn themselves off, and automatic monitoring for fire, smoke, and more can all help an individual remain independent for longer and keep loved ones from worrying (as much). Even something as simple as a memory loss clock can make an Alzheimer’s patient feel more secure, since this disease causes problems with telling time that can lead to anxiety.

Seniors with arthritis also have plenty of options for making their daily lives a little simpler. There are gadgets to help with opening jars, seat belt extension handles to make reaching for the strap easier, lifting cushions that help with moving between seated and standing positions, remote controls and phones with extra-large buttons, and even gardening tools with ergonomic grips. These products aid in keeping some of the stress off painful joints and body parts, which can spell the difference between doing something independently and needing someone to lend a hand.

It’s crucial, as well, not to overlook those items that can save a life in a crisis. A senior’s bed rail and other devices work well as prevention, but falls and emergencies do still happen. Signing up with a quality medical alert service can’t necessarily stop these, but it can make an enormous difference in the outcome of a life-threatening emergency.

Karen Bennett
Last updated by Karen Bennett

Karen Bennett lives in Chicago with her family, and when she’s not writing, she can usually be found practicing yoga or cheering on her kids at soccer games. She holds a master’s degree in journalism and a bachelor’s in English, and her writing has been published in various local newspapers, as well as “The Cheat Sheet,” “Illinois Legal Times,” and “USA Today.” She has also written search engine news page headlines and worked as a product manager for a digital marketing company. Her expertise is in literature, nonfiction, textbooks, home products, kids' games and toys, hardware, teaching accessories, and art materials.

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