PMID: 25785778Mar 19, 2015Paper

A 5-year retrospective study of descriptors associated with identification of stage I and suspected deep tissue pressure ulcers in persons with darkly pigmented skin

Wounds : a Compendium of Clinical Research and Practice
Rhonda Sullivan

Abstract

As skin assessment is critical to pressure ulcer prevention, it is essential that practitioners performing skin assessments understand individuals with dark skin tones may represent at-risk persons. In addition, visual cues commonly associated with the identification of stage I and suspected deep tissue injury (sDTI) pressure ulcers may not be sufficient in persons with darkly pigmented skin. The purpose of this study was to identify common descriptors associated with stage I and sDTI pressure ulcers in persons with darkly pigmented skin, to determine whether the National Pressure Ulcer Advisory Panel (NPUAP) definitions are adequate, and to identify additional descriptors that might aid practitioners in identifying pressure ulcers in this at-risk population. A 5-year retrospective review of 96 subjects with 274 stage I or sDTI pressure ulcers was conducted at an acute care facility. A literature search aided in identifying descriptors associated with pressure ulcers in persons with darkly pigmented skin. Computer-queried records targeted subjects matching the descriptors of "African American," "Asian," "Hispanic," "American Indian," "Alaskan Native,"Native Hawaiian," or "Pacific Islander" descent; with a "stage I or sDTI" and ...Continue Reading

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