JEFFREY M. LEVINE, M.D.

SPECIALIZING IN GERIATRIC MEDICINE & WOUND CARE

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.

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 with age and affects up to 20% of patients who are older than 75.1 Risk factors include diabetes mellitus, hypertension, smoking, and hyperlipidemia. PAD can also critically hamper one’s wound healing as well as prevent optimum delivery of systemic antibiotics, which can result in polymicrobial infections and advancement to osteomyelitis. The healing of any wound of the lower extremity, including those from trauma, pressure, or venous stasis, can be adversely affected by poor perfusion associated with atherosclerotic disease.

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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.