“Despite Hospital Acquired Stage 3 and Stage 4 decubitus ulcers being considered a Never Event by the CMS, the treatment for those injured by hospitals is based on local care pathways, local surgical expertise, patient and health professional preferences and cost,” states JKF Wong, Cochrane Library, Reconstructive surgery for treating pressure ulcers. Greg Vigna, [...]

Vasoconstrictor agent administration raised the risk of pressure injuries in critical care patients by nearly twofold. “Vasoconstrictor agent administration raised the risk of pressure injuries in critical care patients by nearly twofold. More emphasis should be placed on the timely prevention of pressure injuries in patients receiving vasoconstrictor agent administration in the ICU”...Advances in [...]

Prevention of heel decubitus ulcers are paramount because this location is the most difficult of decubitus ulcers to manage. “In adults presenting with one or more heel pressure injuries stage IV complicated with bone infection involving surrounding tissues, a surgical approach must be performed to support the wound healing and prevent major amputation. Grade: [...]

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 [...]