Related Experiment Video
Updated: Jul 19, 2025

Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
Current Perspectives on Pressure Injuries in Persons with Dark Skin Tones from the National Pressure Injury Advisory
Joyce Black1, Jill Cox, Virginia Capasso
1Joyce Black, PhD, RN, FAAN, is President, National Pressure Injury Advisory Panel, and Florence Niedfelt Professor of Nursing, College of Nursing, University of Nebraska, Lincoln, USA. Jill Cox, PhD, RN, APN-C, CWOCN, FAAN, is Member, Board of Directors, National Pressure Injury Advisory Panel; Clinical Professor, Rutgers University School of Nursing, New Jersey; and Wound/Ostomy/Continence Advanced Practice Nurse, Englewood Health, New Jersey. Virginia Capasso, PhD, CNP, CNS, CWS, FAAN, is Member, Board of Directors, National Pressure Injury Advisory Panel; Instructor in Surgery, Harvard Medical School, Boston, Massachusetts; and Advanced Practice Nurse and Nurse Scientist, Massachusetts General Hospital, Boston. Donna Z. Bliss, PhD, RN, FAAN, is School of Nursing Foundation Professor of Nursing Research, and Chair, Adult and Gerontological Health Cooperative, University of Minnesota School of Nursing, Minneapolis. Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC, FAAN, is Alumna, Board of Directors, National Pressure Injury Advisory Panel, and Senior Nurse Scientist and Clinical Assistant Professor, NYU Langone Health, New York. Vignesh Iyer, MS, is Director, Medical Affairs, Bruin Biometrics, Los Angeles, California. Jacqueline Massaro, MSN, RN, CWOCN, is Wound/Ostomy/Continence Nurse, Brigham and Women's Hospital, Boston, Massachusetts. Cassendra Munro, PhD, RN, CNOR, is Nurse Scientist, Office of Research Patient Care Services, Stanford Health Care, Palo Alto, California. Joyce Pittman, PhD, RN, ANP-BC, FNP-BC, CWOCN, FAAN, is Alumna, Board of Directors, National Pressure Injury Advisory Panel, and Associate Professor, College of Nursing, University of South Alabama, Mobile. Elizabeth A. Ayello, PhD, RN, CWON, MAPWCA, FAAN, is Alumna, Board of Directors, and Past President, National Pressure Injury Advisory Panel, and President, Ayello, Harris & Associates, Inc, New York.
Identifying pressure injuries (PIs) in individuals with dark skin tones is challenging. Standardized, quantifiable skin tone assessment is crucial for equitable PI prevention and treatment.
Area of Science:
- Medical Science
- Dermatology
- Nursing
Background:
- Pressure injury (PI) development is complex and influenced by multiple factors.
- Visual assessment for PIs is particularly difficult in patients with darker skin tones.
- There is a growing need for inclusive educational materials and improved assessment techniques for diverse skin colors.
Purpose of the Study:
- To review current literature on skin assessment and PI development in patients with dark skin tones.
- To highlight disparities and knowledge gaps in clinical practice.
- To advocate for standardized and quantifiable skin tone assessment.
Main Methods:
- Literature review focusing on skin tone.
- Discussion of historical PI staging, epidemiology, and skin anatomy/physiology.
- Exploration of skin tone assessment, augmented visual modalities, PI prevention/healing, social determinants of health, and clinician education gaps.
Main Results:
- A significant gap exists in clinical knowledge regarding PIs in patients with dark skin tones.
- Racial disparities are evident in PI development and healing among these patients.
- Current PI staging and assessment methods are not adequately inclusive of diverse skin tones.
Conclusions:
- Standardization and quantification of skin tone assessment are essential in clinical education, practice, and research.
- Addressing racial disparities in PI care requires urgent attention and support.
- Further research and educational initiatives are needed to improve PI outcomes for individuals with dark skin tones.
More Related Videos
06:45Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems
Published on: May 2, 2025
09:37Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
Published on: December 4, 2021
Related Concept Videos
Changes in Skin Color: Clinical Perspectives
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Peripheral Artery Disease IV: Nursing Management
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Venous Thrombosis IV: Nursing Management
Peripheral Artery Disease V: Postoperative Nursing Management