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: Publications

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 take board examinations, and a teaching resource for residents, students, and other trainees.  GRS9 is updated every three years, …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 Healing in the Geriatric Patient

I recently served as invited guest editor of a special issue of Today’s Wound Clinic on the aging wound care patient. My lead article is entitled Wound Healing in the Geriatric Patient. Other aging related topics in this issue include nutrition and wound care, and collaboration between outpatient wound clinics and long-term care settings. Read the online version of this article. Read more on my …Read More

Dakin’s Solution: Past, Present, and Future.

This article on the history of Dakin’s Solution was published in the journal, Advances in Skin & Wound Care.  Dakin’s solution has been used for almost a century for treatment of infected wounds. Developed by a biochemist named Henry Dakin in the early 20th Century, it is a dilute solution of sodium hypochlorite, which is commonly known as household bleach. When properly applied, it can …Read More

Peripheral Arterial Disease: an Often-Overlooked Cause of Poor Wound Healing

This article was published in Today’s Wound Clinic, Volume 7, Issue 5 (June/July) 2013 and is available on-line. It was authored by myself and Michael Cioroiu MD, FACS, CWS, who is co-director of the Center for Advanced Wound Care at Beth Israel Medical Center. Peripheral arterial disease (PAD) of the lower limbs is often neglected when evaluating reasons for poor wound healing, particularly in elderly patients. …Read More

Improving Communication in the Wound Clinic

8 Steps to Developing a Community-Based Wound Care Team: A Practical Guide for Reaching Beyond Wound Center Walls This article was authored by myself and Michael Cioroiu MD, FACS, CWS, who is co-director of the Center for Advanced Wound Care at Beth Israel Medical Center. By nature of their various (and often multiple) comorbidities, wound care patients reside in a spectrum of healthcare settings. Communication …Read More

Pressure Ulcer Knowledge in Medical Residents: An Opportunity for Improvement

This article was published in Advances in Skin & Wound Care: March 2012 – Volume 25 – Issue 3 – p 115–117 My co-authors were:  Elizabeth A. Ayello PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN; Karen Zulkowski,  DNS, RN, CWS; and Joyce Fogel MD, FACP ABSTRACT: With the aging population and increasing complexity of patients with pressure ulcers (also known as pressure sores, decubitus ulcers, or …Read More

Skin: An Essential Organ

Skin: An Essential Organ is Chapter 4 in Wound Care Esentials: Practice Principles, published by Lippincott Williams & Wilkins.  The 3rd Edition of this book was just released in September 2011.  This chapter was co-authored by Dr. Jeffrey M Levine with Sharon Baranoski, MSN, RN, CWCN, Elizabeth A. Ayello PhD, RN, ACNS-BC, and Marjana Tomic-Canic PhD, RN. Wound Care Essentials is a popular textbook for …Read More

Training Video for MDS 3.0 Section M: Skin Condition

In the summer of 2010 I helped the Centers for Medicare and Medicaid Services (CMS) introduce the new MDS section for skin condition.  I gave a two hour talk in Las Vegas which was videotaped and posted on YouTube by CMS.  This video goes over pressure ulcer prevention, coding, wound identification, staging, and treatment.  It also covers coding guidelines for pressure ulcers present on admission.   As …Read More

MDS 3.0 Section M: Skin Conditions: What the Medical Director Needs to Know

This article was published in the Journal of the American Medical Directors Association (JAMDA), volume 12, #3, pages 179-183, March 2011. The Centers for Medicare and Medicaid Services has released the new Resident Assessment Instrument version 3.0, which went into effect October 1, 2010. The intention of the revised Resident Assessment Instrument is to improve health-related quality of life and care planning, and incorporate evolving …Read More