Publications

Recent publications include:

 

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. 

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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.

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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.

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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. 

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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...

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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...

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The Effect of Oral Medication on Wound Healing

Given the accelerated medical discoveries of recent decades, there is a surprising lack of oral medications that directly improve wound healing. Of the oral medications available, most target ancillary aspects of wound care such as pain management, infection...

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Skin Failure: An Emerging Concept

This article was recently published in the Journal of the American Medical Directors Association and is available for download. Skin failure is an emerging concept that ties together and clarifies current trends in clinical practice. Many studies have associated acute...

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