Pressure Ulcers & Wound Care

New Research Suggests Hypotension is a Risk Factor for Pressure Ulcers

The industry-wide acceptance of risk assessment scales for pressure ulcers has gotten us accustomed to evaluating risk factors for skin breakdown. The most popular is the Braden Scale which incorporates subscales of sensory perception, moisture, activity, mobility, nutrition, and friction and shear. There are however, other factors which

  28.01.2014

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

New Research Challenges “Q2H” Turning Standard for Pressure Ulcer Prevention

The industry standard for turning and repositioning a patient at risk for pressure ulcers is every two hours. There is, however, limited research to support this standard. As the costliest elements of pressure ulcer prevention are support surfaces and repositioning, a change in this standard would

  28.10.2013

The Unavoidable Pressure Ulcer Gains Credibility with Geriatrics Practitioners

The 8th Edition of the Geriatric Review Syllabus (GRS8) released this year contains a brief but significant addition to the chapter on pressure ulcers: a section on the unavoidable pressure ulcer. This is the first time an official study guide for the medical specialty of geriatrics

  16.09.2013

CMS recognizes the Kennedy Terminal Ulcer in Long-Term Care Hospitals

The Kennedy Terminal Ulcer (KTU) has been around for over two decades, and continues to play a large part in discussions as to whether pressure ulcers are avoidable or unavoidable. Until now the Center for Medicare and Medicaid Services (CMS) has not acknowledged the KTU in

  10.07.2013

Peripheral Arterial Disease: an Often-Overlooked Cause of Poor Wound Healing

This article was published in Today’s Wound Clinic, Volume 7, Issue 5 (June/July) 2013.  Peripheral arterial disease (PAD) of the lower limbs is often neglected when evaluating reasons for poor wound healing, particularly in elderly patients. Affecting roughly 12-14% of the general US population, PAD increases

  9.07.2013

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

Improving Communication in the Wound Clinic

8 Steps to Developing a Community-Based Wound Care Team: A Practical Guide for Reaching Beyond Wound Center Walls By nature of their various (and often multiple) comorbidities, wound care patients reside in a spectrum of healthcare settings. Communication is important for all types of chronic wounds

  25.06.2013

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

Webinar on Infectious Aspects of Chronic Wounds

This is a webinar I recently delivered on Infectious Aspects of Chronic Wounds including Infection Control.  It was sponsored by the Gold STAMP (Success Through Assessment, Management, and Prevention) program, which is funded by the New York State Department of Health under the Medicaid Redesign Team (MRT) to

  15.03.2013

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.