PURPOSE-T, or the Pressure Ulcer Risk Primary or Secondary Evaluation Tool, is an evidence-based pressure ulcer risk assessment framework (PURAF) designed to identify adults at risk of developing pressure ulcers. It's a significant advancement in pressure ulcer prevention because it differentiates between primary prevention (for those at risk) and secondary prevention (for those already exhibiting signs).
Key Features of PURPOSE-T:
- Risk Assessment: PURPOSE-T accurately assesses an individual's risk of developing pressure ulcers.
- Primary & Secondary Prevention: The tool distinguishes between primary prevention strategies for those at risk and secondary prevention measures for those with existing ulcers. This targeted approach enhances effectiveness.
- Evidence-Based: Developed by the University of Leeds using robust research methods, PURPOSE-T's effectiveness is supported by strong evidence.
- Clinical Feasibility: Studies have demonstrated the feasibility of implementing PURPOSE-T in clinical practice, both in paper and electronic formats. The tool has shown good clinical feasibility, improving patient outcomes.
- Nurse Decision-Making: PURPOSE-T assists nurses in making informed decisions to reduce the risk of pressure ulcer development. It is a valuable tool to inform care planning.
- Widely Recognized: PURPOSE-T is recognized by organizations like NICE (National Institute for Health and Care Excellence) as a viable option for pressure ulcer risk assessment alongside other established tools like the Braden Scale and Waterlow score.
PURPOSE-T in Practice:
PURPOSE-T is used in various healthcare settings to:
- Screen patients: Identify individuals at high risk of pressure ulcer development.
- Guide prevention strategies: Implement appropriate primary or secondary prevention plans based on assessment results.
- Improve patient outcomes: Reduce the incidence and severity of pressure ulcers.
- Inform care planning: Integrate the assessment findings into comprehensive care plans.
The tool's implementation has been studied extensively, demonstrating its value in clinical settings and contributing to improved patient care.
