depending upon the position of box springs, pull out creating a pseudo-step about 2". Your 'good foot' heel uses this as a prop up with palms of hands 'jump a movement toward pillow' a few times, onto mattress. Initially, a Reach-arm-circle assists the operated leg to swing onto bed. Palms again to adjust position. "Eventually", assist rod is Unnecessary & jump-up onto bed & slide to pillow becomes an Easy Routine.