My Mentor in Geriatrics: Leslie S. Libow MD

Were it not for Leslie S. Libow I would not have entered the specialty of Geriatrics. This past weekend at the annual meeting of the American Medical Directors Association (AMDA), I sat in the audience as Dr. Libow received the prestigious James Patee Award for...

New Rules for Pressure Ulcer Risk Assessment in Nursing Homes

MDS version 3.0, the mandatory assessment tool for residents of skilled nursing facilities, was finally implemented October 2010 after years of planning.  Section M: Skin Condition has been completely revised and expanded.  This blog post will address MDS 3.0...

Pressure Ulcer Prevention for Patients in Wheelchairs

In most cases pressure ulcer prevention can be accomplished by risk assessment followed by common sense choices for pressure reduction.  In these days of evidence based medicine, health care providers need to listen to the evidence and implement best practices to...

The Myth of the Mechanical Fall

Recently on hospital teaching rounds a medical resident presented an elderly man who fell.  The patient suffered no fall-related injuries but was diagnosed with pneumonia and congestive heart failure.  The resident called the event a “mechanical fall,” and the interns...