I use this for an elderly parent on a size Q bed. 34" x 52" is spot on as anything smaller is am is wrong place. The top layer is soft enough to feel comfortable against the skin. It's not the most slip-resistant product - four-layer products contain another layer of fabric on top of the waterproof layer that adheres better to the sheets. But it also costs less than 4 layers. We haven't had any leaks so it appears to be waterproof. I washed this and another brand together and this one didn't smell as clean. I'm not sure if it was just dirtier or if that polyethylene filling holds more odors. I would probably spend ten bucks more on my next purchase for an extra layer and different filler. But it is very functional for its purpose and we will continue to use it.
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