yes, it is supposed to make a fix.
the readme and/or the website tells you about the specific changes but here's as far as I understand it.
Wes implemented things that he thought were incorrectly or not implemented. He changed regeneration rates, thac0 boosts, etc.
When you equip the paw, you shapechange into wereform. When you remove it, you come out of wereform. I'm kind of fuzzy on the details since I have not played a shapeshifter with that particular fix, but when all else fails, read the readme--it'll probably have more information than any of us could realistically give you.
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