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.

Category: Pressure Ulcers & Wound Care

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

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 device related pressure ulceration.  Plaster-of-paris has been used for centuries to treat fractures by immobilizing bones and allowing undisturbed healing. For injuries to the spinal column it was believed that plaster splints prevented hemorrhage and delayed contractures …Read More

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 volume entitled Lectures on the Diseases of the Central Nervous System by Jean Martin Charcot published in 1877. Among …Read More

Wound Odor: The View from Ancient Greece

This post gives a 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.  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 …Read More

Upcoming Webinar on History of Pressure Ulcers & Wound Care

I am thrilled to announce that registration is now open for my webinar entitled History of Pressure Ulcers and Wound Care: Past, Present and Future, sponsored by the National Pressure Ulcer Advisory Panel (NPUAP). This event takes place on November 19th at 1:00 PM EST, and coincides with World Wide Pressure Ulcer Prevention Day 2015. My discussion covers such topics as wound care in Ancient …Read More

World Wide Pressure Ulcer Prevention Day

This is a press release from NPUAP dated September 18, 2015: Washington, DC – According to the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines; “Pressure Ulcers increase hospital costs significantly. In the US, pressure ulcer care is estimated to approach $11 billion (USD) annually, with a cost of between $500 (USD) and $70,000 (USD) per individual pressure ulcer.”1 The NPUAP defines a pressure …Read More

Government Data Sheds Doubt Upon Pressure Ulcers as a Quality Indicator

Nearly all organizations concerned with healthcare quality have recognized pressure ulcers as a quality indicator. This assumption has impacted reimbursement policy and facility ratings, and resulted a risk-management burden for caregivers across the healthcare continuum. Despite the fact that pressure ulcers can sometimes reflect upon quality of care, it is increasingly recognized that many pressure ulcers are unavoidable. A new analysis of data collected by the Office of …Read More

Jean Martin Charcot’s Lecture on Pressure Ulcers: An Important Historical Document

    Click here for a downloadable PDF of Charcot’s Lecture on Pressure Ulcers.  . Some years back while browsing in an antiquarian book sale I came across a translated collection of lectures by the great 19th century neurophysiologist, Jean Martin Charcot (1825-1893). Inside this book I was surprised to find diagrams of pressure ulcers that looked similar to those found in my own patients. I …Read More

NPUAP Introduces New Clinical Practice Guideline for Pressure Ulcers

We’ve come a long way since the first version of the Clinical Practice Guidelines for Pressure Ulcers was put together by the National Pressure Ulcer Advisory Panel (NPUAP) and released by the Agency for Health Policy and Research (AHCPR) in 1992. This resource became widely known as “The Purple Book” and was the first reliable compendium of pressure ulcer prevention and treatment. The latest edition …Read More

Jeffrey Levine becomes NPUAP Board Member

I am thrilled to announce that I have been elected to the Board of Directors of the National Pressure Ulcer Advisory Panel, also known as NPUAP.  My three year term begins this month.  Joining me as a new Board Member is Sarah Holden-Mount PT, CWS, FACCWS who is Vice President for Business Development at American Medical Technologies. The NPUAP is an independent not-for-profit professional organization …Read More

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 of end-of-life care. The Institute is the health arm of the National Academy of Sciences and acts under a …Read More