Pressure damage assessment in darker skin
RN OSCE practice station

Risk assessment · 2 min to read · 8 min to perform

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Assess pressure injury risks and the skin change, agree prevention and review, and complete the pressure-risk record.

Esther MensahMy bottom feels sore when I sit.

Free · no sign-up · uses your one free station

The task

Esther Mensah needs assistance to reposition after a recent illness. A carer has noticed a change over her sacrum. Assess pressure injury risks and the skin change, agree prevention and review, and complete the pressure-risk record. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available.

What this station tests

  • Suspected deep tissue pressure injury in darker skin may appear as local darkening with warmth, firmness and pain; colour alone cannot determine a stage.
  • Offload suspected pressure damage and avoid massage or ring cushions.
  • Repositioning, support surfaces, moisture and nutrition need an individual plan.

Sources for the clinical content

An original practice scenario with invented patients. Not an exam question.

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