Young Blonde Girl In The White Bed

"Headboard only" beds often incorporate a dust ruffle, bed skirt, or valance sheet to hide the bed frame.
For greater head support, most people use a pillow, placed at the top of a mattress. Also used is some form of covering blanket to insulate the sleeper, often bed sheets, a quilt, or a duvet.
Also, some people prefer to dispense with the box spring and bed frame, and replace it with a platform bed style. This is more common in Europe, Australia and Japan.