Bed rails and bed assist handles look similar, but they solve two very different problems, and confusing them has proven dangerous. Retired Occupational Therapist and Certified Aging in Place Specialist Esther Kane explains the difference between a handle that helps someone get up and a rail meant to keep someone in, and why the confused or restless person families most want a rail for is often the person most at risk from one. She walks through the federal safety standard now required, the gap measurements to check after installation, and the mattress-height fix that solves many bed transfer problems without buying anything at all. Visit SeniorSafetyAdvice.com for more practical tips and resources.