Skin Failure, Unavoidable Pressure Injuries, and Terminal Ulceration at NPIAP
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 - March 1, 2020 Category: Geriatrics Authors: Jeffrey Levine 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

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 ca...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - February 25, 2020 Category: Geriatrics Authors: Jeffrey Levine 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

New Review on Aging Skin, with Considerations for Clinicians
This article is filled with practical information for the wound care practitioner, but does include some basic information including anatomy of aging skin and current theories of aging. When writing this review I searched around for a good schematic diagram that demonstrated aging skin but had a hard time finding one.  So I got out my art supplies and did my own diagram based upon available information on anatomy and physiology of aging.  Here it is below. This review also presents the latest information on skin failure and how the concept of SCALE, or Skin Changes at Life’s End, intersects with current un...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 5, 2020 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Publications aging skin bedsores changes with age decubiti decubitus ulcer geriatrics gerontology histology of aging skin Jeff Levine MD Source Type: blogs

Pressure Injuries Expanded by CMS as Indicators of Hospital Harm
CMS has implemented a new quality measure for hospitals that expands the array of pressure injuries considered as adversely impacting quality care.  The new measure, developed in a program to provide electronic clinical quality measures (eCQMs), widens the scope of pressure injury stages that directly infer quality deficit.  The new measure however, bears no consideration for unavoidability of some pressure injuries even when recommended clinical practice guidelines for prevention have been followed.  According to CMS, the benefit of eCQMs is to assess the outcomes of treatment, reduce the burden of manual a...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 28, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Risk Management bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality hospital quality Improving Medical Care Jeff Levine MD J Source Type: blogs

Terminal Ulcer Terminology Reconsidered
My new article in Wound Management & Prevention is a critical re-examination of terminal ulcer terminology.  In it I make the case for recognizing terminal ulcers as part of the spectrum of skin failure (and not necessarily heralding death) and used only in situations where patients are recognized as actively dying.  The article presents several reasons why terminal ulcer terminology should be used only in limited fashion.  These include the conflation of diagnosis and prognosis which are separate concepts, inaccuracy of prediction of death, advances in healthcare technology, variation in end-of-life tra...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 3, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Publications Risk Management bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality Jeff Levine MD Jeffrey M Lev Source Type: blogs

Geriatric Medicine Recertification Completed
I am happy to announce that I passed the test.  I am referring to the geriatrics examination given by the American Board of Internal Medicine (ABIM).  This means that I am recertified as a Board Certified Specialist in Geriatric Medicine. Recertification is required every 10 years, and this was the third time I succeeded.  You would think it gets easier each time, but the opposite is true.  New drugs, new side effects, new theories of aging, and new statistics had me studying two hours each morning for a good five weeks prior to the exam.  The test itself was a full day, with subject matter that co...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 5, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Art & Medicine Featured Medical Articles Geriatric Medicine Long-Term Care geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Source Type: blogs

Art, Dementia, and Elder Abuse: The Sad Story of Peter Max
Back in high school I was a big fan of Peter Max.   His work was everywhere – on the cover of Life Magazine, on album covers for The Beatles, and on psychedelic day-glow posters at the head shop on Journal Square in Jersey City, the town where I grew up.  I remember staring at his freaky top-hatted flying people surrounded by balloon-like stars and planets rendered in bright primary colors.  It was therefore with sadness that I read in the New York Times the unfortunate post-script of Mr. Max’s career as a cultural icon.  Now 81 years old with probable dementia, he’s had his name ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 3, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Art & Medicine Featured Medical Articles art and medicine elder abuse elder exploitation end-of-life care financial abuse geriatrics gerontology Improving Medical Care Jeff Levine MD Source Type: blogs

Wound Care Research at the American Geriatrics Society Annual Meeting
I just returned from the American Geriatrics Society Annual Meeting in Portland, Oregon, where parts of my wound care research were presented as a poster. My co-author was geriatrician-in-training Dr. Rikitha Menezes, who participated in data collection. Rikitha came from Canada to New York City for a year of fellowship at the Department of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai where I hold an appointment as Associate Clinical Professor. The third collaborating author was Dr. Santhini Namagiri, an attending physician at the New Jewish Home in Manhattan who holds an appointme...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 9, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Source Type: blogs

Wound Care Boot Camp at the AMDA/PALTC Annual Meeting
Many times I’ve been asked to provide a lecture on wound care with an allotted time of 45 minutes to one hour.  The reality is that wound care is so complex that one hour will provide only a superficial overview which may not serve many front-line clinicians.  This year I had the opportunity to organize a half-day program at the Annual Meeting of AMDA/PALTC in Atlanta, recruiting some of the best wound educators in the country.  The title of our program was Wound Care Boot Camp: The Basics and Beyond. The transformation of the nursing home into a post-acute environment has increased acuity levels, caus...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - March 10, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pocket Guide to Pressure Ulcers Pressure Injuries & Wound Care bedsores decubiti decubitus ulcer geriatrics Improving Medical Care Jeffrey M Levine MD Nursing Homes pressu Source Type: blogs

Is the Pressure Injury Staging System Obsolete?
When I began researching my article in the March 2019 issue of Advances in Skin and Wound Care entitled Historical Perspective on Pressure Injury Classification: The Legacy of J. Darrel Shea, I did not intend to critique the staging system. I simply wanted insight into the thinking of Dr.Shea when he wrote his landmark article in the 1970’s.  Readers familiar with the staging literature know that Shea’s article is routinely cited as the source upon which the current system is based.  But as I read Shea’s article, I realized that the original intention of his staging system was a guide to treatme...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - February 5, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Geriatric Medicine Medical History Pressure Injuries & Wound Care j darrel shea npuap pressure injury staging pressure sore pressure sores pressure ulcer staging pressure ulcer staging system shea staging sy Source Type: blogs

Cigarette Packaging in Italy
On a recent trip to Italy I was amazed when I saw these pictures on packs of cigarettes. If this isn’t enough to scare a smoker away from these nicotine delivery devices, I don’t know what will.  For the benefit of my readers I am reproducing what I think is the best of them on my blog.  I made a point to go into a tobacco store and photograph as many as I could.  They reminded me of the bubble gum trading cards from the 1960’s that featured Wacky Packages which were not much different from these.  The ads said, “Swap ‘em, trade ‘em, collect ’em!” New s...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - February 3, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Travel cigarettes; cigarette smoking; public health; lung cancer; cardiovascular disease; heart disease emphysema gory pictures; italy lung disease Source Type: blogs

Cigarette Packaging in Italy
On a recent trip to Italy I was amazed when I saw these pictures on packs of cigarettes. If this isn’t enough to scare a smoker away from these nicotine delivery devices, I don’t know what will.  For the benefit of my readers I am reproducing what I think is the best of them on my blog.  I made a point to go into a tobacco store and photograph as many as I could.  They reminded me of the bubble gum trading cards from the 1960’s that featured Wacky Packages which were not much different from these.  The ads said, “Swap ‘em, trade ‘em, collect ’em!” New s...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - February 3, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Travel cigarettes; cigarette smoking; public health; lung cancer; cardiovascular disease; heart disease emphysema gory pictures; italy lung disease Source Type: blogs

Serge Voronoff and the History of Wound Care at the New York Academy of Medicine
Join me at the New York Academy of Medicine for the Tenth Annual History of Medicine and Public Health Night on Wednesday evening, January 30th, when I present my paper entitled Organotherapy, Gilded Manhattan, and Wound Healing Research in the Early 20th Century. This presentation will explore the unrecognized and forgotten contribution of Serge Voronoff (1866-1951) to wound healing research – a story that evolves against the backdrop of medical science and mansions of early 20th Century Manhattan.  Seeing the suffering of injured soldiers during World War 1, Voronoff realized the importance of hasten...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 10, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Medical History Pressure Injuries & Wound Care Publications pressure ulcers Source Type: blogs

Serge Voronoff and the History of Wound Care at the New York Academy of Medicine
Join me at the New York Academy of Medicine for the Tenth Annual History of Medicine and Public Health Night on Wednesday, January 30th, when I present my paper entitled Organotherapy, Gilded Manhattan, and Wound Healing Research in the Early 20th Century. This presentation will explore the unrecognized and forgotten contribution of Serge Voronoff (1866-1951) to wound healing research – a story that evolves against the backdrop of medical science and mansions of early 20th Century Manhattan.  Seeing the suffering of injured soldiers during World War 1, Voronoff realized the importance of hastening woun...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 10, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Medical History Pressure Injuries & Wound Care Publications pressure ulcers Source Type: blogs

Serge Voronoff and the History of Wound Care at the New York Academy of Medicine
Join me at the New York Academy of Medicine for the Tenth Annual History of Medicine and Public Health Night on Wednesday, January 30th, when I present my paper entitled Organotherapy, Gilded Manhattan, and Wound Healing Research in the Early 20th Century. This presentation will explore the unrecognized and forgotten contribution of Serge Voronoff (1866-1951) to wound healing research – a story that evolves against the backdrop of medical science and mansions of early 20th Century Manhattan.  Serge Voronoff attained notoriety for his theories of human rejuvenation, accomplished through transplantation ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 10, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Medical History Pressure Injuries & Wound Care Publications pressure ulcers Source Type: blogs

Wound Care Webinar Sponsored by The Society for Post-Acute and Long-Term Care Medicine
On Wednesday, October 24th I had the honor of delivering a webinar entitled Wound Care: Maximizing Quality While Controlling Costs, sponsored by The Society for Post-Acute and Long-Term Care Medicine.  The webinar will begin at 7:00 EST and last 1.5 hours.  I will be giving Part 1 which will include the following didactic material: •  Importance of wound care in PA/LTC •  What’s new in the wound world?•  Regulatory update •  Types of wounds in PA/LTC •  Principles of wound management •  System considerations •  Risk Management considerati...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 29, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: Geriatric Medicine Long-Term Care Pocket Guide to Pressure Ulcers Pressure Injuries & Wound Care Risk Management federal regulations geriatrics gerontology Nursing Homes Source Type: blogs

Wound Care in the Geriatrics Review Syllabus
The 10th Edition of the Geriatrics Review Syllabus is soon going to press, and I am pleased to announce that I authored the revised Pressure Injury and Wound Care chapter.  This chapter covers much of the material I wrote in the 9th Edition, but has critical updates including greater emphasis on palliative care for wounds and changes in nomenclature recommended by the National Pressure Ulcer Advisory Panel (NPUAP), where I recently completed a three year term as a board member.  The full title of the publication is Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine, 10th Edition (GRS10).  It...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 24, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: Geriatric Medicine Pressure Injuries & Wound Care bedsores decubiti decubitus ulcer Improving Medical Care pressure sores pressure ulcers Source Type: blogs

Pressure Injuries and the Human Warranty
In this post I will discuss two recent articles that together make the case that pressure injuries might be a manifestation of a human biological warranty. The first is Unavoidable Pressure Injury: State of the Science and Consensus Outcomes, published in the Journal of Wound Ostomy Continence Nursing (JWOCN), and the second is How Long Must Humans Live? from the Journals of Gerontology: Biological Sciences. These articles come from widely divergent sources but when placed side by side there are insights about pressure injuries and the burning question of avoidability.   The JWOCN article is a lite...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 16, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care geriatrics gerontology human mortality long life longevity pressure sores pressure ulcers wound healing Source Type: blogs

Prime Time Television, Disease, and Death
I recently experienced the phenomenon of cognitive dissonance during a commercial on the evening world news.  It was an advertisement promoting a diabetes medicine that showed people with diabetes at a barbecue, cooking and dancing.  How different this was from my day in the wound clinic where I saw patient after patient with obesity and diabetes suffering from nonhealing wounds and other complications. So I tucked this into the back of my mind until another commercial caught my attention.  As a litany of awful side effects was delivered by an offscreen announcer, the scene on TV lingered over a young couple...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 24, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Geriatric Medicine Long-Term Care advertising death end-of-life care Healthcare Quality hospice illness Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure sores pressure ulcers ter Source Type: blogs

Prime Time Television, Disease, and Death
I recently experienced the phenomenon of cognitive dissonance during a commercial on the evening world news.  It was an advertisement promoting a diabetes medicine that showed overweight people at a barbecue, cooking and dancing.  How different this was from my day in the wound clinic where I saw patient after patient with obesity and diabetes suffering from nonhealing wounds and other complications. So I tucked this into the back of my mind until another commercial caught my attention.  As a litany of awful side effects was delivered by an offscreen announcer, the scene on TV lingered over a young couple en...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 24, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Geriatric Medicine Long-Term Care advertising death end-of-life care Healthcare Quality hospice illness Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure sores pressure ulcers ter Source Type: blogs

Upcoming Talks at SAWC
I am thrilled to announce that I will be presenting in two sessions at the upcoming Symposium on Advanced Wound Care (SAWC) which is going on from April 25 to 29, 2018 in Charlotte, North Carolina.  SAWC is a leading educational forum for interdisciplinary wound care with an extremely diverse panel of speakers, and it (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 25, 2018 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pocket Guide to Pressure Ulcers Pressure Ulcers & Wound Care bedsores decubiti decubitus ulcer Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Source Type: blogs

Upcoming Talks at SAWC
I am thrilled to announce that I will be presenting in two sessions at the upcoming Symposium on Advanced Wound Care (SAWC) which is going on from April 25 to 29, 2018 in Charlotte, North Carolina.  SAWC is a leading educational forum for interdisciplinary wound care with an extremely diverse panel of speakers, and it is an honor to speak for this group. For the session on Thursday, April 26th at 10:45 AM I have the pleasure of sharing the podium with Karen Lou Kennedy-Evans who is the principal speaker.  Karen is a Family Nurse Practitioner who has decades of experience in the nursing home environment. Our topic...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 25, 2018 Category: Geriatrics Authors: Jeffrey Levine Tags: Geriatric Medicine Long-Term Care Pocket Guide to Pressure Ulcers Pressure Injuries & Wound Care bedsores decubiti decubitus ulcer Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD pressure sores wound he Source Type: blogs

Belated Victory for Artists at 5Pointz
Three years ago I biked across the Queensboro Bridge to admire and photograph the spraypainted graffiti murals at the fabled location in Long Island City known as 5Pointz.  Painted on the walls of a 200,000 square foot factory building, 5Pointz had a reputation as the epicenter of the graffiti scene, and featured works by artist (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - December 1, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography 5pointz art and medicine gentrification graffitti grafitti Jeff Levine MD Jeffrey M Levine MD streetart Source Type: blogs

A Sketch of My Nobel Prize Winning Professor
As an undergraduate ‘pre-med’ student at Brandeis University, my major was molecular biology.  I completed my senior thesis with a brilliant professor named Mike Rosbash who taught my genetics class.  After graduation, I stayed in his lab, taking a year off doing experiments while applying to medical school.  The work wasn’t glamorous – aside from (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 11, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography art and medicine Jeff Levine MD Jeffrey M Levine MD medicine and art sketchbook Source Type: blogs

Talking About My Art Teachers
  In recent years I’ve devoted considerable time to developing my artistic skills.  To do this I’ve sought out teachers who inspire and help hone my ability to convey line, form, and emotion with pen, ink, and paint.  This post will present a few of those teachers who left a deep impression on me and (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 4, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine City Diary Featured Art & Photography Source Type: blogs

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 the initial announcement, all 1000 lines filled up!  So (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 3, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Risk Management bedsores decubiti decubitus ulcer Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure sores pressure ulce Source Type: blogs

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 the initial announcement, all 1000 lines filled up!  So due to popular demand the NPUAP added this second live presentation.  1 hour of multidisciplinary Continuing Education credit is available! This webinar will review the evolution of concepts regarding unavoidable PI, terminal ulcer...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 3, 2017 Category: Geriatrics Authors: Jeffrey Levine Tags: Geriatric Medicine Long-Term Care Risk Management bedsores decubiti decubitus ulcer Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure sores pressure ulcer wound care wound heali Source Type: blogs

Subway Sketch!
I’ve gotten into the habit of carrying my sketch tools in the NYC Subway, where there is no more interesting place to see the ebb and flow of humanity.  You need to sketch quick as people are constantly moving around and blocking your view.  Join me as I do a sketch in the Subway using (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - October 22, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine City Diary Featured Art & Photography art and medicine Jeff Levine MD Jeffrey M Levine MD manhattan medicine and art new york city subway urbansketchers watercolor Source Type: blogs

Rediscovering my Art Supplies in the Arizona Desert
In 2013 I rediscovered my art supplies that were in storage for years, and decided to get reacquainted. So I threw sketchbooks, pens, and paints into a backpack and flew to Phoenix, rented a car, and drove out to the desert to commune with the warm sun, cactuses, and blazing sunsets. My plan was to find (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - October 6, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography Travel Source Type: blogs

Poetry in the Subway
The New York City subway is not the place you’d expect poety, but I try to capture it in my art.  I carry my sketchbooks every day down under the streets as I commute back and forth to work.  My on-the-spot sketches are done in pencil, fountainpen, ink markers, and occasionally watercolor. Sometimes I just (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 30, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine City Diary Featured Art & Photography Source Type: blogs

A Geriatrician Reviews Cicero ’s “On Old Age”
As a geriatrician entering the twilight of my career, I look to the philosophers of my field for guidance on how to navigate my own later years. In addition to contemporary texts and journals I turned toward the ancients and discovered a gem in the writings of Cicero, one of the greatest philosophers of the (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 25, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: An Aging World Art & Medicine Featured Medical Articles art and aging art and medicine history medical history medicine and art Source Type: blogs

A Geriatrician Reviews Cicero ’s “On Old Age”
As a geriatrician entering the twilight of my career, I look to the philosophers of my field for guidance on how to navigate my own later years. In addition to contemporary texts and journals I turned toward the ancients and discovered a gem in the writings of Cicero, one of the greatest philosophers of the Roman Empire. The work is entitled De Senectute – Latin for “On Old Age.” Cicero wrote this in 44 BC, the year before he was executed at age 63 by Marc Antony’s henchmen for his alliance with Julius Caesar’s assassins and political opposition to the rulers of Rome. On Old Age is a...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 25, 2017 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Art & Medicine Featured Medical Articles art and aging art and medicine history medical history medicine and art Source Type: blogs

Watercolor and Urban Sketching in Italy
Last May I spent time in Rome and Tuscany, eating wonderful food, drinking wine, and sketching the city and countryside where opportunities to make and view art abound.  These are my choices of the best images from my trip. Take the stairs down to the banks of the Tiber River and you will find it (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 16, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography Travel art and medicine italu\y Jeff Levine MD Jeffrey M Levine MD medicine and art tuscany volterra watercolor wound care Source Type: blogs

Combining Art and Medicine
I love the look and feel of old medical textbooks.  Their authorative aura was often enhanced by leather binding. They harken back to a time before the internet, when medical knowledge was priveliged information available to only a few. When I transformed this old medical textbook into a sketchbook I created a bridge between art (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - July 16, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine City Diary Featured Art & Photography art and medicine gouache Jeff Levine MD Jeffrey M Levine MD painting watercolor wound care Source Type: blogs

Views of a Lost Manhattan Landmark
I was saddened by the blaze that destroyed Beth Medrash Hagadol, the 167 year old landmarked synagogue on the Lower East Side.  The building was not in use since 2007, and I photographed this structure when it had an active congregation in 1987.  When I heard about the blaze I went down to pay my (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - July 5, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine City Diary Featured Art & Photography art and medicine history judaism manhattan new york city photographs Source Type: blogs

An Abandoned Psychiatric Hospital in Tuscany
Tuscany is an enchanting place filled with scenic beauty, but beneath the surface there is dark history. On a recent painting trip to Italy I had the opportunity to tour an abandoned psychiatric hospital in the town of Volterra. In the late 19th Century when it was opened, it was a state-of-the-art asylum that promoted (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 19, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography Medical History Travel art and medicine Jeff Levine MD Jeffrey M Levine MD medicine and art photographs Source Type: blogs

Jean Martin Charcot: Urban Sketcher
I have always been impressed with physicians who incorporated art into their life and practice, and one of them was Jean Martin Charcot.   A towering figure in the medical world of the 19th Century, he was born in 1825 he finished medical school at age 23.  He became director of the Saltpêtrière in Paris, an (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 9, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Featured Art & Photography history Jeff Levine MD Jeffrey M Levine MD medical history medicine and art sketchbook Source Type: blogs

Jean Martin Charcot: Urban Sketcher
I have always been interested in physicians who incorporated art into their life and practice, and one of them was Jean Martin Charcot.   A towering figure in the medical world of the 19th Century, Charcot was born in 1825 and finished medical school at age 23.  He became director of the Saltpêtrière in Paris, an asylum for beggars, prostitutes and the insane, where he carried the title of Professor of Pathological Anatomy and developed this former gun factory into a center for neurology and neurophysiology.  His clinic attracted students from all over Europe, and he is remembered today for...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 9, 2017 Category: Geriatrics Authors: Jeffrey Levine Tags: Art & Medicine history Jeff Levine MD Jeffrey M Levine MD medical history medicine and art sketchbook Source Type: blogs

Wound Care: What the Medical Director Needs to Know
This article was published in Caring For the Ages, a journal sponsored by the American Medical Directors Association (AMDA) – the Society for Post-Acute and Long-Term Care Medicine.  The article covers everything the medical director needs to know about wound care topics such as outsourced services, products, and regulatory aspects.   Read the article here. (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 8, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Publications bedsores decubiti decubitus ulcer F-Tag 501 Improving Medical Care Long-Term Care medical direction Nursing Homes pressure sores pressure ulcers wound care wound healing Source Type: blogs

Wound Care: What the Medical Director Needs to Know
This article was published in Caring For the Ages, a journal sponsored by the American Medical Directors Association (AMDA) – the Society for Post-Acute and Long-Term Care Medicine.  The article covers everything the medical director needs to know about wound care topics such as outsourced services, products, and regulatory aspects.   Read the article here.   Download the PDF here.   Complete reference for this article is:  Jeffrey M Levine, Caring for the Ages, December 2016; V 17, Issue 12, PP 1-6.   The post Wound Care: What the Medical Director Needs to Know appeared first on Jeffrey...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 7, 2017 Category: Geriatrics Authors: Jeffrey Levine Tags: Publications bedsores decubiti decubitus ulcer F-Tag 501 Improving Medical Care Long-Term Care medical direction Nursing Homes pressure sores pressure ulcers wound care wound healing Source Type: blogs

The Effect of Oral Medication on Wound Healing
This article describes oral pharmacologic agents intended to build new tissue and aid in (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 4, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Publications bedsores decubiti decubitus ulcer medications pharmacology pressure sores pressure ulcers wound care wound healing Source Type: blogs

Skin Failure: An Emerging Concept
This article was recently published in the Journal of the American Medical Directors Association and is available for immediate download through Open Access. Skin failure is an emerging concept that ties together and clarifies current trends in clinical practice. Many studies have associated acute and chronic skin ulceration with mortality, yet the term skin failure (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - June 4, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Publications decubiti decubitus ulcer Improving Medical Care Jeff Levine MD Jeffrey M Levine MD kennedy terminal ulcer pressure sores skin failure wound care Source Type: blogs

AGS Urges Senate to Reject Amended American Health Care Act
The American Geriatrics Society (AGS) released a new statement against the new Republican sponsored healthcare legislation.  Part of the statement is reproduced here: The American Geriatrics Society (AGS) remains opposed to the amended American Health Care Act (AHCA) that today passed the U.S. House of Representatives despite serious concerns from geriatrics experts and a host (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 5, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: An Aging World Featured Geriatric Medicine geriatrics Healthcare Quality Improving Medical Care insurance Source Type: blogs

Pressure Ulcers In The Long-Term Care Setting: Clinical Practice Guideline Published By AMDA
Dr. Levine was on the advisory panel for revision of this guideline.This updated guideline is evidence based and incorporates the revised federal guidance to surveyors on pressure ulcers (Tag F314) including risk factors, infection, pain management, treatments based on the wound characteristics, and the resident’s rights to refuse one or more aspects of pressure ulcer (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - April 4, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Publications amda decubiti decubitus ulcer Jeff Levine MD Jeffrey M Levine MD Long-Term Care medical director pressure sores pressure ulcers wound care wound healing Source Type: blogs

NPUAP Biennial to Host Panel on End-of-Life Ulcers & Skin Failure
I am pleased to announce that the 2017 National Pressure Ulcer Advisory Panel (NPUAP) Biennial Conference entitled Pressure Injury: Advancing the Vision is hosting a panel of experts to discuss the terminology and evidence related to the important issue of end-of-life wounds and skin failure.  This panel is only one of the educational components of the Biennial Conference which will take place in New Orleans on ...Read More (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - February 3, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Featured Geriatric Medicine Pressure Ulcers & Wound Care bedsores decubiti decubitus ulcer eschar Improving Medical Care Jeff Levine MD Jeffrey M Levine MD pressure sores wound healing Source Type: blogs

New Year ’ s Day Sketching the Q Train Inaugural Ride
I’ve lived in the City now for three decades and New Year’s Day was a rare opportunity to participate in the opening of a new subway station.  The Q line now starts at 96th Street and stops at 86th Street and 72nd – all new stations – before heading toward Coney Island.  After years of construction on Second Avenue the street is now clean and ...Read More (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 1, 2017 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine Travel art and medicine fountain pen Jeff Levine MD Jeffrey M Levine MD medicine and art sketchbook Source Type: blogs

Capturing the Bolivian Sunlight in Watercolor
There is nothing like the dazzling sunlight in the Bolivian Highlands.  At 12,000 feet the bustling city of La Paz and the amazing Lake Titicaca have a crisp atmosphere that brightens colors like I’ve never seen.  This post presents a selection of my sketches and watercolors, some done in Bolivia and some completed in my Manhattan studio inspired by my travel experiences. In the bright ...Read More (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - December 10, 2016 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Travel art art and medicine bolivia lake titicaca painting sketchbooks South America watercolor Source Type: blogs