By Joseph Destefano

Let’s face it; your loved one may spend a significant amount of time in bed. It’s crucial that the bed provide proper support and not be, well, a pain in the back.

Options run the gamut from mechanical beds that raise and lower from the top and bottom at the touch of a button to specially shaped pillows that support the body. But the most important features are the basics: a supportive mattress and box spring, and the right pillows.

Inspect the Current Goods

First, you’ll want to check the current bed, mattress, and pillows. Be sure the mattress and box springs are in good condition. That means no sagging in the middle, no springs sticking up in awkward places, and no stuffing peeking out at the corners.

As a rule of thumb, your bed set will last an average of seven to ten years. If it’s been 20 years since you bought a new one…you might have to spend the weekend with Dad exploring mattress shops.

Testing the Mattress

If you are buying a new mattress, have your loved one try it out if at all possible, and, when he or she tries it out, have them do so for as long as possible. It may seem embarrassing at the store, but that extra time is worth it when you bring the mattress home.

Most mattress retailers offer an exchange policy good up to 30 days. (Note: it pays to use a mattress pad, and a waterproof pad if necessary. Any stains or rips will invalidate the exchange policy). For maximum support, it’s best to replace the box springs at the same time you replace the mattress. And, bear in mind that some mattress warranty policies are only valid if you purchase the box spring at the same time. Ask questions up front about warranties, exchange policies, and more. Most reliable mattress providers have extensive warranties. Sometimes, you’ll have to pay more for the mattress and box spring up front, but the extra cost may be worth it for the peace of mind.

Check with your doctor regarding the type of back support needed for your loved one, and work with your loved one to take his or her preferences into consideration. If the doctor says “firmer mattresses are better,” but your loved one likes sleeping on a cloud-like surface, find a happy medium, or, look for pillow top mattresses that offer firm support underneath. In general, look for things such as coil count (how many springs are in the mattress—more usually means more support), and specially designed mattresses for back support.

Try to avoid extremes one way or another. And again, check with your doctor for any guidelines he or she may have.

Find the Right Pillow(s)

The correct pillow may make a huge difference to your loved ones’ comfort.

In general, a triangular or wedge-shaped pillow is best for sitting up in bed, and the best pillows for sleeping are ones that support the natural curve of the neck. These pillows are available in a wide variety of shapes and materials, and some even come in “hypoallergenic” forms in case your loved one has allergies.

Know the Sleep Type

How your loved one sleeps is as important as the mattress and the pillow. Some doctors and physical therapists recommend that elderly people sleep on their back. Others still recommend side-sleeping. Be sure to speak with your doctor about recommend sleep positions for your loved one. But bear in mind that if Mom has slept on her right side for 83 years, she might not change her style anytime soon.

Some suggestions for supporting your loved one (and yourself) during sleep include:

• Stomach Sleepers—Place a pillow between the hip and shoulders to help reduce the arch of the back. A small head pillow may improve neck alignment.
• Side Sleepers—Reduce stress on the back by resting the top leg on a pillow placed in front of the body.
• Back Sleepers—Place a small pillow under the knees to help the back maintain its natural posture.

Finally, consider how you may feel after spending a full week in bed with the flu. Your muscles may feel tight, and you might have a general sense of not feeling refreshed. If your loved one spends a great deal of time in bed, it is important that you ask your him or her how you might make them comfortable, and whether you can do anything to help. Keep the conversation open and involve your doctor in the discussion!