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 November, 2010

Straight Talk on Reverse Staging of Pressure Ulcers

The issue of “reverse staging” or “backstaging” of pressure ulcers as they heal is often a cause for confusion, even for some experts.  With this blog post I hope to clarify things and explain why reverse staging is now discouraged when assessing wounds, and place the issue in context with the revised Minimum Data Set (MDS) 3.0 Section M: Skin Conditions, which went into effect October …Read More

Healthcare Reform Provision Helps Lawsuits Against Nursing Homes

A little known provision of President Obama’s Healthcare Reform Act is designed to help plaintiffs and their attorneys bring legal action against nursing homes for alleged neglect and abuse.  With the demographic transformation of America toward an aging society, lawsuits against nursing homes have surged.  In response some privately owned nursing homes have developed complex corporate structures that obscure who controls the facilities, making it difficult for attorneys …Read More

Photographing America’s Aging Heroes: The Tuskegee Airmen

I have been photographing Aging Across America for some time, and one of my favorite subjects is elderly veterans.  I had heard about the Tuskegee Airmen from various news articles.  These men were the first group of African American aviators to fight for America in World War II.  In a racially segregated military, these men smashed the barrier of race and helped us win the …Read More

Does MDS 3.0 Section M Avoid the Unavoidable?

The revised Resident Assessment Instrument (RAI) with the new MDS 3.0 Section M: Skin Conditions radically expands the assessment process for pressure ulcers in Medicare certified skilled nursing facilities.  In contrast to the prior version, there are data fields for improving or deteriorating pressure ulcers, ulcer measurements, and tissue type at the base of the wound.  Important issues such as “present on admission” and updated …Read More

Elder Abuse in Film: A Geriatrician’s Viewpoint

This past Halloween I stayed at home with my wife and watched old horror films.  One of them was the psychological suspense thriller, What Ever Happened to Baby Jane, released in 1962.  This is the story of two aging sisters, one of whom is paraplegic and confined to a wheelchair on the second floor of their Hollywood home.  The movie featured stunning performances by paraplegic …Read More