Plastic surgeons are the most important member of an interdisciplinary team as they offer cures for those with deep Grade III and Grade IV decubitus ulcers. Greg Vigna, MD, JD, national malpractice attorney, wound care expert, says, "Plastic surgeons are the most important member of an interdisciplinary team as they offer cures for those [...]
Recent study shows up to 44.8% of patients have C-diff recurrence within 2-months. “Prolonged IV antibiotics are necessary for the treatment of Grade IV decubitus ulcers with osteomyelitis and post-flap management. C-diff and recurrent C-diff produces challenges for patients, physicians, and the nursing staff. Unfortunately, a small percentage of patients can present with fulminant, acute C-diff [...]
The literature shows that for-profit nursing homes have better financial performance but worse employee and client well-being compared to not-for-profit homes. Dr. Greg Vigna, national malpractice attorney and wound care expert, says, “Unfortunately the literature clearly points out that private ‘for-profit’ nursing homes have better financial performance but worse employee well-being, and worse client [...]
Due to lower nursing staffing levels, African Americans in big cities are at a higher risk of serious injury than white nursing home residents elsewhere. “Nursing Homes with higher concentrations of black residents tended to have lower staffing levels of registered nurses and certified nurse assistants, and be in larger for-profit and urban facilities. [...]
Bedsores with dead tissue either get infected leading to sepsis or even disseminated intravascular coagulation that leads to uncontrolled bleeding. “I’m seeing a very disturbing trend where hospitals are discharging patients with necrotic large decubitus ulcers. Bedsores with dead tissue either get infected leading to sepsis or even disseminated intravascular coagulation that leads to [...]
Nursing homes and hospitals must be held accountable for the complications they cause. “The repercussions from criminal prosecution of nursing home personnel may eventually spread to hospitals. It is no secret that in the past decade, the number of nurses has been reduced in hospitals. This is done to maximize profits and reduce operating [...]
Grade 3/4 decubitus ulcers are not compatible with life and long-term complications caused by prolonged conservative care for these diagnoses have risks as well “There is little doubt VAC packs have some role, although ill-defined, in the management of Grade III/IV sacral decubitus ulcers. Clearly, VAC packs are currently overutilized by physicians who don’t [...]
A recent study reveals the frequency of a decubitus ulcer diagnosis has stayed the same but severity has increased and rate of surgical procedures has decreased A recent database study of hospital discharges between 2008 through 2019 reveal that the frequency of a decubitus ulcer diagnosis has essentially stayed the same, but severity increased [...]
“There must be no delay in treating malnutrition in patients with deep Grade III or Grade IV decubitus ulcers as the body needs to be in ‘positive nitrogen balance’ to build tissue and this is directly related to residual protein stores and ongoing nutritional intake” … Greg Vigna, MD, JD, national malpractice attorney, wound [...]
Long-Term Acute Hospitals have a licensure and payment schedule that allows for the comprehensive care of patients with serious decubitus ulcers. “Any person with a hospital or nursing home acquired decubitus ulcers require skilled physicians and facilities with the scope of services to save them with myocutaneous flaps but also the scope of services [...]