The Palm Protector (Left Hand) is designed to prevent nail pressure injuries in residents with contractures or limited hand function, using high-density closed-cell foam to prevent full finger closure into the palm. The soft fleece-lined interior cushions the contact surface for extended wear, and hook-and-loop fastening allows carer-only application without requiring resident cooperation. Suitable for care home, hospital, and homecare use as part of a documented hand positioning and skin integrity care plan.
| Specification | Detail |
|---|---|
| Reference | NCL-PPL |
| Hand | Left |
| Construction | High-density closed-cell foam |
| Lining | Soft fleece |
| Fastening | Hook-and-loop |
| Bilateral Pair | Use with NCL-PPR (right hand) |
Self-inflicted nail pressure injuries in residents with contractures or upper limb spasticity are a documented patient safety risk in care home and neurological care settings. CQC Regulation 12 (safe care) requires that care providers identify and mitigate risks of harm; the palm protector, when included in a documented hand positioning care plan, forms part of the clinical risk management strategy for this population. CQC Regulation 10 (dignity and respect) requires that care supports residents' comfort and personal integrity; the protector prevents painful skin injuries that would compromise quality of life for residents who cannot independently manage their hand position.
When should a palm protector be used, and who should prescribe it?
Palm protectors are indicated where clinical assessment identifies a risk of palm skin injury from fingernail pressure, typically in residents with upper limb contractures, neurological conditions causing sustained hand closure, or spasticity following stroke or acquired brain injury. An occupational therapist, physiotherapist, or tissue viability nurse should assess and prescribe the device as part of the hand positioning care plan. Regular skin inspection of the palm and fingers should be documented in the care plan to identify any skin breakdown beneath the protector.
Can the palm protector be worn at night?
Night-time use should be determined by the prescribing clinician as part of the hand positioning care plan. Where night-time use is indicated, carers should inspect the palm and finger skin at each application and removal, documenting findings in the care record. The hook-and-loop fastening should be checked to confirm it is not creating pressure at the wrist or dorsal hand surface. Fleece lining provides sufficient comfort for extended wear, but clinical review should confirm the protector remains appropriate at each care plan review.