This showerhead is a great, economical showerhead. As it comes with a hose to use for adjustable height and length, it's very appropriate for elderly people as well as others. I cared for an elderly lady, and this was very helpful for her as she sat in her shower chair and showered. It was great with length and a great amount of spray. Although it is very plain and doesn't blend well with normal silver shower decor, it's cheaper and useful. Ours lasted 7-10 years. By the end it was beat up, but that was from a LOT of wear and use over the years. It did get mildew on it but that cleans off well. The only thing I can think of that could be improved, was the hose eventually cracked near the top, and started spraying. Once, again, this was after a LOT of wear, so it's to be expected. I believe most any hose exposed to wear and water over that length of time would do the same. That was the only thing that stopped us from using ours, and needing to purchase a new one. Design Allows water to spray all over body very well. Good coverage. Durability Still in great working condition. Mineral buildup does occur on little water spouts, but comes right out with your fingernail!