Dr. Greg Vigna
We should look at if a decubitus ulcer was unavoidable and if the affected person acquired the mandatory remedy and repair.
— Greg Vigna, MD, JD
SANTA BARBARA , CALIFORNIA , UNITED STATES , August 10, 2023/EINPresswire.com/ — “The committee members then investigated how lengthy residents lived after creating a strain damage and located that 55.7% died inside 6 weeks. They coined the time period ‘Kennedy terminal lesion’. Kennedy…seen that residents who had a sudden look of a pink, yellow, or black bilateral pear-shaped ulcer…on sacrum or coccyx appeared to be at elevated threat of impending dying” … Advances in Pores and skin & Wound Care. Vol. 32, No.3, March 2019.
Greg Vigna, MD, JD, nationwide malpractice legal professional, and wound care professional, says, ”The Facilities for Medicare & Medicaid Providers actually bought it proper when it reviewed the subject of mattress sores that happen close to the time of dying in 2004 as they appear previous the time period ‘Kennedy Ulcer’ and examined if a decubitus ulcer was unavoidable and if the affected person acquired the mandatory remedy and repair to ‘promote therapeutic, stop an infection and forestall new sores from creating’. Once we see the time period Kennedy Ulcer, in a chart throughout our investigation of a consumer with a hospital-acquired or nursing home-acquired decubitus ulcer we do the identical factor.”
Karen Kennedy, a registered nurse, printed a retrospective case evaluate of 95 strain accidents that occurred in a long-term facility the place 51 of the sufferers died. Areas of the ulcers included the coccyx (23.4%), adopted by the hip (17.4%), and the heel (14.8%). She reported that when these ‘Kennedy terminal lesions’ appeared, the life expectancy was 2 weeks to a number of months with 55.7% dying inside 6 weeks of the invention of those ulcers.
Dr. Vigna states, “Her observations beg the query of what number of of those unlucky sufferers had been afforded the advantage of being transferred to the next degree of care, resembling a long-term acute hospital the place they might obtain the care they deserve? What number of of those sufferers had been afforded the chance to obtain diet help, IV antibiotics to deal with an infection, clinitron mattress administration to ensure 100% strain reduction, and what number of acquired needed debridement to take away the lifeless tissue that was ‘found’ however not prevented on their strain factors with the mattress.”
Dr. Vigna provides, “Ms. Kennedy described a sudden look of a pink, yellow, or black bilateral pear-shaped ulcer predominantly on the sacrum or coccyx that appeared to be at elevated threat of impending dying. My opinion based mostly on 20 years of serving to the injured is that these sufferers have developed a deep tissue damage from neglect and these sufferers want medical assist instantly, not a ticket to hospice care.”
Dr. Vigna concludes, “Kennedy ulcers ought to solely be utilized in sufferers who’ve extreme hypoperfusion with documented low blood pressures regardless of the usage of pressors resembling vasopressin that’s needed throughout sepsis. My authorized group is not going to cease our investigation after we see the time period Kennedy ulcer written within the chart. The vital query is whether or not this wound was preventable or not. These opinions are finest made by important care physicians who’re educated in wound care and never by hospital or nursing residence employed physicians or nursing employees.”
Greg Vigna, MD, JD, is a nationwide malpractice legal professional and an professional in wound care. He’s out there for authorized session for households and sufferers who’ve suffered decubitus ulcers due to poor nursing care at hospitals, nursing houses, or assisted dwelling services. The Vigna Legislation Group together with Ben C. Martin, Esq., of the Martin Legislation Group, a Dallas Texas nationwide pharmaceutical damage legislation agency, collectively prosecute hospital and nursing residence neglect instances that end in bedsores nationwide.
To be taught extra concerning the present strain ulcer developments, click on right here.
Examine stage 3 and 4 strain accidents right here.
Discover literature on terminal ulcers, SCALE, pores and skin failure, and unavoidable strain accidents.
Greg Vigna, MD, JD
Vigna Legislation Group
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