If you wish, you can keep his bedding the same for a while, to give him the comforting feeling of some sort of continuity in the transition. Or you can have brand new custom bedding designed to match the theme of his big boy bed. Which option is best depends really on the child.
Another completely different concept for a nautical room, that doesn't involve a red, white and blue colour scheme, is to create a room using greys, sea blue and tan colours. This design approach is great for an older child. Walls can be painted with a sea and sky scene, in subtle blues and greys, or a mural can be applied. Driftwood & rope can be attached all around the bed frame. Place a seagull figurine on top of a bedpost. Use fish nets throughout the room. Neutral carpet colours can depict sand. Fish can be hung by thin rope from the ceiling and throughout the netting. Dressers and other bedroom furniture can be sanded, with a driftwood finish applied. Cranes also work in this driftwood and nautical theme, that resembles a castaway's lair.
That's why custom special needs beds are such a welcome and attractive alternative. Now a special needs kid can have a custom castle bed, a custom race car bed, a custom tree house bed, a custom mansion bed, or any other custom fantasy bed they can imagine - just like their friends.
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