A little known provision of President Obama’s Healthcare Reform Act is designed to help plaintiffs and their attorneys bring legal action against nursing homes for alleged neglect and abuse. With the demographic transformation of America toward an aging society, lawsuits against nursing homes have surged. In response some privately
Revised Minimum Data Set (MDS) 3.0 Section M: Skin Conditions greatly expands the process of skin assessment in nursing homes. The accompanying Resident Assessment Instrument (RAI) Instruction Manual has instructions on how to identify and code pressure ulcers and other wounds using a methodology that is
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
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
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,
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
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
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.