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If needed, you can fastern the strap according to the picture, the strap is long enough to support most types of bed, please just tie the belt closely on bed. In this safety rail for bed, there are only 5 parts, only needing 2 minutes to install the rails. The bed rails is designed for elderly adults, very convenient to use! The grip bed rail is foamed with soft sponge, which can resist slip and dirt. Your hand will also feel warm, not cold. The Senior bed rails can help seniors get up, the base of this bed rail is long, which makes it more stable and the part that goes under the mattress extends quite a distance. The bed rail comes with a pouch, the pocket can hold more than 24 oz, and it can store small items that seniors can easily reach. Whatever the matress is thin or thick, the bed rails for handicap can fit very well. It is strong and sturdy to lean while reading. Please rest assured that the bed rails will not ruin the whole look of your bed, but fuctioning as a part of decoration .