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Journal of the American Medical Directors Association 2003; 4(5):245-250 WE ARE CURRENTLY IN THE PROCESS OF REBUILDING OUR WEBSITE. IF YOU EXPERIENCE ANY DIFFICULTIES NAVIGATING AROUND THE SITE, PLEASE CALL US ON 01835 864866 FOR HELP! OUR ONLINE SHOP IS FULLY OPERATIONAL AND IS NOT AFFECTED BY THE WEBSITE CHANGES. YOU CAN SEARCH FOR THE PRODUCTS OF YOUR CHOICE THERE! SIMPLY CLICK ON THE 'TO SHOP ONLINE' MOVING LINK ABOVE TO BE REDIRECTED TO OUR ONLINE SHOP. IF YOU EXPERIENCE ANY DIFFICULTIES NAVIGATING AROUND THE SITE or GOING TO OUR ONLINE SHOP, PLEASE CALL US ON 01835 864866 FOR HELP! Our International number for calling from outside the UK is + 44 1835 864866. Hip Protector Compliance:A 13-Month Study on Factors and Cost in a Long-Term Care FacilityJeffrey B. Burl, MD, CMD; James Centola, PT; Alice Bonner, APRN-BC; Colleen Burque, PTA For full text of this study in downloadable pdf file click here! Objective: To determine if a high compliance rate for wearing external hip protectors could be achieved and sustained in a long-term care population. Study Design: A 13-month prospective study of daytime use of external hip protectors in an at-risk long-term care population. Setting: One hundred-bed not-for-profit long-term care facility. Participants: Thirty-eight ambulatory residents having at least 1 of 4 risk factors (osteoporosis, recent fall, positive fall screen, previous fracture). Intervention: The rehabilitation department coordinated an implementation program. Members of the rehabilitation team met with eligible participants, primary caregivers, families, and other support staff for educational instruction and a description of the program. The rehabilitation team assumed overall responsibility for measuring and ordering hip protectors and monitoring compliance. Results: By the end of the third month, hip protector compliance averaged greater than 90% daily wear. The average number of falls per month in the hip protector group was 3.9 versus 1.3 in nonparticipants. Estimated total indirect staff time was 7.75 hours. The total cost of the study (hip protectors and indirect staff time) was $6300. Conclusions: High hip protector compliance is both feasible and sustainable in an at-risk long-term care population. Achieving high compliance requires an interdisciplinary approach with one department acting as a champion. The cost of protectors could be a barrier to widespread use. Facilities might be unable to cover the cost until the product is paid for by third-party payers. Keywords: hip protectors; compliance; falls; costs and cost analysis; long-term care facilities Department of Geriatrics, Fallon Clinic (J.B.B. and A.B.), Worcester, Massachusetts; Department of Rehabilitation Services (J.C.), Masonic Health Care Systems (J.B.B. and C.B.), Charlton, Massachusetts; University of Massachusetts Graduate School of Nursing (A.B.), Worcester, Massachusetts. Address correspondence to Jeffrey B. Burl, MD, CMD, Director, Geriatrics, Fallon Clinic, 630 Plantation Street, Worcester, MA 01605. Journal of the American Medical Directors Association 2003; 4(5):245-250 Copyright © 2003 American Medical Directors Association. All rights reserved Published by Lippincott Williams & Wilkins To discuss the HipSaver soft hip protectors studied by Dr. Jeffrey Burl and his team in the above clinical trial call Win Health on 01835 864866. For full text in downloadable pdf file click here! |
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