Skin Failure at WoundCon 2020

I am thrilled to be presenting on SKIN FAILURE at WoundCon, the first of its kind ONLINE Virtual Wound Care Conference and Expo. Brought to you by the publishers of WoundSource®,  this full-day virtual conference will include a series of CME/CE sessions focused on skills to improve clinical competency in managing acute and chronic wounds across the health care continuum. My session is entitled SKIN FAILURE: The Case for a Unified Classification System. My presentation will accomplish the following objectives: Review the concept of skin failure in its historical context Review factors in today’s health care system that compel us to adopt the concept of skin failure Review how terminal ulcer terminology and unavoidable pressure injuries fit into this concept Suggest a path for the future Distinguished co-speakers include Mary Brennan, Karen Lou Kennedy-Evans, and Diane Krasner.  I owe a big THANK YOU to WoundSource® for inviting me to present on this important topic! Over 2000 attendees are already signed up.  Join me online April 2nd between 9AM-7PM for over 30 speakers and 12+ Sessions offering free CME/CEUs. Attend live or jump in when you can and watch on-demand replays all day. Learn more and register here: www.woundcon.com. * * * * * * * * * * * * * * Related posts: Terminal Ulcer Terminology Reconsidered Is the Pressure Injury Staging System Obsolete? Pressure Injuries and the Human Warranty Determining the Avoidability of Pressure ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsores decubiti decubitus ulcer end-of-life care geriatrics Improving Medical Care Jeff Levine MD Jeffrey M Levine MD pressure ulcers wo Source Type: blogs

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Pressure injuries (PrI), formerly known as pressure ulcers, decubitus ulcers, or bed sores, are one of the oldest documented medical problems. In the nineteenth century, Jean-Martin Charcot, a prominent French physician, described PrI and referred to them as “decubitus ominosus,” recognizing the presence of a PrI as an ominous finding. Despite major advances in prevention and treatment, PrI remain a major source of human suffering, particularly in the critical care environment.
Source: Critical Care Nursing Clinics of North America - Category: Nursing Authors: Tags: Preface Source Type: research
A variety of skin lesions have been described with Coronavirus infection, also called COVID-19 or SARS-CoV-2, and this post explores whether there is a link between COVID and wounds. Understanding of this disease is still in the early stages, and it is unclear whether these skin lesions are the result of comorbidities or coinfection with other agents, or whether COVID-19 is actually responsible. A search of the world literature reveals the following skin issues with COVID: Acral erythema (redness and swelling of the hands and feet) with vesicles and pustules.  This is similar to chilblains – a condition associa...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores coronavirus COVID COVID-19 decubiti decubitus ulcer end-of-life care eschar geriatrics gerontology Improving Medical Source Type: blogs
Shortly after the end of WWII, a British medical officer inspecting a military hospital in Germany observed a treatment for pressure injuries developed by Nazi doctors.  The officer’s name was Captain James Fulton Neil and his case report was published in the British Medical Journal along with a photograph of the unfortunate patient reproduced above.  The treatment employed suspension by wires drilled into pelvic bones, and I discovered Captain Neil’s article while researching the history of wound care. This post is a summary of my paper recently published in Advances in Skin &Wound Care that desc...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer Jeff Levine MD Jeffrey M Levine MD medical history pressure sore pressure sores pressure ulcer pressure ulcers Source Type: blogs
CONCLUSIONS: Despite the addition of five trials, the results of this update are consistent with our earlier review, with the evidence judged to be of low or very low certainty. There remains a lack of robust evaluations of repositioning frequency and positioning for PI prevention and uncertainty about their effectiveness. Since all comparisons were underpowered, there is a high level of uncertainty in the evidence base. Given the limited data from economic evaluations, it remains unclear whether repositioning every three hours using the 30° tilt versus "usual care" (90° tilt) or repositioning 3-to-4-hour...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Bed sores, pressure sores, or pressure ulcers are all words used to describe a condition that people often think of as a small problem for a caregiver to handle if they think of it at all. However, this condition is anything but small. Complications from pressure sores can cause death. The Candid Caregiver asked Sharon Roth Maguire, M.S., R.N., a board-certified gerontological nurse practitioner, and the chief clinical quality officer at BrightStarCare, to help us understand more about this potentially serious condition. Roth Maguire has an extensive healthcare background including more than 35 years of experience working ...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Bed sores, pressure sores, or pressure ulcers are all words used to describe a condition that people often think of as a small problem for a caregiver to handle if they think of it at all. However, this condition is anything but small. Complications from pressure sores can cause death. The Candid Caregiver asked Sharon Roth Maguire, M.S., R.N., a board-certified gerontological nurse practitioner, and the chief clinical quality officer at BrightStarCare, to help us understand more about this potentially serious condition. Roth Maguire has an extensive healthcare background including more than 35 years of experience working ...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
I was recently honored to present at the New York Academy of Medicine’s 11th Annual History of Medicine Night, along with five other distinguished lecturers.  My topic was entitled Bed-Sore Treatment by Suspension: A Case Report from WWII. While perusing old journals for historical tidbits on pressure injury treatment I came across the 1946 article in British Medical Journal upon which this presentation was based.  My paper recounts the story of a British physician named Captain James Fulton Neil who endured several bloody battles including Anzio and Normandy to participate in the post-war occupation of Ger...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Medical History Pressure Injuries & Wound Care bedsores decubiti geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD pressure sore pressure sores pressure Source Type: blogs
I recently presented on the topic of skin failure at the National Pressure Injury Advisory Panel (NPIAP) annual meeting in Houston on February 27th and 28th, sharing the podium with Janet Cuddigan PhD, RN, FAAN, President of NPIAP.  The goal of our session was to perform concept analysis to identify attributes, antecedents, and consequences of both pressure injuries and skin failure. Joyce Black PhD, RN, FAAN moderates our panel  with national authorities Karen Lou Kennedy-Evans RN, FNP, Diane Langemo PhD, RN, FAAN,APRN-BC, and Diane Krasner PhD, RN, FAAN, and moderated by Joyce Black PhD, RN, FAAN. Later in the ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer Diane Krasner Diane Langemo end-of-life care Improving Medical Care Jeff Levine MD Jeffrey M Lev Source Type: blogs
Bedsores, pressure sores, or pressure ulcers are all words used to describe a condition that people often think of as a small problem for a caregiver to handle if they think of it at all. However, this condition is anything but small. Complications from pressure sores can cause death. The Candid Caregiver asked Sharon Roth Maguire, M.S., R.N., a board-certified gerontological nurse practitioner, and the chief clinical quality officer at BrightStar Care, to help us understand more about this potentially serious condition. Roth Maguire has an extensive healthcare background including more than 35 years of experience working ...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
CONCLUSIONS: Since educational intervention improved the knowledge and attitude of nurses in preventing pressure ulcers, it is required to conduct appropriate educational interventions to improve their knowledge and attitude. PMID: 32039864 [PubMed - as supplied by publisher]
Source: International Journal of Risk and Safety in Medicine - Category: Drugs & Pharmacology Tags: Int J Risk Saf Med Source Type: research
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