The Use of Bed Rails in Long- Term Care Facilities: A Comprehensive Guide.

Oct 31, 2023 | Health

Bed rails are safety devices that are attached to the sides of a bed to help prevent falls and injuries. They are often used in long-term care facilities, such as nursing homes and assisted living facilities, to help protect residents who are at risk for falling out of bed. Bed rails can be made of metal, plastic, or another material, and they come in a variety of styles and sizes. Some bed rails are adjustable, while others are fixed.

Types of Bed Rails

HALF -LENGHT BED RAILS

These are shorter than full-length bed rails, and they only cover part of the bed. Half-length bed rails can be easier to get in and out of bed, and they may be more comfortable for some people. However, they may not provide as much protection as full-length bed rails.

FULL-LENGHT BED RAILS

Full-length bed rails are longer than half-length bed rails, and they cover the entire length of the bed. They provide more protection against falls and injuries, but they can be more difficult to get in and out of bed. They may also be less comfortable for some people.

FLOOR-CEILING BED RAILS

Floor-to-ceiling bed rails. These are the longest type of bed rail, and they reach from the floor to the ceiling. They offer the most protection against falls and injuries, but they can be the most difficult to get in and out of bed. They are also the most expensive type of bed rail.

Pros and Cons of using Bed Rails

Some Benefits Of Using Bed Rails

  • The main benefit of using bed rails is that they can help prevent falls and injuries. They can provide extra support for people who may be at risk of falling out of bed, such as those with mobility issues or dementia.
  • Bed rails can also help people with dementia or other cognitive impairments stay in bed and prevent them from wandering or getting into unsafe situations.
  • Bed rails can provide independence for people who need assistance getting in and out of bed. They can also be helpful for people who have trouble turning or repositioning in bed. In addition,
  • Bed rails can reduce the risk of pressure sores by helping people stay in one position for longer periods of time.
  • Another benefit of bed rails is that they can provide peace of mind for caregivers. Knowing that a loved one is safe in bed can reduce stress and worry. Bed rails can also make it easier for caregivers to provide assistance, such as helping with transfers or repositioning.
  • Bed rails can save money in the long run by reducing the need for hospitalizations or other costly interventions.

Potential Risk of Using Bed Rails

  • One of the main risks is entrapment, as I mentioned before. This can happen when someone gets caught between the bed rail and the mattress, or when the bed rail is not adjusted properly. Entrapment can cause serious injury or even death.
  • Another risk is falls from bed, which can occur if someone tries to climb over the rail or if the rail is not secure.
  • There are a few other risks associated with bed rails, including skin irritation and difficulty sleeping. Some people find the rails uncomfortable or restrictive, and they can cause skin irritation if they rub against the skin. Additionally, the noise of the rails moving can disturb sleep.
  • People use bed rails for the wrong reasons. For example, people may use them to restrain someone who is confused or agitated, but this can be dangerous and even illegal. It’s important to only use bed rails for their intended purpose, which is to provide safety and security.

How to choose the Right Bed Rails

There are a few things to consider when choosing bed rails , these includes the person’s height, weight, and mobility level. The height of the bed and the type of mattress also matter. it’s important to consider the person’s sleeping position and whether they move around a lot at night.

General guidelines for choosing a bed rail.

  • It’s important to measure the height of the bed and the person using the bed rail. The rail should be at least half the height of the person using it.
  • it’s important to choose a rail that is compatible with the type of mattress. For example, some rails are designed for use with innerspring mattresses, while others are designed for foam or memory foam mattresses.
  • The next step is to consider the person’s sleeping position and mobility level. If the person moves around a lot in their sleep, it’s important to choose a rail that is sturdy and securely attached to the bed. For people with limited mobility, it’s important to choose a rail that is easy to get in and out of.
  • It’s important to choose a rail that is comfortable and doesn’t cause skin irritation.
  • Consider the installation process. Some bed rails are easy to install, while others may require professional installation. It’s important to read the instructions carefully and follow them exactly. If you have any questions about installation, it’s best to contact the manufacturer for assistance.

Key Takeaways

  • Bed rails should be properly installed and used according to the manufacturer’s instructions.
  • Bed rails should be checked regularly for wear and tear.
  • Bed rails should never be used as restraints.
  • Bed rails should never be used with infants or small children.
  • Bed rails should never be used by people who are not able to get out of bed on their own.

Bottom Line

The bottom line is that bed rails can be a useful tool for some people, but they should be used with caution. They should only be used when necessary, and only under the guidance of a healthcare professional.

A good rule of thumb is that bed rails should only be used when someone is getting in or out of bed, or turning over in bed. Bed rails should never be used as a way to confine someone to their bed. They should also not be used for someone who is unable to get out of bed on their own.

It is important to talk to a doctor or other healthcare professional to make sure bed rails are the right solution. It’s also important to consider alternative solutions, like bed wedges or bedside fall mats.

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