ALÉM DO ERITEMA: TECNOLOGIAS DE CUIDADO E EQUIDADE NO DIAGNÓSTICO DE LESÃO POR PRESSÃO EM PELES NEGRAS.
Abstract
Introduction: Pressure Injury (PI) represents a global challenge to patient safety and is considered a Never Event. In patients with dark skin, early identification is hindered by the invisibility of non-blanchable erythema, requiring care technologies that overcome the limitations of classical visual inspection. Objective: To analyze the application of the Nursing Process (NP) and Merhy's care technologies as strategies for the early detection of PI in dark skin. Methodology: Scoping Review based on the JBI method and PRISMA-ScR checklist. The search used the PCC mnemonic (Dark Skin, Care Technologies, and Health Contexts) in national and international databases (SciELO, LILACS, BDENF, PubMed), plus grey literature and NPIAP guidelines. Results and Discussion: Diagnostic accuracy in dark skin is based on the "Pain - Temperature - Edema" triad. The identification of local edema and tissue induration emerged as the most reliable inflammatory marker to replace visual erythema. The study articulates the use of hard technologies (LED lighting and blanching test), soft-hard (Braden and Monk scales), and soft technologies (Tactile Sovereignty and active listening) as pillars for safe care. Conclusion: PI prevention in dark skin requires nurses to transcend the visual model, incorporating tactile examination and the appreciation of subjective signs. The integration of these technologies into the NP ensures health equity and reduces racial disparities in care.
Fields of Study & Subjects
Pressure Ulcer Prevention and Management
Nursing Diagnosis and Documentation
Patient Safety and Medication Errors
Publication details
- Journal / source
- INTERNATIONAL INTEGRALIZE SCIENTIFIC
- Volume
- 6
- Issue
- 56
- Publication date
- 27 February 2026
- Language
- EN