 Each subject will be given a set of 4-6 protective underwear containing a single pocket and protective pad so that each resident becomes hisher own control. The side to be protected will be based on the randomization of nursing home facilities to either right or left-sided hip protection. The hip protection underwear is designed so that it may be worn during the day and while in bed at night. Several types of underwear have been designed for residents with special needs e.g. incontinence, dementia. Compliance and efficacy are monitored at least three times weekly across all three nursing shifts. 