Skin of Color: Dermatological Features from a Wound Care Perspective

Patients with skin of color require detailed and accurate assessment for care to be effective. Wound care professionals may miss certain integral nuances in patients with skin of color, leading to uncomprehensive, ineffectual care. Understanding dermatological features in skin of color can help providers recognize conditions such as erythema across various skin tones. This Practice Accelerator white paper is a great start to a wound care professional’s journey toward a greater understanding of treating patients with pigmented skin.


Quick Facts – Diverse Patient Populations

The ability to provide care to a diverse range of patients is valuable. The management of wounds in diverse patient populations can come with seemingly unexpected obstacles. However, some knowledge on how to prevent and treat wounds in these populations may mitigate possible complications. This fact sheet reviews effective wound care strategies through the lens of treating diverse patient populations.


Scarring in Diverse Populations

Skin is considered the body’s largest organ, and any damage can often lead to scarring. Although the pathology and physiology of what leads to scarring are not entirely understood, some details are concrete, including the series of processes that occur after the skin…

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Venous Leg Ulcers in Diverse Populations

Venous Leg Ulcers (VLUs) are among the most widespread chronic lower extremity wounds, with approximately 70% of chronic leg ulcers reported as VLUs. Across the population in the western hemisphere, it’s estimated that 2% have VLUs, while those in …

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Diabetic Foot Ulcers in Skin of Color

Recent literature has established that there is much for the medical community to learn about highly pigmented skin, specifically in the realm of wound healing and even more so in diabetic foot ulcers (DFUs). Most distressing is the higher prevalence of amputation…

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How to Identify Pressure Injuries in Skin of Color

A 55-year-old African American male was admitted to our inpatient rehabilitation facility with a right trochanter stage 4 pressure injury, sacral stage 3, and left below the knee amputation with comorbid diabetes mellitus and end-stage renal disease. A 2-person skin…

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Important Terms to Know: Diverse Populations

Chronic venous insufficiency: A disease process principally caused by venous hypertension and valve dysfunction that can lead to venous reflux, pooling, dilated or tortuous veins, and thrombosis and can be a precursor to venous leg ulcers.

Dyschromia: An increase or decrease in dark skin’s pigmentation as a response to trauma or inflammation. Occurs when the melanocytes respond in an exaggerated way.

Fitzpatrick Skin Phototype (FSP): Consists of 3 score groups. “Low” meaning least amount of pigment, “medium,” and “high” meaning the most amount of pigment. Established in 1960, it classified skin tone on a scale from I-VI by color and reaction to the sun.

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