Long-Term Care

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

New Government Report on Dying in America has Implications for Wound Care

A recently released report on Dying in America has important implications for the standard of care for persons with chronic wounds who are approaching life’s end. It was published by the prestigious Institute of Medicine and written by a panel of recognized experts on the topic

  10.11.2014

Webinar on Wound Care for Medical Directors in LTC

Later this month I will be giving a free webinar sponsored by McKnights Long-Term Care News & Assisted Living entitled Wound Care: What the Medical Director Needs to Know. This Webinar will be part of McKnights 8th Online Expo, that will feature other webinar topics including MDS

  10.03.2014

Research Links Nursing Home Staffing to Death from Viral Gastroenteritis

Low staffing levels in nursing homes have long been linked to adverse outcomes such as pressure ulcers, urinary tract infections (UTIs), weight loss, dehydration, and deterioration in ADL’s, but new research published in the latest issue of the Journal of the American Medical Association links mortality

  11.11.2012

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

  25.11.2010

Downloadable Resources for MDS 3.0 Section M: Skin Conditions

I received so many inquiries about resources for skin assessment in the nursing home that I devoted this blog post to providing links and downloads useful to wound care clinicians.  Below you can access PDFs which contain important information related to skin, pressure ulcer, and wound assessment that will be helpful to nurses, doctors,

  13.09.2010

Teaching America How to Assess Wounds

Last week I presented at the Center for Medicare and Medicaid Service’s (CMS) Train-the-Trainer program in Las Vegas for the introduction of Minimum Data Set (MDS) 3.0 which will go into effect October 1, 2010.  This assessment tool will impact 17,000 nursing homes and 1.6 million people who reside

  16.08.2010

Long-Term Care Update: Resident Assessment Radically Changes with MDS 3.0

Hear ye!  Hear Ye!  RAPs are out!  CATs and CAAs are in! I chuckle as I write this blog post knowing that few of my regular readers will understand, and have probably clicked off by now.  But the few of you who remain know how important this

  3.08.2010

Update on Blister Pressure Ulcer Staging from CMS for MDS 3.0 Section M: Skin Conditions

Another guest blog post by Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN Good news! Since the educational training programs held last March and April, CMS has reconsidered its original guidance regarding how to code blister pressure ulcers on the revised Minimum Data Set (MDS)

  22.07.2010

Elizabeth Ayello PhD, RN Blogs on MDS 3.0 sDTI Coding

Another guest post by Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN. I was pleased with the response to my first guest post on Dr. Levine’s healthcare blog.  One question in particular regarding suspected deep tissue injury (sDTI), written by Laura DiGiulio CWOCN, particularly deserves

  30.06.2010

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.