Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - News on Dr. Levine's medical and consulting practice, and reflections on our healthcare system.

Category: Risk Management

Determining the Avoidability of Pressure Ulcers

One of the biggest challenges in caring for patients with pressure ulcers from a risk-management  standpoint is determining whether the ulcer was avoidable.  The National Pressure Ulcer Advisory Panel has recently come out with a statement that “Not all pressure ulcers are avoidable.”  As a reference point, we can look at the Interpretive Guidelines for F-Tag 314 issued by the Department of Health & Human …Read More

How Much do Medical Residents Know about Pressure Ulcers?

The Answer:  Not as much as nurses!! This past weekend I presented a new study on how much medical residents know about pressure ulcers at the American Geriatrics Society (AGS) Annual Scientific Meeting in Orlando, FL.  In our research we tested medical doctors in residency training at a major New York City hospital.  For those of us who do wound care on a day-to-day basis, our results …Read More

Pressure Ulcer Prevention Lacking in High Risk Patients

A major study published in The Gerontologist has shown that pressure ulcer prevention measures are lacking in high risk patients.  A research group based in the Department of Epidemiology and Preventive Medicine at the University of Maryland School of Medicine studied elderly patients with hip fractures, following them across care settings that included hospitals, rehabilitation facilities, and nursing homes and found inadequate use of pressure-redistributing …Read More

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 Association, the guide has been over two years in development.  It is intended to help clinicians stage pressure ulcers and correctly …Read More

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 elderly persons. This is atherosclerotic disease of the lower limbs, also called peripheral arterial disease, or PAD. The term …Read More