My pressure area passport
Last edited: 09/09/2026
Carry this passport with you.
This passport will be used to record the treatment you receive for your pressure areas. Please bring it to all appointments and hospital visits so it can be kept up to date.
Patient details
Name:
Address and postcode:
NHS number:
Date of birth:
Allergies:
Healthcare professional details
Name:
Contact number:
Out-of-hours contact number:
Hospital consultant’s name:
GP name and contact details:
Other healthcare professionals who care for me:
Introduction
The purpose of this booklet is to provide advice on preventing pressure damage to your skin. It also explains what to do if you think you may have pressure damage.
This passport will help healthcare professionals understand your risk of pressure damage and record any existing skin damage.
If a healthcare professional visits you at home, or you attend a clinic or hospital, please take this passport with you.
What is pressure damage?
Pressure damage usually occurs over a bony area and is caused by pressure on your skin.
It can also be caused by shear forces when you slide in a chair or bed.
The damage can range from discoloured patches on your skin to open wounds. Pressure ulcers are given a grade to show how deep the damage is.
How are pressure ulcers treated?
Treatment depends on the stage of the pressure damage.
Treatment may include changing your position regularly, using a specialist mattress or cushion, or using heel protectors to relieve pressure.
Sometimes surgery may be needed.
Dressing your pressure damage
A nurse will assess your skin. If needed, the nurse will recommend a dressing for the area.
Dressings can usually stay in place for several days.
Top tips to help reduce the risk of pressure damage.
- Check your skin often
- Check the surfaces touching your skin
- Check what you can do to keep moving
- Check if your skin is too wet or too dry
- Check if you are eating and drinking well.
Tip one – check your skin often
Red skin is an early warning sign of pressure damage. If you notice red skin, seek advice as soon as possible.
Areas most at risk of pressure damage
Lying on your back
When sitting
How to check your skin
How to test your skin for early signs of pressure damage
If you have a red area of skin that you are worried about, press the area firmly with the pad of your thumb for three to five seconds. Then lift your thumb off the skin.
The skin should return to its usual colour.
What should I do if my skin does not return to its usual colour?
If you carry out the skin test and your skin does not return to its usual colour, test it again after two hours.
If the skin still does not return to its usual colour, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
What other signs of damage are there?
- tenderness
- heat
- hardness
- open areas
- blisters
- swelling.
If you notice any of these signs, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
Check the surfaces touching your skin
Tip two – check the surfaces touching your skin
What surfaces are touching your skin?
Beds, chairs, wheelchairs, shoes, socks, glasses, catheter tubing, hearing aids and oxygen masks can all cause pressure damage.
Nose, ears and back of the head
Check where hearing aids, oxygen masks or glasses may cause damage.
If you are bedbound, check your ears and the back of your head.
Check under your neck for pressure and moisture.
Elbows
Check contact with chair arms, tables, beds and bedrails.
Check the inside of your elbows for moisture and pressure.
Fingers and hands
Clenched hands may be at risk from pressure and moisture.
If you use a walking stick or frame, check your grip.
Bottom, back and hips
Check your posture and change your position regularly in bed or in a chair.
Try to prevent yourself from sliding in your bed or chair.
Behind and between your knees
Check the height of your chair.
Make sure there is no pressure behind or between your knees when lying in bed.
Passive exercise is encouraged.
Heels, ankles and toes
Check your socks, shoes, wheelchair footplates and mattress.
Check between your toes for moisture and check your heels for cracks.
Keep moving
Tip three – check what you can do to keep moving
You do not have to run around. Use your imagination. Small movements are better than no movement.
Change your position frequently.
For example, if you sit and watch television, move a little in your chair. If you can, stand when the adverts come on.
Seated exercises to relieve pressure
You should check that it is safe for you to do these exercises.
Push-ups
Place your arms on the sides of your chair and gently lift your bottom off the seat.
Hold for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
This allows your skin to recover from the pressure of sitting.
Leaning from side to side
Lean to your right until your left buttock, including the bony area, lifts off the seat cushion.
You may need to push through the armrest and straighten your left elbow to achieve a full weight shift and clearance.
Return to your sitting position and repeat on the opposite side.
Leaning forwards
Lean forwards in your chair until you can slide your hands underneath your buttocks.
Hold this position for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
Looking after your skin
Tip four – check if your skin is too wet or too dry
Incontinence, sweating and not drying yourself properly can cause skin damage.
Change pads frequently, use soap substitutes, dry your skin thoroughly and use skin protectors.
Emollients
Emollients protect your skin from losing oils. They help reduce the risk of cracks that can lead to eczema and other skin conditions.
Use emollients as prescribed.
Skin protectors
Skin protectors protect your skin from urine, faeces and leaking wounds. They may also help reduce friction and shear.
Use skin protectors as prescribed.
Soap
Soap can make your skin too dry. It removes natural oils and bacteria that help protect the skin from damage.
Where possible, use a soap substitute or plain tap water.
Dry your skin thoroughly by patting it. Do not rub your skin.
Incontinence
If you have continence problems, please do not feel embarrassed about telling someone.
Seven million people in the UK experience continence problems. Speak to a healthcare professional or contact the Bladder and Bowel Foundation.
Telephone: 0845 345 0165
Website: Bladder and bowel foundation
Sweating
Sweating can cause skin problems. Your risk of skin damage may increase during hot weather or when you are unwell with a temperature.
Wear cotton clothing where possible.
Check under skin folds every day. Seek advice if you notice any red or sore areas.
Eating and drinking well
Tip five – check if you are eating and drinking well
Check the colour of your urine to help identify whether you are drinking enough fluid.
Clear urine
You may be drinking more fluid than your body needs.
Pale straw or clear yellow urine
These colours are usually normal.
Amber or honey-coloured urine
Your body may need more fluid.
Pink, red or orange urine
Consider whether you have eaten beetroot, food colouring or another food that may affect the colour of your urine.
If there is no obvious cause, there may be blood in your urine. This may not be a problem, but you should speak to your GP.
My plan
My ideas and plan to help prevent pressure damage
Use this page to make your own plan to help reduce your risk of pressure damage.
Any ideas or plans you have may help. By working with your healthcare professional, you can achieve better outcomes.
Please share your ideas.
I will:
I can:
I:
My questions
My questions and notes
Sometimes we have thoughts or questions about our health that we would like to discuss. It can be easy to forget them.
Write your questions or concerns here and discuss them with the healthcare professional supporting you.
My record of pressure damage
My record of pressure damage
| Date | Area affected | Grade | Treatment or dressing | Healthcare professional |
|---|---|---|---|---|
Basic assessment details
For healthcare professionals to complete
This page will help colleagues caring for the patient’s current pressure risk or pressure ulcer.
The information will support assessment and help identify the correct treatment or interventions.
Does the patient have a history of pressure damage?
Yes / No
If yes, when?
Where was the damage?
Bottom / hip / heel
If it was somewhere else, please provide details:
Has it healed?
Yes / No
Who is looking after the patient’s skin?
Patient / family / carer / nurse / GP
Weight:
Height:
Where did the pressure damage first develop?
Home / hospital / nursing home / other
Pressure ulcer assessment
Pressure ulcer assessment record
Date of completion:
Date the skin damage was first noticed:
Where is, or was, the skin damage?
What is, or was, the grade of the skin damage?
What is the patient’s Malnutrition Universal Screening Tool score?
What is the patient’s Braden, Waterlow or Purpose T risk assessment score?
Circle the assessment tool used.
Has a Datix report been completed?
Yes / No
Date of Datix completion:
Is pressure-relieving equipment in use?
Please enter the type:
Mattress:
Cushion:
Heel protectors:
Other:
Medical information
For healthcare professionals to complete
List any medical conditions that may affect wound healing:
List any conditions that may affect loss of sensation:
List any conditions that may affect circulation:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Contact details and information sharing
Note to healthcare professionals
This passport does not replace standard documentation for recording pressure damage.
Who to contact at Medway Maritime Hospital
Tissue Viability Team
Email: met-tr.tissueviabilityMFT@nhs.net
Carry this passport with you.
This passport will be used to record the treatment you receive for your pressure areas. Please bring it to all appointments and hospital visits so it can be kept up to date.
Patient details
Name:
Address and postcode:
NHS number:
Date of birth:
Allergies:
Healthcare professional details
Name:
Contact number:
Out-of-hours contact number:
Hospital consultant’s name:
GP name and contact details:
Other healthcare professionals who care for me:
Introduction
The purpose of this booklet is to provide advice on preventing pressure damage to your skin. It also explains what to do if you think you may have pressure damage.
This passport will help healthcare professionals understand your risk of pressure damage and record any existing skin damage.
If a healthcare professional visits you at home, or you attend a clinic or hospital, please take this passport with you.
What is pressure damage?
Pressure damage usually occurs over a bony area and is caused by pressure on your skin.
It can also be caused by shear forces when you slide in a chair or bed.
The damage can range from discoloured patches on your skin to open wounds. Pressure ulcers are given a grade to show how deep the damage is.
How are pressure ulcers treated?
Treatment depends on the stage of the pressure damage.
Treatment may include changing your position regularly, using a specialist mattress or cushion, or using heel protectors to relieve pressure.
Sometimes surgery may be needed.
Dressing your pressure damage
A nurse will assess your skin. If needed, the nurse will recommend a dressing for the area.
Dressings can usually stay in place for several days.
Top tips to help reduce the risk of pressure damage.
- Check your skin often
- Check the surfaces touching your skin
- Check what you can do to keep moving
- Check if your skin is too wet or too dry
- Check if you are eating and drinking well.
Tip one – check your skin often
Red skin is an early warning sign of pressure damage. If you notice red skin, seek advice as soon as possible.
Lying on your side
Lying on your back
When sitting
How to check your skin
How to test your skin for early signs of pressure damage
If you have a red area of skin that you are worried about, press the area firmly with the pad of your thumb for three to five seconds. Then lift your thumb off the skin.
The skin should return to its usual colour.
What should I do if my skin does not return to its usual colour?
If you carry out the skin test and your skin does not return to its usual colour, test it again after two hours.
If the skin still does not return to its usual colour, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
What other signs of damage are there?
- tenderness
- heat
- hardness
- open areas
- blisters
- swelling.
If you notice any of these signs, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
Check the surfaces touching your skin
Tip two – check the surfaces touching your skin
What surfaces are touching your skin?
Beds, chairs, wheelchairs, shoes, socks, glasses, catheter tubing, hearing aids and oxygen masks can all cause pressure damage.
Nose, ears and back of the head
Check where hearing aids, oxygen masks or glasses may cause damage.
If you are bedbound, check your ears and the back of your head.
Check under your neck for pressure and moisture.
Elbows
Check contact with chair arms, tables, beds and bedrails.
Check the inside of your elbows for moisture and pressure.
Fingers and hands
Clenched hands may be at risk from pressure and moisture.
If you use a walking stick or frame, check your grip.
Bottom, back and hips
Check your posture and change your position regularly in bed or in a chair.
Try to prevent yourself from sliding in your bed or chair.
Behind and between your knees
Check the height of your chair.
Make sure there is no pressure behind or between your knees when lying in bed.
Passive exercise is encouraged.
Heels, ankles and toes
Check your socks, shoes, wheelchair footplates and mattress.
Check between your toes for moisture and check your heels for cracks.
Keep moving
Tip three – check what you can do to keep moving
You do not have to run around. Use your imagination. Small movements are better than no movement.
Change your position frequently.
For example, if you sit and watch television, move a little in your chair. If you can, stand when the adverts come on.
Seated exercises to relieve pressure
You should check that it is safe for you to do these exercises.
Push-ups
Place your arms on the sides of your chair and gently lift your bottom off the seat.
Hold for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
This allows your skin to recover from the pressure of sitting.
Leaning from side to side
Lean to your right until your left buttock, including the bony area, lifts off the seat cushion.
You may need to push through the armrest and straighten your left elbow to achieve a full weight shift and clearance.
Return to your sitting position and repeat on the opposite side.
Leaning forwards
Lean forwards in your chair until you can slide your hands underneath your buttocks.
Hold this position for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
Keep moving
Tip three – check what you can do to keep moving
You do not have to run around. Use your imagination. Small movements are better than no movement.
Change your position frequently.
For example, if you sit and watch television, move a little in your chair. If you can, stand when the adverts come on.
Seated exercises to relieve pressure
You should check that it is safe for you to do these exercises.
Push-ups
Place your arms on the sides of your chair and gently lift your bottom off the seat.
Hold for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
This allows your skin to recover from the pressure of sitting.
Leaning from side to side
Lean to your right until your left buttock, including the bony area, lifts off the seat cushion.
You may need to push through the armrest and straighten your left elbow to achieve a full weight shift and clearance.
Return to your sitting position and repeat on the opposite side.
Leaning forwards
Lean forwards in your chair until you can slide your hands underneath your buttocks.
Hold this position for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
Looking after your skin
Tip four – check if your skin is too wet or too dry
Incontinence, sweating and not drying yourself properly can cause skin damage.
Change pads frequently, use soap substitutes, dry your skin thoroughly and use skin protectors.
Emollients
Emollients protect your skin from losing oils. They help reduce the risk of cracks that can lead to eczema and other skin conditions.
Use emollients as prescribed.
Skin protectors
Skin protectors protect your skin from urine, faeces and leaking wounds. They may also help reduce friction and shear.
Use skin protectors as prescribed.
Soap
Soap can make your skin too dry. It removes natural oils and bacteria that help protect the skin from damage.
Where possible, use a soap substitute or plain tap water.
Dry your skin thoroughly by patting it. Do not rub your skin.
Incontinence
If you have continence problems, please do not feel embarrassed about telling someone.
Seven million people in the UK experience continence problems. Speak to a healthcare professional or contact the Bladder and Bowel Foundation.
Telephone: 0845 345 0165
Website: Bladder and bowel founation
Sweating
Sweating can cause skin problems. Your risk of skin damage may increase during hot weather or when you are unwell with a temperature.
Wear cotton clothing where possible.
Check under skin folds every day. Seek advice if you notice any red or sore areas.
Eating and drinking well
Tip five – check if you are eating and drinking well
Check the colour of your urine to help identify whether you are drinking enough fluid.
Clear urine
You may be drinking more fluid than your body needs.
Pale straw or clear yellow urine
These colours are usually normal.
Amber or honey-coloured urine
Your body may need more fluid.
Pink, red or orange urine
Consider whether you have eaten beetroot, food colouring or another food that may affect the colour of your urine.
If there is no obvious cause, there may be blood in your urine. This may not be a problem, but you should speak to your GP.
My plan
My ideas and plan to help prevent pressure damage
Use this page to make your own plan to help reduce your risk of pressure damage.
Any ideas or plans you have may help. By working with your healthcare professional, you can achieve better outcomes.
Please share your ideas.
I will:
I can:
I:
My questions
My questions and notes
Sometimes we have thoughts or questions about our health that we would like to discuss. It can be easy to forget them.
Write your questions or concerns here and discuss them with the healthcare professional supporting you.
Page 12 – My record of pressure damage
My record of pressure damage
| Date | Area affected | Grade | Treatment or dressing | Healthcare professional |
|---|---|---|---|---|
Basic assessment details
For healthcare professionals to complete
This page will help colleagues caring for the patient’s current pressure risk or pressure ulcer.
The information will support assessment and help identify the correct treatment or interventions.
Does the patient have a history of pressure damage?
Yes / No
If yes, when?
Where was the damage?
Bottom / hip / heel
If it was somewhere else, please provide details:
Has it healed?
Yes / No
Who is looking after the patient’s skin?
Patient / family / carer / nurse / GP
Weight:
Height:
Where did the pressure damage first develop?
Home / hospital / nursing home / other
Pressure ulcer assessment
Pressure ulcer assessment record
Date of completion:
Date the skin damage was first noticed:
Where is, or was, the skin damage?
What is, or was, the grade of the skin damage?
What is the patient’s Malnutrition Universal Screening Tool score?
What is the patient’s Braden, Waterlow or Purpose T risk assessment score?
Circle the assessment tool used.
Has a Datix report been completed?
Yes / No
Date of Datix completion:
Is pressure-relieving equipment in use?
Please enter the type:
Mattress:
Cushion:
Heel protectors:
Other:
Page 15 – Medical information
For healthcare professionals to complete
List any medical conditions that may affect wound healing:
List any conditions that may affect loss of sensation:
List any conditions that may affect circulation:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Contact details and information sharing
Note to healthcare professionals
This passport does not replace standard documentation for recording pressure damage.
Who to contact at Medway Maritime Hospital
Tissue Viability Team
Email: met-tr.tissueviabilityMFT@nhs.net
Carry this passport with you.
This passport will be used to record the treatment you receive for your pressure areas. Please bring it to all appointments and hospital visits so it can be kept up to date.
Patient details
Name:
Address and postcode:
NHS number:
Date of birth:
Allergies:
Healthcare professional details
Name:
Contact number:
Out-of-hours contact number:
Hospital consultant’s name:
GP name and contact details:
Other healthcare professionals who care for me:
Introduction
The purpose of this booklet is to provide advice on preventing pressure damage to your skin. It also explains what to do if you think you may have pressure damage.
This passport will help healthcare professionals understand your risk of pressure damage and record any existing skin damage.
If a healthcare professional visits you at home, or you attend a clinic or hospital, please take this passport with you.
What is pressure damage?
Pressure damage usually occurs over a bony area and is caused by pressure on your skin.
It can also be caused by shear forces when you slide in a chair or bed.
The damage can range from discoloured patches on your skin to open wounds. Pressure ulcers are given a grade to show how deep the damage is.
How are pressure ulcers treated?
Treatment depends on the stage of the pressure damage.
Treatment may include changing your position regularly, using a specialist mattress or cushion, or using heel protectors to relieve pressure.
Sometimes surgery may be needed.
Dressing your pressure damage
A nurse will assess your skin. If needed, the nurse will recommend a dressing for the area.
Dressings can usually stay in place for several days.
Top tips to help reduce the risk of pressure damage.
- Check your skin often
- Check the surfaces touching your skin
- Check what you can do to keep moving
- Check if your skin is too wet or too dry
- Check if you are eating and drinking well.
Tip one – check your skin often
Red skin is an early warning sign of pressure damage. If you notice red skin, seek advice as soon as possible.
Lying on your side
Lying on your back
When sitting
How to check your skin
How to test your skin for early signs of pressure damage
If you have a red area of skin that you are worried about, press the area firmly with the pad of your thumb for three to five seconds. Then lift your thumb off the skin.
The skin should return to its usual colour.
What should I do if my skin does not return to its usual colour?
If you carry out the skin test and your skin does not return to its usual colour, test it again after two hours.
If the skin still does not return to its usual colour, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
What other signs of damage are there?
- tenderness
- heat
- hardness
- open areas
- blisters
- swelling.
If you notice any of these signs, contact your nurse, GP or carer. Ask them to arrange an assessment as soon as possible.
Check the surfaces touching your skin
Tip two – check the surfaces touching your skin
What surfaces are touching your skin?
Beds, chairs, wheelchairs, shoes, socks, glasses, catheter tubing, hearing aids and oxygen masks can all cause pressure damage.
Nose, ears and back of the head
Check where hearing aids, oxygen masks or glasses may cause damage.
If you are bedbound, check your ears and the back of your head.
Check under your neck for pressure and moisture.
Elbows
Check contact with chair arms, tables, beds and bedrails.
Check the inside of your elbows for moisture and pressure.
Fingers and hands
Clenched hands may be at risk from pressure and moisture.
If you use a walking stick or frame, check your grip.
Bottom, back and hips
Check your posture and change your position regularly in bed or in a chair.
Try to prevent yourself from sliding in your bed or chair.
Behind and between your knees
Check the height of your chair.
Make sure there is no pressure behind or between your knees when lying in bed.
Passive exercise is encouraged.
Heels, ankles and toes
Check your socks, shoes, wheelchair footplates and mattress.
Check between your toes for moisture and check your heels for cracks.
Keep moving
Tip three – check what you can do to keep moving
You do not have to run around. Use your imagination. Small movements are better than no movement.
Change your position frequently.
For example, if you sit and watch television, move a little in your chair. If you can, stand when the adverts come on.
Seated exercises to relieve pressure
You should check that it is safe for you to do these exercises.
Push-ups
Place your arms on the sides of your chair and gently lift your bottom off the seat.
Hold for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
This allows your skin to recover from the pressure of sitting.
Leaning from side to side
Lean to your right until your left buttock, including the bony area, lifts off the seat cushion.
You may need to push through the armrest and straighten your left elbow to achieve a full weight shift and clearance.
Return to your sitting position and repeat on the opposite side.
Leaning forwards
Lean forwards in your chair until you can slide your hands underneath your buttocks.
Hold this position for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
Keep moving
Tip three – check what you can do to keep moving
You do not have to run around. Use your imagination. Small movements are better than no movement.
Change your position frequently.
For example, if you sit and watch television, move a little in your chair. If you can, stand when the adverts come on.
Seated exercises to relieve pressure
You should check that it is safe for you to do these exercises.
Push-ups
Place your arms on the sides of your chair and gently lift your bottom off the seat.
Hold for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
This allows your skin to recover from the pressure of sitting.
Leaning from side to side
Lean to your right until your left buttock, including the bony area, lifts off the seat cushion.
You may need to push through the armrest and straighten your left elbow to achieve a full weight shift and clearance.
Return to your sitting position and repeat on the opposite side.
Leaning forwards
Lean forwards in your chair until you can slide your hands underneath your buttocks.
Hold this position for 15 seconds every 15 minutes or 30 seconds every 30 minutes, unless your medical team recommends something different.
Looking after your skin
Tip four – check if your skin is too wet or too dry
Incontinence, sweating and not drying yourself properly can cause skin damage.
Change pads frequently, use soap substitutes, dry your skin thoroughly and use skin protectors.
Emollients
Emollients protect your skin from losing oils. They help reduce the risk of cracks that can lead to eczema and other skin conditions.
Use emollients as prescribed.
Skin protectors
Skin protectors protect your skin from urine, faeces and leaking wounds. They may also help reduce friction and shear.
Use skin protectors as prescribed.
Soap
Soap can make your skin too dry. It removes natural oils and bacteria that help protect the skin from damage.
Where possible, use a soap substitute or plain tap water.
Dry your skin thoroughly by patting it. Do not rub your skin.
Incontinence
If you have continence problems, please do not feel embarrassed about telling someone.
Seven million people in the UK experience continence problems. Speak to a healthcare professional or contact the Bladder and Bowel Foundation.
Telephone: 0845 345 0165
Website: Bladder and bowel founation
Sweating
Sweating can cause skin problems. Your risk of skin damage may increase during hot weather or when you are unwell with a temperature.
Wear cotton clothing where possible.
Check under skin folds every day. Seek advice if you notice any red or sore areas.
Eating and drinking well
Tip five – check if you are eating and drinking well
Check the colour of your urine to help identify whether you are drinking enough fluid.
Clear urine
You may be drinking more fluid than your body needs.
Pale straw or clear yellow urine
These colours are usually normal.
Amber or honey-coloured urine
Your body may need more fluid.
Pink, red or orange urine
Consider whether you have eaten beetroot, food colouring or another food that may affect the colour of your urine.
If there is no obvious cause, there may be blood in your urine. This may not be a problem, but you should speak to your GP.
My plan
My ideas and plan to help prevent pressure damage
Use this page to make your own plan to help reduce your risk of pressure damage.
Any ideas or plans you have may help. By working with your healthcare professional, you can achieve better outcomes.
Please share your ideas.
I will:
I can:
I:
My questions
My questions and notes
Sometimes we have thoughts or questions about our health that we would like to discuss. It can be easy to forget them.
Write your questions or concerns here and discuss them with the healthcare professional supporting you.
Page 12 – My record of pressure damage
My record of pressure damage
| Date | Area affected | Grade | Treatment or dressing | Healthcare professional |
|---|---|---|---|---|
Basic assessment details
For healthcare professionals to complete
This page will help colleagues caring for the patient’s current pressure risk or pressure ulcer.
The information will support assessment and help identify the correct treatment or interventions.
Does the patient have a history of pressure damage?
Yes / No
If yes, when?
Where was the damage?
Bottom / hip / heel
If it was somewhere else, please provide details:
Has it healed?
Yes / No
Who is looking after the patient’s skin?
Patient / family / carer / nurse / GP
Weight:
Height:
Where did the pressure damage first develop?
Home / hospital / nursing home / other
Pressure ulcer assessment
Pressure ulcer assessment record
Date of completion:
Date the skin damage was first noticed:
Where is, or was, the skin damage?
What is, or was, the grade of the skin damage?
What is the patient’s Malnutrition Universal Screening Tool score?
What is the patient’s Braden, Waterlow or Purpose T risk assessment score?
Circle the assessment tool used.
Has a Datix report been completed?
Yes / No
Date of Datix completion:
Is pressure-relieving equipment in use?
Please enter the type:
Mattress:
Cushion:
Heel protectors:
Other:
Page 15 – Medical information
For healthcare professionals to complete
List any medical conditions that may affect wound healing:
List any conditions that may affect loss of sensation:
List any conditions that may affect circulation:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Pressure damage or ulcer assessment record
Date:
Braden, Waterlow or Purpose T score:
Circle the score used.
Grade:
Location:
Length:
Width:
Depth:
Tissue type in percentage
Necrosis:
Slough:
Granulation:
Epithelialisation:
Name of assessor:
Job title:
Contact details and information sharing
Note to healthcare professionals
This passport does not replace standard documentation for recording pressure damage.
Who to contact at Medway Maritime Hospital
Tissue Viability Team
Email: met-tr.tissueviabilityMFT@nhs.net
Contact us
01795 562190
kcht.tissueviability@nhs.net
Monday to Friday, 9am to 5pm
Medway
0300 123 3444
Options to select when prompted: 1-2-2-2
medch.cccadults@nhs.net
Monday to Friday, 8.30am to 4.30pm
This information should only be followed on the advice of a healthcare professional.
Do you have feedback about our health services?
0800 030 4550
Text 07899 903499
Monday to Friday, 10am to 3pm
kentchft.PALS@nhs.net
www.kentcht.nhs.uk/PALS
Patient Advice and Liaison Service (PALS)
Kent Community Health NHS Foundation Trust
Trinity House, 110-120 Upper Pemberton
Ashford
Kent
TN25 4AZ
Donate today, and help the NHS go above and beyond. Visit www.kentcht.nhs.uk/icare
If you need communication support or this information in another format, please ask a member of staff or contact PALS using the details above.
