{"id":2052,"date":"2020-11-15T13:43:16","date_gmt":"2020-11-15T13:43:16","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=2052"},"modified":"2020-11-15T13:43:16","modified_gmt":"2020-11-15T13:43:16","slug":"stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2020\/11\/15\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\/","title":{"rendered":"STOP Pressure Ulcer Day: The Need to Focus Darker Skin Tones"},"content":{"rendered":"

By Neesha Oozageer Gunowa, PhD Candidate Oxford Brookes University @ne55hao<\/p>\n

STOP Pressure Ulcer Day is a global annual event occurring every 3rd Thursday in November.\u00a0 This year the event is taking place on the 19th<\/sup> November where industry, healthcare professionals, the public and media come together to bring to light the topic of pressure ulcers.\u00a0 This blog is not only to highlight the STOP pressure ulcer day but to also address an often forgotten component of the topic, people with darker skin tones and the presentation of pressure ulcers.\"\"<\/a><\/p>\n

Pressure ulcers are costly both for organisations and individuals 1,2<\/sup>.\u00a0 Organisations in the UK have to bear the burden of treatment costs whilst patients have had to deal with the physical and physiological toll. \u00a0However, people with darker skin tones are disproportionately affected by more severe pressure ulcers3<\/sup>.\u00a0 It remains unclear to the cause of this disparity however upon further exploration there is an indication that empirical research dismisses people with darker skin tones due to the difficulties of identifying early signs of pressure ulceration.\u00a0 The Black Lives Matter movement reminds us this omission forms part of structural racism and needs to be addressed.<\/p>\n

With nurse education drawing on evidence based information it is important to consider if nurse educators are bearing in mind areas which have not be explored in significant detail due to whiteness being the norm.\u00a0 In a recent publication4<\/sup> in the Journal of Clinical Nursing written by senior academics the authors emphasise that nurse academics only briefly acknowledge pressure damage among people with darker skin tones in the classroom.\u00a0 This tokenistic approach to inclusion may appear to be an omission due to a lack of evidence however the impact on the next generation of nurses leads to serious consequences and inequities for people with darker skin tones.<\/p>\n

The assumption that words such as redness, mottling and discoloration infer visual skin changes may be viewed as personal ignorance of skin changes among people with darker skin tones.\u00a0 But, we as nurse academics and clinicians need to question the underlying meaning of this colour blind approach and emphasis on white centricity.\u00a0 We need to move forward in our thinking and delivery of care to question our practice, research and education.\u00a0 We need to empower and encourage nurses to speak up about inequities in healthcare.\u00a0 By acknowledging that the visual identification of pressure ulcers among people with darker skin tones may not always be apparent we highlight a type of inequity currently being faced.<\/p>\n

References<\/strong><\/p>\n

    \n
  1. Guest, J.F., Vowden, K., Vowden, P. (2017) The health economic burden that acute and chronic wounds impose on an average clinical commissioning group\/health board in the UK. Journal of Wound Care.<\/em> 26 (6). doi: https:\/\/www.magonlinelibrary.com\/doi\/full\/10.12968\/jowc.2017.26.6.292<\/a><\/li>\n
  2. Jackson, D., Durrant, L., Hutchinson M., Ballard, C., Neville, Usher, K. (2017) Living with multiple losses: Insights from patients living with pressure injury, Collegian.<\/li>\n
  3. Oozageer Gunowa, N., Hutchinson, M., Brooke, J., Jackson, D. (2018) Pressure injuries in people with darker skin tones: A literature review. Journal of Clinical Nursing<\/em>, 27 (17-18): 3266-3275. doi: 10.1111\/jocn.14062<\/li>\n
  4. Oozageer Gunowa, N., Brooke, J., Hutchinson, M., Jackson, D. (2020) Embedding skin tone diversity into undergraduate nurse education: Through the lens of pressure injury. Journal of Clinical Nursing<\/em>. 29: 4358\u2013 4367. doi: <\/span>https:\/\/doi.org\/10.1111\/jocn.15474<\/a><\/li>\n<\/ol>\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    By Neesha Oozageer Gunowa, PhD Candidate Oxford Brookes University @ne55hao STOP Pressure Ulcer Day is a global annual event occurring every 3rd Thursday in November.\u00a0 This year the event is taking place on the 19th November where industry, healthcare professionals, the public and media come together to bring to light the topic of pressure ulcers.\u00a0 […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":169,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3664],"tags":[],"class_list":["post-2052","post","type-post","status-publish","format-standard","hentry","category-adult-nursing"],"yoast_head":"\nSTOP Pressure Ulcer Day: The Need to Focus Darker Skin Tones - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2020\/11\/15\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"STOP Pressure Ulcer Day: The Need to Focus Darker Skin Tones - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"By Neesha Oozageer Gunowa, PhD Candidate Oxford Brookes University @ne55hao STOP Pressure Ulcer Day is a global annual event occurring every 3rd Thursday in November.\u00a0 This year the event is taking place on the 19th November where industry, healthcare professionals, the public and media come together to bring to light the topic of pressure ulcers.\u00a0 [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/ebn\/2020\/11\/15\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\/\" \/>\n<meta property=\"og:site_name\" content=\"Evidence-Based Nursing blog\" \/>\n<meta property=\"article:published_time\" content=\"2020-11-15T13:43:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/ebn\/files\/2020\/11\/Screen-Shot-2020-11-15-at-8.31.56-AM-300x239.png\" \/>\n<meta name=\"author\" content=\"rheale\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"rheale\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/\"},\"author\":{\"name\":\"rheale\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#\\\/schema\\\/person\\\/4d6c0669182b39dd438efb3fe94d7f64\"},\"headline\":\"STOP Pressure Ulcer Day: The Need to Focus Darker Skin Tones\",\"datePublished\":\"2020-11-15T13:43:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/\"},\"wordCount\":549,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2020\\\/11\\\/Screen-Shot-2020-11-15-at-8.31.56-AM-300x239.png\",\"articleSection\":[\"Adult Nursing\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/11\\\/15\\\/stop-pressure-ulcer-day-the-need-to-focus-darker-skin-tones\\\/\",\"name\":\"STOP Pressure Ulcer Day: The Need to Focus Darker Skin Tones - 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