Getting in and out of bed can become more challenging as we age. Many elderly individuals struggle to climb into taller beds, increasing their risk of falls and injuries. Lowering the bed height can make transfers much easier and safer.
There are several potential benefits to lowering an elderly person’s bed:
- Easier and safer transfers: Stepping directly onto the floor reduces the need to climb up into or down from the bed. This reduces fall risk during transfers.
- Increased independence: With an adjusted lower bed height, many seniors can get in and out of bed independently without assistance. This helps maintain dignity and self-sufficiency.
- Less strain on joints: Entering a high bed often requires climbing and pulling oneself up, which can strain aging hips, knees, and other joints. A lower bed reduces joint impact.
- Improved sleep quality: Struggling to get into bed can disrupt sleep. Lowering the bed makes getting settled easier, supporting better rest.
- Fall prevention: Falls are a major concern for the elderly. Reducing fall risks by lowering bed height is an important preventative measure.
When assessing the need to adjust an elderly individual’s bed height, consider their mobility levels and ease of transfer. A bed height of 16-23 inches from the floor is often recommended. Safety should also be evaluated to prevent trips and falls near the bed. With some adjustments, lowering a bed can greatly assist aging adults.
Choose The Right Bed Frame
The easiest way to lower a bed for an elderly person is to use an adjustable bed frame. These frames allow you to raise or lower the height of the entire mattress platform with the touch of a button or turn of a knob. Most adjustable bases have a height range of 7-24 inches, so you can find the perfect height for your needs.
Adjustable bases come in various sizes from twin to king and have features like massage, zero gravity positioning, USB ports, and under-bed lighting. Prices range from a few hundred dollars for basic models to over $1000 for high-end adjustable bases with all the bells and whistles.
If you’re on a tight budget, you can also look for more affordable bed frames that allow for manual height adjustments. Some metal bed frames have removable legs that can be swapped out for shorter ones. Or you can purchase bed risers to place under the legs. Just make sure any DIY adjustments you make are sturdy and stable.
No matter what type of bed frame you choose, be sure to measure the ideal transfer height for the individual. A physical therapist can recommend the right bed height based on factors like mobility, strength, and safety. The goal is to make getting in and out of bed as easy as possible.
Adjust The Mattress’s Height
For an adjustable bed frame, the process of lowering the mattress height is straightforward. Locate the remote control or buttons on the bed frame to activate the adjustment mechanism. Slowly lower the head and foot sections of the mattress to the desired lowered position for the individual. Be sure not to lower it too far to cause discomfort getting in and out of bed.
If the bed frame is non-adjustable, you may need to replace the existing mattress with a thinner mattress model to sit lower to the ground. Measure the current mattress height and shop for a mattress at least 2-4 inches shorter. Remove the old mattress and install the new lowered mattress.
Another option is to use furniture risers or leg extenders under the bed legs to raise the entire bed frame higher off the ground. This will make it easier to sit and stand from a lowered mattress position. Purchase risers that are sturdy and can support the weight of the bed frame and individual. Slide the risers securely under the bed legs, raising each side evenly. Then install the existing mattress on top, which will now sit at a lower height due to the lifted frame.
Lower The Entire Bed
One of the easiest ways to lower the entire bed is to remove the bed frame or legs so the mattress sits directly on the floor. This eliminates any height altogether. Just make sure the floor surface is clean and won’t damage the mattress.
For beds with fixed frames, installing bed risers or leg extenders in reverse can lower the entire bed. Standard risers raise a bed by 3-12 inches typically. Look for risers designed to lower beds by 3-6 inches instead. These slide onto the bottom of the existing bed legs or posters. Install them upside down so the risers point inward toward the floor, dropping the bed height.
Getting rid of the bed frame and using a platform bed is another option. Platform beds sit close to the floor, with heights between 6-12 inches usually. Just the mattress rests on a solid, flat platform base. Some platform beds allow you to adjust the leg height as needed. They provide more back support than putting a mattress directly on the floor.
When lowering the full bed, make sure any space underneath has been cleared out. Remove any boxes or clutter so there’s nothing hazardous under the lowered bed frame. Measure to ensure the bed will fit through doorways and hallways once it’s lowered. A bed that’s too low can also make it hard to get in and out of, so find the ideal height that works for the individual.
Make the Surrounding Area Safe
Lowering a bed increases fall risks, so it’s important to make the area around the bed as safe as possible. Here are some tips:
- Reduce clutter and tripping hazards. Clear any objects off the floor around the bed like shoes, books, cords, etc.
- Install good lighting. Make sure there is adequate lighting around the bed so the person can see clearly when getting in and out of bed. Consider nightlights or motion-sensor lights.
- Add grab bars and handles. Install grab bars near the bed that the person can use for support when standing up or sitting down. Handles added to the bed frame also help with leverage.
- Use non-slip rugs. Place rubber-backed rugs on both sides of the bed to reduce the chance of slipping.
- Keep a clear path. Ensure there is a clear, unobstructed path from the bed to the bathroom and bedroom door for safety.
- Use a bed rail. Bed rails provide support when getting in and out of bed. Make sure to use one that is sturdy and properly secured.
Taking precautions around a lowered bed will help prevent falls and injuries. Proper lighting, removing clutter, adding grab bars, using non-slip rugs, and installing bed rails can all make the area safer.
Transferring In and Out
Getting in and out of a lowered bed can be challenging for elderly individuals. Care should be taken to avoid injury during transfers. Here are some tips:
- Use a transfer bench or shower chair to sit on when moving to and from the bed. These provide stability and reduce the risk of falls.
- Install grab bars around the bed. Grab bars allow the individual to hold on for support when standing up or sitting down. Make sure they are properly secured.
- Have the individual sit up first, stabilizing themselves before attempting to stand. Trying to stand straight from a lying position is difficult.
- Take it slowly and have them move at their own pace. Rushing increases the chances of strain or loss of balance.
- Keep a sturdy walking aid within reach that they can use for leverage. A walker, cane, or crutches can provide needed support.
- If unsteady, use a gait belt around their waist and assist them during the transfer. Provide only as much support as needed.
- Consider obtaining a Hoyer lift or other patient transfer device if injury risks are high. This allows a caregiver to mechanically lift and move someone safely.
- Don’t be afraid to ask for help from a second person if the individual requires more support than can be provided alone. Attempting solo transfers that are beyond your capability can result in harm.
The right techniques and equipment can make transfers in and out of a lowered bed much safer. But full assistance may still be required at times. Seek help from a caregiver, aide, or family member when needed.
Caring For Bedridden Individuals
Lowering a bed for an elderly person requires some special considerations for caring for the individual if they become bedridden. Here are some tips:
Supplies Needed
With the bed lower to the ground, you may need some additional supplies to provide proper care:
- A bedpan and urinal can make toileting easier if getting up is difficult. Use caution when handling these to prevent spills.
- Absorbent underpads can help keep bedding dry if incontinence is an issue. Change and wash pads regularly.
- A hospital bed or trapeze may be useful for raising the head or feet and making positioning easier.
- Transfer equipment like a gait belt or slide board can aid in moving in and out of the lowered bed.
Bathing and Dressing
Bathing a bedridden individual in a low bed takes some creativity. Consider giving sponge baths in the bed using a basin of water and washcloths. Or use a flexible shower head to rinse the body while in bed. For dressing, choose clothes that are easy to pull on like sweatpants and button-down shirts.
Caregiver Ergonomics
With a low bed, bending over frequently can strain the back. Use good posture and bend at the knees when providing care. Have the person assist as much as possible during transfers. And utilize any lifting equipment like a Hoyer lift as needed for safety. Take breaks between tasks to stretch. Proper ergonomics prevent injury!
Potential Drawbacks
Lowering a bed closer to the floor can have some potential drawbacks that are important to consider:
- Some elderly individuals may feel enclosed or claustrophobic in a lowered bed. Being closer to the ground can give a sense of feeling boxed in or trapped, especially for those with mobility limitations. This feeling should be monitored and adjustments made if needed.
- Getting in and out of a very low bed alone can be challenging for the elderly. The low height requires more strength and dexterity to lower oneself down or push up from the bed. Assistance may be needed to avoid falls.
- A lower bed height also increases overall fall risk. Falls are more likely when getting in and out of bed, especially at night or when tired. Falls from low beds also tend to be from a shorter distance but can still cause injury. Precautions like bed rails or floor padding may help reduce risk.
The benefits of adjusting bed height need to be weighed against these potential drawbacks for each individual. Proper safety precautions and check-ins on physical and mental well-being can help minimize any issues. Seeking professional guidance is recommended to find the right balance of accessibility and safety.
When to Ask For Help
As you begin lowering the bed height for an elderly person, it’s important to consider when professional assistance may be required. While adjusting the bed can often be done independently, certain circumstances warrant involving others for evaluation, installation, or medical consultation.
Assistance With Assessment
Determining the appropriate bed height change for an elderly individual should factor in their physical abilities, risk of falls, and ease of transfers. A physical therapist, occupational therapist, or other medical professional can help assess the ideal bed height to maximize safety and accessibility. Their expertise is crucial to prevent injury or dangerous conditions. Don’t rely solely on your own judgment – ask for an assessment if you’re unsure.
Professional Installation
Some bed frames, especially hospital beds, require professional installation to safely modify the height. Attempting to alter these beds without proper training could lead to instability, entrapment risks, or malfunctions. Hire an experienced installer familiar with lowering beds for the elderly and disabled. They will ensure the adjustments meet codes and manufacturer guidelines.
Involving Medical Providers
For individuals with significant mobility limitations, medical conditions, or recent hospitalizations, consult their doctor before lowering the bed. There may be specific precautions or height recommendations based on their health status. A physician can help determine if bed height changes are appropriate and safe. Also, involve physical or occupational therapists to address how lowered beds impact functional mobility. Medical expertise is key for those with complex needs.
Seeking input from professionals can prevent foreseeable risks when lowering beds for the elderly. While you may be capable of basic adjustments, don’t hesitate to ask for guidance. Support from experts like therapists, installers, and doctors helps ensure safety and suitability.
