Getting the best protection
Do hip protectors work and what are the barriers around using them in long term care facilities. Here is a link to a youtube video published by the bio engineers at Simon Fraser University in Canada discussing hip protectors in nursing homes and offering strategies to promote their use. The financial impacts vary from country to country depending on population size but the issues are the same for every country.
Clinical staff advocating hip protectors for a resident want to provide the best protection possible and would benefit from credible comparative testing evidence. A good resource is a peer reviewed article discussing the efficacy of hip protector shields recently published in the Osteoporosis International Journal . The ranked testing results are on page 7 of the article with the best ranked #1 to worst #18.
Another aspect for a clinical manager to consider is the falls profile of their resident. If they have dementia a hip protector with the shields sewn into the pockets may work best as the resident will be unable to remove them. If the resident is cognitive or complaint the removable shields are a good option and more economical as a pair of shields can be swapped into new underwear while the used underwear is laundered. Most resthome clinical mangers will buy 3 pairs of underwear, one pair on the resident, one pair in the laundry and one pair in the underwear draw available for use if needed.