Dr. Levine is a nationally recognized expert in wound care and pressure ulceration. and has published and spoken widely on this topic. He is a Board Member of the National Pressure Ulcer Advisory Panel (NPUAP). Dr. Levine's Pocket Guide to Pressure Ulcers co-authored by Elizabeth Ayello RN and published by the New Jersey Hospital Association is in its 4th printing and has sold over 30,000 copies.

Caution Urged with Negative Pressure Wound Therapy

I recently was called to consult on a man whose sternal wound was being treated with negative pressure wound therapy (NPWT). He had undergone a coronary artery bypass operation and his chest wound had opened up. His doctor prescribed NPWT but after the third day the


Wound Care: What About Larval Therapy?

Myiasis is the medical term for infestation with the larvae of a fly, also known as maggots.  The image of maggots in modern society is the exact opposite of health and cleanliness.  Indeed, unintended myiasis in a healthcare facility is a frequent precursor of a negligence


New Pocket Guide to Pressure Ulcers

A new wound guide written specifically for clinicians has just been released.  The complete title is “Pocket Guide to Pressure Ulcers: How to Classify, Stage, and Document Pressure Ulcers and Other Common Wounds.” Written by me and Elizabeth Ayello RN, PhD, and published by the New Jersey Hospital


Peripheral Arterial Disease is Underdiagnosed in the Elderly

When ulcers of the lower extremity develop, it is important to find out why. Many ulcers develop over boney prominences which are subjected to pressure, and are therefore labeled as pressure ulcers. However, one common etiology of lower extremity wounds is frequently not considered, particularly in


Wound Odor: The View from Ancient Greece

The fascinating history of wound care dates back to the earliest human cultures, where prehistoric bones and cave paintings left hints of wound-healing knowledge.  A major problem associated with wounds is odor, a phenomenon recognized for millennia.  In today’s practice, when examining and documenting wounds, the


Skin Surveillance Under Medical Devices is a MUST

Most educational materials on pressure ulcer prevention tell you that the most common areas for pressure ulcers are under boney prominences such as the sacrum, ischium, and heels.   However, an area that is frequently under-emphasized in pressure ulcer prevention education is skin breakdown under medical devices.   Tissue damage


Pressure Ulcer Regulations in the Nursing Home: Introduction to Revised F-Tag 314

Care delivered in nursing homes is highly regulated, particularly for pressure ulcers.  Whatever your opinion of government regulation, laws governing nursing homes undoubtedly provide added protection for these vulnerable adults across America.  This post will provide a basic explanation of regulations covering pressure ulcers in the


How CMS Views Pressure Ulcers in Hospitals

Since October 1, 2008 the Centers for Medicare and Medicaid Services (CMS) classified pressure ulcers as a preventable Hospital-Acquired Condition (HAC) that will no longer be reimbursed by current insurance guidelines. In order to understand how this works, I first need to provide some definitions: MS-DRG:


Optimizing a Hospital System to Prevent Pressure Ulcers

According to the Centers for Medicare and Medicaid Services (CMS), pressure ulcers are among the most common, expensive, and avoidable hospital-acquired complications.  Pressure ulcer prevention needs to be embedded within the day-to-day workflow of the healthcare system.  To cope with the burden of pressure ulcer prevention,


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.