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

Jean Martin Charcot's Lecture on Pressure Ulcers: An Important Historical Document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

Pressure Ulcer Care in Hospitals: What We Can Learn from the Texas Ebola Debacle

A simple lapse in communication in a Texas hospital resulted in a patient with a deadly contagious disease being discharged home. The information regarding the patient’s travel history was recorded into the electronic medical record (EMR) by a nurse but not transmitted to the doctor who made the decision to discharge him. Such an error seems difficult to comprehend, but this type of communication mishap ...Read More

Pressure Ulcer as “Never Event”: Fact or Myth?

The term “never event” is commonly applied to pressure ulcers, giving the impression that they are always associated with medical error. As such, it lends this outcome an emotional charge that can lead to misplaced patient dissatisfaction and unnecessary accusations of wrongdoing or poor quality. Although pressure ulcers are sometimes associated with factors such as inadequate staffing and nutritional care, the preventability of all pressure ...Read More

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 3.0 update, technology in LTC, and survey preparation.  McKnight's Long-Term Care News is a news magazine serving the institutional ...Read More

Webinar on Palliative Care for Chronic Wounds

When healing is not the goal, a palliative care approach can reduce suffering, avert painful procedures, and reduce re-hospitalizations.  I will be giving a live webinar on Thursday, February 13th from 12 to 1 PM on Palliative Care for Chronic Wounds, sponsored by the New York State Department of Health Gold STAMP Program to reduce pressure ulcers. This free program will run for approximately 50 minutes, followed ...Read More

New Research Suggests Hypotension is a Risk Factor for Pressure Ulcers

The industry-wide acceptance of risk assessment scales for pressure ulcers has gotten us accustomed to evaluating risk factors for skin breakdown. The most popular is the Braden Scale which incorporates subscales of sensory perception, moisture, activity, mobility, nutrition, and friction and shear. There are however, other factors which add to pressure ulcer risk which need to be taken into consideration. According to research recently published in the ...Read More

Wound Healing in the Geriatric Patient

I recently served as guest editor of a special issue on aging for Today’s Wound Clinic, a magazine devoted to contemporary approaches to wound clinic management.  This special issue on the geriatric patient was published in November/December 2013, Volume 7, Issue 9. Please take a look at the links below to the articles. The following paragraphs are reprinted from my editorial.  I developed an interest ...Read More