Featured Medical Articles

Government Data Sheds Doubt Upon Pressure Ulcers as a Quality Indicator

Nearly all organizations concerned with healthcare quality have recognized pressure ulcers as a quality indicator. This assumption has impacted reimbursement policy and facility ratings, and resulted a risk-management burden for caregivers across the healthcare continuum. Despite the fact that pressure ulcers can sometimes reflect upon quality of care, it

  29.08.2015

New Government Report on Dying in America has Implications for Wound Care

A recently released report on Dying in America has important implications for the standard of care for persons with chronic wounds who are approaching life’s end. It was published by the prestigious Institute of Medicine and written by a panel of recognized experts on the topic

  10.11.2014

Pressure Ulcer Care in Hospitals: What We Can Learn from the Texas Ebola Debacle

A simple lapse in communication in a Texas hospital resulted in a patient with a deadly contagious disease being discharged home. The information regarding the patient’s travel history was recorded into the electronic medical record (EMR) by a nurse but not transmitted to the doctor who

  10.10.2014

The Old Man of the Lake on the Cover of The Gerontologist

In 2010 the closing of St. Vincents Hospital in Manhattan gifted me with time to indulge my wanderlust, and so I went to Lake Titicaca in the Bolivian highlands of South America to celebrate the winter solstice with the shamans. The Gerontologist just published a cover

  6.10.2014

Pressure Ulcer as “Never Event”: Fact or Myth?

The term “never event” is commonly applied to pressure ulcers, giving the impression that they are always associated with medical error. As such, it lends this outcome an emotional charge that can lead to misplaced patient dissatisfaction and unnecessary accusations of wrongdoing or poor quality. Although

  2.06.2014

Wound Healing in the Geriatric Patient

I recently served as guest editor of a special issue on aging for Today’s Wound Clinic, a magazine devoted to contemporary approaches to wound clinic management.  This special issue on the geriatric patient was published in November/December 2013, Volume 7, Issue 9. Please take a look

  2.01.2014

Palliative Care for Non-Healing Pressure Ulcers

There is a saying that time heals all wounds, but this is not always the case for pressure ulcers. Those of us who care for patients with pressure ulcers know that some wounds will not heal, and cure becomes an unrealistic goal. Partnering with the patient

  26.06.2013

Pressure Ulcer Guide Helps New Jersey Nursing Homes

In an unusual agreement between the New Jersey Hospital Association, the Centers for Medicare and Medicaid Services (CMS), and the New Jersey Department of Health, the Pocket Guide to Pressure Ulcers authored by myself and Elizabeth Ayello PhD, RN will be distributed to skilled nursing facilities

  8.04.2013

New Research Sheds Light on Hospital Acquired Pressure Ulcers

A new study published in the Journal of the American Geriatrics Society sheds light on hospital acquired pressure ulcers with data on epidemiology, mortality, and patient characteristics.  Its results are certain to fuel the debate on avoidability of pressure ulcers. The researchers analyzed 51,842 discharges of hospitalized

  7.10.2012

Pressure Ulcer Nomenclature and Documentation

Flawed and inconsistent wound documentation has serious risk-management implications.  This blog post will examine some fine points regarding pressure ulcer nomenclature and documentation. Many definitions and classification schemes for pressure ulcers were developed over the years and continue to be a source of confusion.  As patients move

  14.01.2012

Dr. Jeffrey M. Levine has authored numerous articles on topics related to healthcare of the elderly. These include medical history, prevention and treatment of chronic wounds such as pressure ulcers, elder neglect and abuse, and physical restraints. He has also edited a book on legal and regulatory aspects of nursing homes.