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PURPOSE-T Registration

PURPOSE-T (Pressure Ulcer Risk Primary or Secondary Evaluation Tool) is an evidence-based pressure ulcer risk assessment instrument that was developed using robust research methods (1-7).
PURPOSE-T identifies adults at risk of developing a pressure ulcer and supports nurse decision‐making to reduce that risk (primary prevention), but also identifies those with existing and previous pressure ulcers requiring secondary prevention and treatment. It uses colour to indicate the most important risk factors and forms a three‐step assessment process:
Step 1: Screening – to quickly screen out those clearly not at risk. It comprises assessment of mobility and skin status (including medical devices) as well as prompting nurses to use their clinical judgement to highlight any other risk factors, which significantly impact the individual patient.
Step 2: Full Assessment – incorporates the following evidence-informed items:

• Independent movement
• Detailed skin assessment
• Previous PU history
• Medical devices
• Perfusion
• Sensory perception
• Moisture
• Diabetes

Step 3: Assessment decision based on Step 2 and aided by colour coding:
• Green: No PU – not currently at risk
• Amber: No PU but at risk, requiring primary prevention
• Red: PU category 1 or above or scarring from previous pressure ulcer, requiring secondary prevention/treatment

References

  1. Systematic review of pressure ulcer risk factors http://www.sciencedirect.com/science/article/pii/S002074891200421X
  2. Conceptual framework development – http://onlinelibrary.wiley.com/doi/10.1111/jan.12405/abstract
  3. Consensus study- http://onlinelibrary.wiley.com/doi/10.1111/jan.12444/abstract
  4. Patient involvement in risk tool development. Coleman S, Muir D, Rawson B and Rawson Y. Nursing Times; 2015; 111: 25, 17-19
  5. Pre-test – http://www.biomedcentral.com/1471-2288/16/158
  6. Clinical Evaluation – http://onlinelibrary.wiley.com/doi/10.1111/jan.13444/abstract;jsessionid=869FFDAB4BC6BF9E4194781488A3D6A5.f04t02
  7. Full NIHR Monograph of all stages – http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0004/153490/FullReport-pgfar03060.pdf

Permission for use statement (English use):

Copyright of the PURPOSE-T (Pressure Ulcer Risk Primary Or Secondary Evaluation Tool) and the associated user manual will remain with the CTRU, University of Leeds and the Leeds Teaching Hospitals NHS Trust. PURPOSE-T cannot be amended in any way. For example, the instructions and items within PURPOSE T must be used as they appear in the tool (the indication of copyright should remain on any copies).

Permission for use statement (non-English use):

Copyright of PURPOSE-T (Pressure Ulcer Risk Primary Or Secondary Evaluation Tool) and the associated user manual will remain with the CTRU, University of Leeds and the Leeds Teaching Hospitals NHS Trust. PURPOSE T cannot be amended in any way. For example, the instructions and items within PURPOSE T must be used as they appear in the tool (the indication of copyright should remain on any copies). Translation of PURPOSE T will be undertaken using associated translation guidelines (contact Susanne Coleman for further details). It is expected that any translated versions of PURPOSE-T be provided to the CTRU, where they will be added to an instrument repository and be freely available to use. We will notify you of any requests to use the relevant version. Copyright of the translated versions will remain with CTRU, University of Leeds and the Leeds Teaching Hospitals NHS Trust.

Privacy Notice

We would like to collect your name and contact details so that we can get in touch with you in the future about the PURPOSE-T tool. In particular, we are interested to know if you use these to collect research data. Provision of these details is completely optional and you can still download the questionnaires if you do not provide them. You can find out more about how we will use and store this data in the privacy policy below.

PURPOSE-T Privacy Policy

  • This policy was written by the PURPOSE trial team at the Clinical Trials Research Unit (CTRU) at University of Leeds.
  • We would like to collect the name, professional affiliation and email address of anyone who downloads the PURPOSE tools from this webpage. We will use this information so that we can review how useful these documents are and how widely they are used. We may also contact you in future regarding updates to the PURPOSE-T tool. This information will further support our development of PURPOSE, which we carry out in the public interest.
  • The information you enter here will be sent to the CTRU at the University of Leeds via email, where it will be stored securely.
  • Your information will be held and used solely by the CTRU at the University of Leeds. We will not share the data with anyone else, and we will not use the data you give us for any purpose other than what is mentioned above.
  • If you have any questions about how your data are used, or you would like us to amend or delete your details, or access what information we hold about you, please contact PURPOSE@leeds.ac.uk. You can also contact the University of Leeds Data Protection Officer at dpo@leeds.ac.uk.
  • For more information, please go to https://ctru.leeds.ac.uk/privacy/.

Lead: Susanne Coleman, Professor Jane Nixon on behalf of the PURPOSE Programme

Contact:
Susanne Coleman, PURPOSE Programme Manager – CTRU
Tel: +44 (0)113 343 1491 Email: medscole@leeds.ac.uk