颜色是否重要:护理评估不同的皮肤色调/颜色
Brigit M Carter1, Desi Newberry, Christina Leonard
1American Association of Colleges of Nursing, Washington, District of Columbia (Dr Carter); and Duke University School of Nursing, Durham, North Carolina (Drs Newberry and Leonard).
概括
准确的护理评估需要承认皮肤颜色和色素变异,特别是在新生儿身上. 目前的教育材料往往缺乏针对不同人群的全面指导,影响了包容性患者护理.
科学领域:
- 护理 护理 护理
- 皮肤病学 皮肤病学
- 儿科 儿科 儿科
背景情况:
- 在护理评估中,观察皮肤颜色至关重要.
- 基础护理教育缺乏对个体皮肤品质和色素的全面整合.
- 现有的护理教科书往往缺乏详细的视觉和描述性内容,以评估各种肤色,特别是黑人,土著和有色人种 (BIPOC) 人口.
研究的目的:
- 提出基于证据的评估结果,针对不同肤色/颜色的新生儿进行评估.
- 突出需要改善关于护理中皮肤颜色评估的教育策略.
- 解决关于种族群体,皮肤颜色和新生儿身体评估的文学稀缺问题.
主要方法:
- 文献综述侧重于种族群体,皮肤颜色和整个生命周期的身体评估,特别强调新生儿人口.
- 对护理教科书中关于评估BIPOC群体的内容进行分析.
- 基于证据的评估结果的介绍,与不同新生儿皮肤色调相关.
主要成果:
- 为新生儿提供基于证据的评估结果,这些新生儿具有不同的皮肤色调/颜色.
- 在护理文献和教育材料中,关于对BIPOC个体,特别是新生儿的评估存在重大差距.
- 虽然在护理教科书中注意到了一些改进,但对BIPOC评估的全面描述和视觉辅助仍然不足.
结论:
- 承认颜色意识对于准确的护理评估至关重要.
- 在教育背景下,色盲会导致与皮肤颜色相关的关键评估组件被排除在外.
- 加强护理教育,提供全面的,包容性的皮肤颜色评估内容,对于公平的患者护理至关重要.
相关概念视频
Changes in Skin Color: Clinical Perspectives
2.0K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.0K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Pigmentation
2.5K
The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
2.5K
Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K
Skin Cancer
4.2K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.2K
Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12


