At first I could not use this until my friend experimented with me! We put the slip sheet on a regular or flannel sheet and wore a t-shirt.not a silk or slippery polyester night shirt. A flannel topped bed pad is also veryhelpful to keep the slip sheet from slipping the wrong way. I push up with the knees. Once I figured out thebest way to use it.it has been wonderful to be able to position my husband in bed at the top of the bed by hispillow. I use it every night!
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