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Author Archives: Pat Iyer
Refuting causation in a nursing home medical malpractice case
The plaintiff’s nursing home expert is asserting that the nursing home resident died as a result of poor medical or nursing care. A geriatrician is the best expert to evaluate the complicated interplay of chronic and acute illnesses. The long … Continue reading
Medical residents and fatigue
This is an update of an earlier blog. Did policies to reduce medical residents’ fatigue compromise quality of training? Is learning more important than risks of fatigue-induced medical errors? The debate raged as we approached a deadline of July 2011, … Continue reading
Bed entrapment: killed by the side rails
Pressure relief mattresses Pressure relief mattresses treat the risk of pressure sores, but also create another risk: death. Selecting the correct mattress for pressure relief should take into account these factors in MATTRESS: Microclimate and moisture Activity levels Tissue tolerance … Continue reading
Risks of fatigued nurses
This is an update of an earlier blog. Hospitals in which nurses work long hours have higher rates of patients deaths from pneumonia and acute myocardial infarction, according to a study. Researchers at the University of Maryland School of Nursing … Continue reading
Wrong wound care treatment: legal risks
Pressure ulcer product selection Current wound care expertise encompasses numerous dressing-related skills including: • Treating the cause of the wound and addressing patient centered concerns to set the stage for local wound care • Properly assessing the wound and identifying … Continue reading
Pressure Ulcer Staging
Pressure sore staging challenged Current numerical pressure ulcer classification systems (staging, grading, or categories) are problematic and misleading because they imply that pressure ulcers progress through defined stages (from I to IV). In December 2011, a panel of experts rocked … Continue reading
Posted in Damages, Pressure sores
Tagged decubitus ulcers, Dr. Diane Krasner, pressure sores, pressure ulcers
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Nonhealing Pressure Sores
It is challenging to heal chronic wounds. Reasons for nonhealing wounds For patient wounds that do not have the ability to heal, the approach is different. These individuals with the inability to heal (nonhealable wound) may be due to inadequate … Continue reading
Posted in CMS never events, Damages, Pressure sores
Tagged decubitus ulcers, Dr. Diane Krasner, pressure sores, pressure ulcers
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Skin changes at end of life – preventable?
Skin changes at the end of life – appearance Also known as Kennedy Terminal Ulcers, these are a specific subgroup of pressure ulcers that some individuals develop as they are dying. They are usually shaped like a pear, butterfly, or … Continue reading
Pressure Sores and Damages
Pain Scales Use with Pressure Ulcers Pain from pressure sores can sometimes be measured. A variety of pain scales are used to measure that which is subjective. The universally accepted measurement techniques are the utilization of visual analog scales (10-cm … Continue reading
Posted in Damages, Dr. Diane Krasner, Pressure sores
Tagged decubitus ulcers, Dr. Diane Krasner, pressure sores, pressure ulcers
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Interruption Awareness and Medical Errors
This is a great explanation of how the overload that occurs in a nurse’s job can result in distraction and medical errors.
