We purchased this product for use in a nursing home. One gentleman with left side paralysis was falling often in the bathroom. We positioned this device in his bathroom and he loves it. It gives him something to hold on to when transferring from wheelchair to toilet and back. The grab bar portion can be repositioned to help him stand up and the pole gives him something to lean against while he gets his pants up and down. I love that it is adjustable for varying ceiling heights. The only thing I don?t like is the plastic sleeve that goes over the tension nut. It is too loose and can be lifted up and turned. It would not be a safe part to grab for stability as it would rotate around the pole. If there were some way to secure this sleeve to the pole that would be ideal. Because it is up high, it has not been and issue, but it could be. Over all this has been a very good product and we will buy this again if someone else in our nursing home needs one.