Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - News on Dr. Levine's medical and consulting practice, and reflections on our healthcare system.

Archive for 2009

Dr. Gene Cohen, Creative Aging, and Geriatric Psychiatry

I was recently invited to speak at the International Arts and Health Conference in Port Macquarie, Australia on the topic of Geriatrics, Humanistic Medicine, and Art.   Organized by Margret Meagher, Executive Director of Arts and Health Australia, the goal of the meeting was to promote art in enhancing health and healing.  Port Macquarie was a spectacular location, surrounded by white sand beaches and sweeping views …Read More

“Aging Through a Physician’s Lens” gets installed at the New York Academy of Medicine

October 12, 2009 “Aging Through a Physician’s Lens,” has been installed at the New York Academy of Medicine in Manhattan and will run through mid-January 2010.  The exhibit features nearly twenty years of images taken in the course of my medical practice and travels.  Curated by Donna Glassford, Director of Cultural Enrichment at Vanderbilt University Medical Center, the images present four separate portfolios which depict …Read More

Recertification in Geriatric Medicine Completed

  This past spring I completed requirements for recertification in Geriatric Medicine.  The American Board of Medical Specialties (ABMS) requires recertification every ten years, and this is my second recertification – marking twenty years since first passing the test after completion of geriatric fellowship in 1986.  This makes me one of a very small number of physicians in the United States certified in this medical subspecialty.  …Read More

The Unavoidable Pressure Ulcer: A Retrospective Case Series

This article was published in Journal of Clinical Outcomes Management 2009 Aug;16(8):359-363  To identify medical conditions related to pressure ulcer occurrence when at-risk status is appropriately assessed and preventive measures are in place we did a retrospectice chart review in an acute care hospital. Charts were reviewed for past medical history, activities of daily living, comorbid illness, and physiologic parameters at the time of ulcer discovery.   20 …Read More

MDS 3.0 Will Alter Pressure Ulcer Assessment

This article was published in Caring for the Ages.  10(3), pp 18-19; 2009. Since 1995, all nursing facilities have used MDS Version 2.0 as the data-gathering component of the Resident Assessment Instrument (RAI), a mandatory part of nursing home care for more than two decades. Now, the Centers for Medicare & Medicaid Services has revised the MDS to improve its reliability and usefulness, and MDS …Read More

Optimizing Pressure Ulcer Care: A Checklist For System Change

This article was published in Ostomy Wound Management 2009; 55:6, p 6. Our healthcare system sought to enrich and improve strategies to assess, document, and prevent pressure ulcers and to identify key personnel to implement these strategies. An evaluation of our practices yielded the following recommendations:1. Assess policies and procedures relevant to documentation systems, risk assessment tools, prevention techniques, and skin assessment documentation along with ease …Read More

Peripheral Arterial Disease And Its Consequences: Considerations For Long-Term Care

This article was published in Annals of Long-Term Care, Volume 17, pp 1524-7929. Peripheral arterial disease (PAD) in the LTC setting has major consequences in terms of mortality, morbidity, and increased healthcare costs. Complications include pain, chronic skin ulceration, gangrene, amputation, infection, and death. In recent years, medical-legal liability for providers caring for residents with this disease has increased. PAD is complex and involves inflammation …Read More