Innovating for improvement — improving pressure damage prevention and treatment in the community using continuous pressure monitoring

Each year, approximately half a million people in the UK develop pressure ulcers (PUs), with most occurring in the community among individuals with underlying comorbidities, frailty, mobility issues and a dependence on carers. Pressure relief is essential for healing, however, some patients find pressure-relieving equipment uncomfortable, hot and noisy, thus refusing to use it and are, therefore, often labelled as non-concordant. This service improvement project evaluated the ForeSite PT® pressure monitor to identify PU risk, support healing and influence patient and carer decision making, assessing its useability, alongside patient and carer education. The technology consisted of a mattress- and chair-sized pressure map, connected to a monitor showing a visual image of the pressure points and recording over a prolonged period (>24 hours). Results were shared with 44 participants (patient and carers), leading to adjustments in care. Continuous pressure monitoring (CPM), combined with postural advice resulted in improved outcomes. While the technology enhanced healing and prevention, its use in home settings presented challenges. Overall, the pre-post approach in a real-world setting demonstrated that technology-driven education and tailored interventions improve PU management and patient empowerment.