“The type of debridement should align with the treatment goals when managing a patient with a serious Stage III or Stage IV decubitus ulcer. Salvageable patients who desire flap closure require a debridement designed to get the wound ready for reconstructive surgery. That is best provided by the plastic surgeon,” states Greg Vigna, MD, JD, national [...]
“Clearly, this research supports the consideration of treatment phases and milestones of a complex treatment concept," states Reto Wettstein, MD, Plastic Surgeon, University Hospital, Basel, Switzerland. Dr. Greg Vigna, MD, JD, national bed sore attorney, Board Certified in Physical Medicine and Rehabilitation, explains, “The conclusion made by authors of the study support the cost-effectiveness of reconstruction of [...]
“Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU LOS in critically ill adult patients,” states Adriano J. Pereira, MD, PhD, Brazilian Research in Intensive Care Network, San Paulo, Brazil. Greg Vigna, MD, JD, national malpractice attorney, states, “There are various points of care critical to rendering safe and effective [...]
“Complications of restraints include documented falls, decubitus ulcers, fractures, and death," states John Ellis Agens, MD, Internal Medicine, Geriatrics. Dr. Greg Vigna, MD, JD, physician, and national malpractice attorney, states, “Serious injuries caused by physical restraints is considered by the National Quality Forum as a never event. The National Quality Forum considers any Stage III, [...]
“If patients survive, those with mild polyneuropathy may recover within weeks and those with more severe forms within months. Unusually severe forms may be associated with incomplete recovery, resulting in persistent motor handicaps," states Ernst Hund, M.D., Neurologist. Greg Vigna, MD, JD, national decubitus ulcer attorney, explains, “I have managed dozens of patients with severe [...]
“Among patients with decubitus-related osteomyelitis who did not undergo myocutaneous flapping, outcomes were generally poor regardless of treatment, and not significantly improved with prolonged antibiotics," states Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. Greg Vigna, MD, JD, national decubitus ulcer attorney, explains, “Our client was newly injured and paralyzed [...]
“Our client was admitted to Capistrano Beach Care Center for rehabilitation care following repair of a hip fracture. She was discharged with Stage IV right and left heel sores. These are ‘Never Events’ because they are preventable with routine, standard bed-side care”…Greg Vigna, MD, JD, national pharmaceutical injury attorney Dr. Greg Vigna, MD, JD states, [...]
“Of the 19 (48%) patients who were ambulatory prior to bilateral amputation, only 2 (11%) remained ambulatory after the second amputation, while 17 (89%) patients lost ambulatory capabilities,” states Dr. Helene Henson, M.D., Michael E. DeBakey, VA Medical Center, Houston, TX. What did Dr. Henson report in “Ambulation and independence among Veterans with nontraumatic bilateral [...]
“List of Serious Reportable Events (aka ” Never Events” ) … 4F. Any Stage III, Stage IV, and unstageable pressure ulcer acquired after admission/presentation to a healthcare setting … 5D. Patient death or serious injury associated with the use of physical restraints or bedrails while being cared for in a healthcare setting,” according to the [...]
“The effect of comorbidities on the location showed, among those with comorbidities beyond spinal cord injury, sacral ulcers were the most common primary ulcers, whereas ischial ulcers accounted for nearly 90% of all the recurrent ulcers. In patients without significant additional incapacitations, there were no differences in ulcer location in either primary or recurrent ulcers," [...]
