i have a hospital bed with side rails. i had a nightmare one night and fell out of bed.

I've had trouble switching positions in bed over the past six months. One night I tried a fold out couch in another room which has a hard surface and a thin firm mattress on and I slept better and switched positions more easily. So far it still is better. So I recommend a more firm surface.

i agree, especially if you major back problems, Also a great place to do some back exercises.

No suggestions but I have a bed rail that really helps me get in and out of bed.

I bought a small bedrall for my mother and it helps her a lot.