PROMISE for #StopThePressure Day

PROMISE for #StopThePressure Day

Alongside national #StopThePressure Day on 15 November, Cornwall Partnership NHS Foundation Trust (CFT) is making a PROMISE to improve pressure ulcer monitoring for its community patients.

Pressure ulcers can affect anyone from newborns to those at the end of their life. Although most pressure ulcers are preventable, they can cause significant pain and distress for patients. Pressure ulcers can contribute to longer stays in hospitals by increasing the risk of complications including infection. Furthermore, pressure ulcers cost the NHS in the region of more than £1.4 million every day.

CFT have been selected by the Health Foundation, an independent charity, to lead the PROMISE project as part of a £3.5 million improvement programme which will run for two and a half years.

What is PROMISE?

Pressure Reduction through COntinuous Monitoring In the Community SEtting

The aim of the PROMISE project is to determine if pressure monitoring (mapping) in patient’s homes can inform effective management of the prevention and treatment of pressure ulcers, especially in those who are labelled as non-concordant or have a deteriorating pressure ulcer.

A previous Health Foundation project found that pressure mapping can:

  • achieve good clinical outcomes with 80% healing/healed pressure ulcers.
  • reduce the number of unavoidable pressure injuries.
  • reduce the number of truly non-concordant patients and medical device related pressure injuries.

Following on from these findings, the PROMISE project will roll out the use of mattress and chair sensors in patient’s homes, which will continuously measure and record the patient’s body surface pressures. The chairs and mattresses are linked to a computer which displays the interface pressures in real time and visually identifies the areas of the body under sustained pressure. This helps the patient or carer to better understand the positions that are likely to reduce the risk of pressure ulcers.

Nicci Aylward-Wotton, Tissue Viability Nurse Consultant for CFT commented: “It is great to share the work we have been doing in Cornwall with the Health Foundation’s ‘PROMISE’ project.

“We have started recruit patients who will hopefully benefit from continuous pressure monitoring, and patients and practitioners are already saying how amazing it is and how much they feel it will benefit them.

“Along this we are participating in the NHS Improvement #StopThePressure campaign which focuses on highlighting areas of the body that can be affected by pressure damage. We have numerous events across the county where staff are wearing red dots and baking to promote discussions on preventing pressure ulcers.”

The PROMISE project is part of The Scaling Up Improvement programme, led by the Health Foundation, which supports seven projects in the UK to take their proven health care interventions and approaches, and to make them work at larger scale; resulting in a positive impact on patient outcomes.

CFT will be the lead organisation to deliver the PROMISE project, working along with Live Well Plymouth Community Trust; Torbay and South Devon Community Trust; Cedar (Cardiff and Vale University Health Board); Plymouth University and the University of Southampton.