Recent publications include:
Wound Care for Geriatricians and Primary Care Practitioners
For this issue of Clinics in Geriatric Medicine, I invited leaders in the field to share their knowledge and expertise with the goal of educating clinicians on the basics of wound care. It is both an honor and a privilege to have the opportunity to bring together information that will improve care of vulnerable adults in an area where it is most needed.
New Reference Work on Pressure Injuries and Chronic Wounds
I am proud to introduce my volume in Elsevier's series of Clinics in Geriatric Medicine entitled Pressure Injuries and Chronic Wounds. To complete this work I invited leaders in the field to share their knowledge and expertise with the goal of educating clinicians on...
Wet Cement—A Preventable Cause of Chemical Burn
Few people are aware that wet cement is a strong alkali that can cause deep third-degree burns necessitating surgical debridement and prolonged healing time. Chemical burns from cement can be avoided by adequate skin and eye protection as well as immediate first aid.
New Textbook Chapter on Pressure Injuries & Chronic Wounds
I am thrilled that my chapter entitled Pressure Injury and Chronic Wounds was just published in a major new reference work. The textbook is entitled Geriatric Medicine: A Person Centered Evidence Based Approach and is available on Springerlink. My chapter is illustrated by photos taken over years in practice, and illustrations that demonstrate pressure injury staging and aging skin.
Presenting Wound Care Research at the American Geriatrics Society Annual Meeting
Despite the well-documented association of chronic wounds with aging, we conclude that the field of geriatrics has provided suboptimal attention to this important topic.
A Review of the Skin Failure Concept
This new manuscript reviews barrier functions of skin and defines specific pathophysiologic factors that lead to its disruption including hypoperfusion, hypoxia, increased vascular permeability, and edema – all of which act synergistically. The article further defines acute and chronic conditions leading to these pathophysiologic aberrations including Multiple Organ Dysfunction Syndrome (MODS), protein-calorie malnutrition, and immunocompromised states. Also addressed are critical contributing factors such as age-related skin changes, frailty, sarcopenia, cytoskeletal and external forces, pharmacologic contributors, and the dying process.
Medical Device Related Pressure Injury to the Ear due to Mask
The ear is a convenient anchor for a mask, which renders it subject to constant pressure and friction from the elastic band. Diagnosis of injuries in the postauricular area may be missed or delayed because it is hidden behind the ear and/or covered with hair. Pressure injury to the ear can result in pain, infection, scarring, or permanent deformity.
New Review on Aging Skin, with Considerations for Clinicians
My review article entitled Clinical Aspects of Aging Skin is now online in the January edition of Advances in Skin & Wound Care, and is available on line at this link. This article is filled with practical information for the wound care practitioner, but does...
Terminal Ulcer Terminology Reconsidered
My new article in Wound Management & Prevention is a critical re-examination of terminal ulcer terminology. In it I make the case for recognizing terminal ulcers as part of the spectrum of skin failure (and not necessarily heralding death) and used only in...
Wound Care: What the Medical Director Needs to Know
This article was published in Caring For the Ages, a journal sponsored by the American Medical Directors Association (AMDA) - the Society for Post-Acute and Long-Term Care Medicine. The article covers everything the medical director needs to know about wound care...