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 February, 2010

Retooling for an Aging America: The Thud that Should Have Been a Bang

In April 2008 a report entitled Retooling for an Aging America: Building the Health Care Workforce was released.  This study was commissioned by the Institute of Medicine (IOM) and put together by the Committee on the Future Health Care Workforce for Older Americans chaired by John W. Rowe.  The document presents an analysis of America’s health care workforce regarding care of the elderly and presents …Read More

Wound Odor: The View from Ancient Greece

The fascinating history of wound care dates back to the earliest human cultures, where prehistoric bones and cave paintings left hints of wound-healing knowledge.  A major problem associated with wounds is odor, a phenomenon recognized for millennia.  In today’s practice, when examining and documenting wounds, the standard of care requires noting the presence of odor.   Odor associated with a wound can result from necrotic tissue …Read More

Nursing Home Care in Australia

I recently spoke on geriatrics, humanistic medicine, and art at The International Arts and Health Conference in Port Macquarie, Australia.  Because I spent so much of my medical career in long-term care, I sought out the opportunity to visit a nursing home to speak with staff and make comparisons on how we do things in the States.  I also had lunch with one of the physicians whose practice …Read More

Ageism, the New York Times, and Geriatric Medicine

After reading an article entitled “The Geezers’ Crusade” by columnist David Brooks in the Op-Ed pages of the New York Times last week I felt compelled to comment on it.   The article begins on an encouraging note, pointing out how society’s views of human aging are evolving from negative to optimistic.  Once viewed as a period of withdrawal and deterioration, Mr. Brooks notes that human …Read More

Falls, Aging, and the Bible

Falls are a major problem in geriatric patients.  As persons age, falls and their consequences become increasingly more serious.  According to the American Geriatrics Society, for those over age 65 and over, 35 to 40% of community dwelling persons fall annually.  As people get sicker and more debilitated, fall incidence increases as well as their severity.  Persons in nursing homes have a rate of falling …Read More

Clarification Of Pressure Ulcer Staging In Long-Term Care Under MDS 2.0

This article was published in Advances in Skin & Wound Care. 23(5):206-210, May 2010. This article was co-authored by Sharon Roberson RN from the Centers for Medicare and Medicaid Services (CMS), Elizabeth Ayello RN, PhD, and myself.  Our goal was to clarify pressure ulcer staging in long-term care under the Minimum Data Set (MDS) Version 2.0, specifically with regard to blisters of the heel and …Read More