Featured Medical Articles

Webinar on Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure

Please join me Thursday, November 16 from 3:00-4:00pm EDT for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure: Where Are We and Where Are We Going? After

  3.11.2017

A Geriatrician Reviews Cicero’s “On Old Age”

As a geriatrician entering the twilight of my career, I look to the philosophers of my field for guidance on how to navigate my own later years. In addition to contemporary texts and journals I turned toward the ancients and discovered a gem in the writings

  25.09.2017

Skin Failure: An Emerging Concept

This post is based on my article that recently appeared in the Journal of the American Medical Directors Association. Skin failure is an emerging concept that ties together current trends in clinical practice and deserves wider acceptance. Wound care providers have long recognized that skin failure

  25.09.2016

New Pressure Ulcer Chapter in the Geriatrics Review Syllabus

The Geriatrics Review Syllabus, 9th Edition, also known as GRS9, has been released and I am thrilled to be author of the newly revised and expanded chapter on Pressure Ulcers.  The GRS9 is a comprehensive reference on geriatric medicine, a study guide for those preparing to

  20.05.2016

Pressure Ulcers are an Under-Appreciated Public Health Issue

As a geriatric fellow back in the 1980’s I became intrigued by the wide prevalence of pressure ulcers and how little literature there was on this disease.  Three decades later, they have not gone away and it amazes me that they are not on the list

  9.04.2016

Recognizing the Incurable in Ancient Egypt

The art of medicine is as old as human civilization, and what we think is new has often been done before. When researching the history of wound care I came across an interesting historical antecedent to today’s palliative care practices. I found it in the library

  31.03.2016

Infections Related to Pressure Ulcers are Always Serious

Infections related to pressure ulcers are always serious events because most patients with these wounds are already compromised, and open wounds provide a portal for pathogenic bacteria to enter the body. Reasons for compromise include immobility, neurologic impairment and acute or chronic organ system disease. Begin with a compromised patient,

  22.02.2016

The Geriatric Workforce and Quality of Care

What could be less intuitive than a shrinking medical specialty in the face of surging demand? A recent New York Times article discussed the growing shortage of geriatricians in America. Despite the fact that there are more older Americans than any time in history, there are only

  15.02.2016

Body Casts in WWII: A Historical Perspective on Medical Device Related Pressure Ulcers

Surgeons and medics apply a plaster-of-paris body cast on an injured soldier.  Photo courtesy of the New York Public Library.  During WWII, the incidence of pressure ulcers in young injured soldiers increased as a result of plaster body casts and immobilization splints – an early example of medical

  9.01.2016

Historical Roots of the “Avoidable-Unavoidable” Pressure Ulcer Controversy

This post gives another preview of what I will be covering in my upcoming webinar entitled History of Pressure Ulcers & Wound Care: Past, Present, & Future, sponsored by the National Pressure Ulcer Advisory Panel.  Some years ago while browsing in an antiquarian bookstore I opened a

  15.11.2015

Dr. Jeffrey M. Levine has authored numerous articles on topics related to healthcare of the elderly. These include medical history, prevention and treatment of chronic wounds such as pressure ulcers, elder neglect and abuse, and physical restraints. He has also edited a book on legal and regulatory aspects of nursing homes.