The needs of the elderly patients are incorporated into the design aspects of electric hospital beds for the elderly. Certain cultures have elderly patients that may have restricted movement, joints, or balance issues. These beds generally have low control ranges to enable easy access and oversized controls for more difficult to operate hands. In European countries with highly valued quality of life for elderly people, electric hospital beds for the elderly also include added construction features such as built in massage systems to assist in muscle soreness relief. Among family houses in Asia that provide home care for the elderly, the beds are mechanically silent during operation which promotes a safe and comfortable living atmosphere.