Most of us would agree that bed rails are a necessary precaution to keep hospital and nursing home residents who may be sick or restless from falling out of their beds. But a post on The New Old Age blog on the New York Times online points out the risks involved with the use of bed rails.
“Rails decrease your risk of falling by 10 to 15 percent, but they increase the risk of injury by about 20 percent because they change the geometry of the fall,” explained Steven Miles, a geriatrician and bioethicist at the University of Minnesota who was quoted in the article. Patients can try to climb over the rails, falling farther than if they rolled off the lower level of the bed.
A greater risk with bed rails is entrapment. The article gives the example of an elderly man who died of asphyxiation in an assisted living facility in Wisconsin after his head became entrapped between the mattress and the rail.