Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention

Scientific and Clinical Abstracts From the 36th Annual Wound, Ostomy and Continence Conference: Tampa, Florida: June 5–9, 2004: Oral Poster Presentations: Research

DARKLY PIGMENTED SKIN

ASSESSMENT STRATEGIES AND PRESSURE ULCER DETECTION*

McCurren, Cynthnia PhD; Constable, Katherine MSN, CWOCN; Carroll, Michelle MSN, ARNP; Bean, Nancy BSN, CWOCN, KCI

University of Louisville School of Nursing, Louisville, Ky (McCurren)

University of Louisville Hospital, Louisville, Ky (Constable)

University of Louisville, Louisville, Ky (Carroll)

Louisville, Ky (Bean)

ABSTRACT REVIEWERS: Mary Arnold Long, MSN, RN, C, CRRN, CWOCN, APRN, Abstract Coordinator; Elizabeth Ayello, PhD, RN, CS, CWOCN; Phyllis Bonham, MSN, RN, CWOCN; Janet Byram Newsom, MSN, RN, CWOCN, GNP; Jane Carmel, MSN, RN, CWOCN; Marty Cobb, MS, RN, Med, CWOCN; Judy Dutcher, MS, RN, CS, CWOCN; Margaret Goldberg, MSN, RN, CWOCN; Mikel Gray, PhD, CUNP, CCCN, FAAN; Kelly Jaszarowski, MSN, RN, ANP, CWOCN; Vicki Johnson, PhD, RN, CUCNS; Lena McCubbin, MS, RN, CNS, CETN, CWOCN; Cathy Merkle, PhD, RN; Katherine Moore, PhD, RN; Ben Peirce, RN, CWOCN; Barbara Pieper, PhD, RN, CS, CETN, FAAN; Joy Pittman, MSN, RN, CWOCN; Janet Ramundo, MSN, RN, CWOCN, FNP; Amy Roma-Moore, RN, COCN, CWCN; Terri Ross, MSN, RN, CWOCN; Barbara Walsh, MSN, RN, CWOCN; Sandi Wind, RN, CWOCN.

All posters will be displayed during a dedicated poster session on Monday, June 7, 2004. Authors will be present to discuss their work from 7:30–8:45 am.

Skin assessment in dark pigmented skin: a challenge in pressure ulcer preventionDigital Edition: Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention

02 August, 2010

The classic signs of skin damage are different in Caucasian and dark pigmented skin. Advice on how to identify pressure ulcers in dark skin is provided

AbstractClark M (2010) Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention. Nursing Times; 106: 30, early online publication.Skin assessment is a vital element in the prevention of pressure ulcers, and many recommendations for skin assessment depend on visual and tactile cues to identify changes in skin appearance. Visual cues for changes in skin appearance may be easily observed in Caucasian skin but with darker pigmentation it may be harder to spot visual signs of early changes caused by pressure damage. This article outlines how nurses can address this problem in clinical practice and technological developments that may help to solve this clinical issue.Keywords Pressure ulcers, Assessment, Wound imagingThis article has been double-blind peer reviewed

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What are the differences in assessing a dark

When checking for pressure ulcers in dark-skinned patients, remember that dark skin rarely shows the blanch response. Instead, after applying light pressure, look for an area that's darker than the surrounding skin or that's taut, shiny, or indurated (hardened).

How can you assess patients with darkly pigmented skin?

patient in a position so that natural light is shining on the skin. If you cannot do that, use a pen light or light on your phone to see the skin. Fluorescent light casts a blue tone on darkly pigmented skin and should be avoided.

How would you Recognise pressure damage on dark skin?

Suspected deep tissue injury Purple or maroon localised area of skin discolouration or blood-filled blister due to damage of the underlying tissue from either pressure or shear, may be preceded by pain or the immediate area may feel firm, mushy, boggy, warm or cool when compared with the surrounding tissue.

What color is light colored skin under pressure?

The signs and symptoms of blanching include: The skin appears white (or not as reddened) when pressure is applied. The whitish color that appears when pressure is applied to the skin does not return to normal within a few seconds of removal of the pressure.

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