Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Wound Care Education for Medical Doctors: Filling the Gap
Whenever I ask a group of doctors, “How many of you have had any training in care and treatment of chronic wounds?” it is the rare person who raises their hand. Despite the urgent need for medical doctors to know how to assess and treat pressure injuries and chronic wounds, there is no formal medical or surgical specialty in wound care. This has resulted in a gap in education, training, and research, with extensive variation in clinical practice. The medical education establishment has simply not caught up to the realities of care for the chronically ill patient. Filling the education gap in wound care is one of my pro...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - March 18, 2024 Category: Geriatrics Authors: Jeffrey M Levine Tags: An Aging World Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Risk Management aging skin bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality Improving Medical Care Jeff Lev Source Type: blogs
Academic Promotion at the Mount Sinai School of Medicine
I am delighted to announce my promotion to Clinical Professor of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai. I am honored and grateful to be part of the Mount Sinai Health System – one of the largest academic medical systems in the New York metro area, with more than eight hospitals and 400 outpatient practices, and a leading school of medicine and graduate education. The Brookdale Department of Geriatrics & Palliative Medicine, which is one of the largest departments of its kind in the country, is ranked No. 1 in US News & World Reports Best Hospitals.
My affiliation wi...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 25, 2024 Category: Geriatrics Authors: Jeffrey M 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
Medicine & Art (Not necessarily in that order)
This video presentation was delivered in March 2023 in the Winter Talk series sponsored by NYC Urban Sketchers, hosted by Mark Leibowitz. Here I discuss how I have integrated medicine with art, and art with medicine, in the course of my career as a medical doctor in Manhattan.
I’ve had many people inspire me in my pursuit of both medicine and art, including Andreas Vesalius, Anton Chekhov, AJ Cronin, and Frank Netter. I would like to quote one of the doctors who inspired me. His name is William Carlos Williams, who was a practicing physician and a giant in the 20th century world of poetry. He wrote his ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 12, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Art & Medicine Geriatric Medicine art and medicine artist Improving Medical Care Jeff Levine MD medical artist medicine and art Source Type: blogs
New Textbook Chapter on Pressure Injuries & Chronic Wounds
I am thrilled that my chapter entitled Pressure Injury and Chronic Wounds was just published in a major new reference work. The textbook is entitled Geriatric Medicine: A Person Centered Evidence Based Approach and is available on Springerlink. My chapter is illustrated by photos taken over years in practice, and illustrations that demonstrate pressure injury staging and aging skin.
This chapter is part of a large multidisciplinary reference work with over 70 peer-reviewed chapters designed to present a comprehensive and state-of-the-art update that incorporates existing literature with clinical experience. Geriatric med...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 5, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Publications aging skin bedsore bedsores decubiti decubitus ulcer elder abuse end-of-life care eschar geriatrics gerontology Healthcar Source Type: blogs
Pressure Relief and Pressure Redistribution: What is the Difference?
Pressure relief and pressure redistribution are important concepts in preventing and managing pressure injuries (also known as bedsores or pressure sores). These terms refer to different strategies and techniques used to alleviate and prevent excessive pressure on a person’s skin and underlying tissues, which can lead to tissue damage and the alterations in skin integrity. Here’s an explanation of each concept:
Pressure Relief: Pressure relief involves actively relieving or reducing the pressure on specific areas of the body that are at risk of developing pressure ulcers. This is typically achieved by changing ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - October 7, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: 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 Jeffrey M Levine MD ken Source Type: blogs
Malnutrition Can Impact Wound Healing
Malnutrition can have a significant impact on wound healing. Proper wound healing is a complex process that involves various cellular and biochemical reactions. When the body is malnourished, it lacks the essential nutrients necessary for these processes, which can lead to delayed or impaired wound healing. Here are some key relationships between malnutrition and wound healing:
1. Protein Deficiency: Protein is crucial for tissue repair and the production of collagen, which is essential for wound healing. Malnourishment, especially a lack of adequate protein intake, can lead to a delay in wound closure and reduced tensile ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - October 2, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics gerontology Improving Medical Care Jeff Levine MD J Source Type: blogs
Wound Bed Preparation is a Crucial Strategy to Heal Chronic Wounds
There are dozens of wound care products available, and the practitioner is often overwhelmed and confused by the variety of choices. The best way to choose the correct product is understanding the concept of wound bed preparation – a crucial aspect of wound care that creates a systematic approach to an optimal strategy for wound healing. It encompasses various actions to facilitate the healing process by addressing the condition of the wound bed. Wound bed preparation helps reduce the risk of infection, promotes tissue regeneration, and accelerates the healing process. The following 9 steps are key considerations i...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 24, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Risk Management aging skin bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics gerontology Healthcare Quality Improvin Source Type: blogs
Vitamins and Wound Healing
Wound healing is a complex biological process that involves inflammation, tissue formation, and tissue remodeling. Vitamin supplements can play a role in wound healing by supporting various aspects of the body’s natural healing processes. Here are some key vitamins and minerals that are important for wound healing:
Vitamin C: Vitamin C, also known as ascorbic acid, is essential for collagen synthesis, a protein that helps in the formation of skin, blood vessels, and connective tissue. Collagen is a crucial component of wound healing. Adequate vitamin C intake can promote tissue repair and reduce the risk of infectio...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 9, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Geriatric Medicine Pressure Injuries & Wound Care aging skin bedsore bedsores decubiti decubitus ulcer geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure s Source Type: blogs
The Myth of Stage 1 Pressure Injuries
The current body of knowledge surrounding pressure injuries is replete with myths that have been accepted as fact. A myth is defined as a popular belief, sometimes imaginary, that has no basis in reality but serves to perpetuate an opinion or world view. Stage 1 pressure injuries are one of the common myths ingrained into our wound care lexicon. According to NPIAP criteria, Stage 1 manifests no impairment of skin integrity, with vague and nonspecific criteria that renders its inclusion in the staging system unwarranted and misleading.
The designation of “Stage 1 Pressure Injury” should be eliminated from the st...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 28, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer Healthcare Quality Jeff Levine MD Jeffrey M Levine MD pressure sore pressure sores pressure ulce Source Type: blogs
Teaching Wound Care at the American College of Physicians Annual Meeting
I recently had the honor of teaching a section entitled “Wound Care for the Internist.” at the annual meeting of the American College of Physicians (ACP) in San Diego. ACP is the largest medical specialty organization in the United States with members that include internal medicine physicians, subspecialists, and medical students. My session was well attended by caregivers from across the healthcare continuum including hospitalists, doctors in outpatient practices, and long-term care providers.
In my introductory remarks I asked the question, “How many of you have had a lecture on wound care in medical school....
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - April 29, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care arterial ulcer bedsores burns chronic wounds decubitus ulcer end-of-life care Jeff Levine MD medical education pressure sores pressure ulcers venous ulce Source Type: blogs
Elder Abuse on Film: A Geriatrician ’s Viewpoint.
This past Halloween weekend I stayed home with my wife and binge watched old horror films that included the suspense thriller, What Ever Happened to Baby Jane, released in 1962. This film follows the twisted relationship of two aging sisters. Blanche, played by Joan Crawford, is paraplegic and wheelchair-confined, and Jane is a disgruntled and jealous former child star with a drinking problem, played by Bette Davis. Both actresses give stunning performances in the twilight of their careers.
The film starkly depicts Jane’s horrific abuse of Blanche. As I watched the story unfold, I realized that it presents a portraya...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - October 30, 2022 Category: Geriatrics Authors: Jeffrey M Levine Tags: Art & Medicine Featured Medical Articles Geriatric Medicine elder abuse elder neglect geriatrics gerontology Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure injuries pressure sore pressure sores Source Type: blogs
Presenting Wound Care Research at the American Geriatrics Society Annual Meeting
Emily Samuels MD, Stephanie Le MD, and Jeffrey M. Levine MD presenting at the AGS Annual Meeting in Orlando, FL
It was my great pleasure to present wound care research at the annual meeting of the American Geriatrics Society (AGS) that took place in Orlando, Florida. Our research was entitled Pressure Injuries and Wound Care: A Lost Geriatric Syndrome. First author was Emily Samuels MD, a geriatrician-in-training who will soon become attending physician with the Department of Geriatrics and Palliative Care at the Mount Sinai Medical Center. Co-authors included Stephanie Le MD, Clinical Assistant Professor and Assista...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 15, 2022 Category: Geriatrics Authors: Jeffrey M Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Publications bedsore bedsores decubiti decubitus ulcer end-of-life care eschar geriatrics Healthcare Quality Improving Medical Care medi Source Type: blogs
COVID-Related Skin Injuries
Thankfully the worst of the COVID-19 pandemic is over, but there is no doubt that the public health crisis brought new challenges to the wound care world. There has been profound impact upon caregivers and patients, including the epidemiology of skin lesions such as pressure injuries. The reverberations of the pandemic are still lingering, and this post will call attention to major concerns.
Impact of COVID-19 on Pressure Injury Epidemiology
The impact of SARS-CoV-2 on the occurrence of pressure injuries is substantial. Patients with severe respiratory disease and extended ICU admissions while on life support such as v...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 3, 2022 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care bedsores coronavirus COVID COVID-19 decubiti decubitus ulcer Healthcare Quality Improving Medical Care pandemic pressure sore pressure sores pressure u Source Type: blogs
Presenting on Skin Failure at SAWC
I was honored to present my recent paper on skin failure at the Spring meeting of the Symposium on Advanced Wound Care (SAWC) in Phoenix. The SAWC meeting is an interdisciplinary forum designed for all clinicians who wish to learn state-of-the-art concepts regarding the growing field of wound care. Attendance was great considering we were still at the tail end of Pandemic restrictions.
My presentation was intended to deliver basic concepts of skin failure pathophysiology outlined in my paper published in the March 2022 issue of Advances in Skin & Wound Care. The topic of skin failure has been addressed by many ...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - April 29, 2022 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Risk Management bedsore bedsores decubiti decubitus ulcer geriatrics Improving Medical Care kennedy terminal ulcer skin failure Source Type: blogs
