PROMISE stands for pressure reduction through continuous monitoring in the community setting.
The project rolls out the use of mattress and chair sensors in patient’s homes, which 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.
Led by Nicci Aylward-Wotton, Tissue Viability Nurse Consultant and PROMISE Project Lead, the Tissue Viability Team in Cornwall started using pressure mapping equipment in 2016 to pressure monitor patients in community settings.
Following the successful project in Cornwall, we applied to the Health Foundation to be a part of their scaling-up programme.
Led and funded by the Health Foundation, the programme supports 7 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.
The project was accepted onto the programme in November 2017 and the project was launched in January 2018.
The aim of the PROMISE quality improvement project is to determine if pressure monitoring 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.
Our vision is to use biofeedback to equalise the knowledge base between the practitioner and patient and enhance the therapeutic relationship, ultimately to increase patient empowerment, patient centred care and choice.
The Trust is the lead organisation to deliver the PROMISE project.
There are 4 clinical adopter sites:
The project has an independent evaluation partner, Cedar (Cardiff and Vale University Health Board) to undertake an evaluation of the project. Plymouth University and the University of Southampton are supporting the project and providing expert clinical and academic advice.