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Urinary Catheters: A One-Point Restraint?

2003; American College of Physicians; Volume: 138; Issue: 3 Linguagem: Inglês

10.7326/0003-4819-138-3-200302040-00027

1539-3704

Sanjay Saint, Benjamin A. Lipsky, Susan Dorr Goold,

Palliative Care and End-of-Life Issues

Letters4 February 2003Urinary Catheters: A One-Point Restraint?Sanjay Saint, MD, MPH, Benjamin A. Lipsky, MD, and Susan D. Goold, MD, MHSA, MASanjay Saint, MD, MPHVeterans Affairs Ann Arbor Health Care System; Ann Arbor, MI 48109-0429 (Saint)Veterans Affairs Puget Sound Health Care System; Seattle, WA 98108-1597 (Lipsky)University of Michigan; Ann Arbor, MI 48109-0429 (Goold)Search for more papers by this author, Benjamin A. Lipsky, MDVeterans Affairs Ann Arbor Health Care System; Ann Arbor, MI 48109-0429 (Saint)Veterans Affairs Puget Sound Health Care System; Seattle, WA 98108-1597 (Lipsky)University of Michigan; Ann Arbor, MI 48109-0429 (Goold)Search for more papers by this author, and Susan D. Goold, MD, MHSA, MAVeterans Affairs Ann Arbor Health Care System; Ann Arbor, MI 48109-0429 (Saint)Veterans Affairs Puget Sound Health Care System; Seattle, WA 98108-1597 (Lipsky)University of Michigan; Ann Arbor, MI 48109-0429 (Goold)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-3-200302040-00027 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate the letter by Dr. Munasinghe and colleagues and their contribution to this field (1). We are, however, unclear about what they mean by informed consent with full disclosure. If they are recommending that patients receiving nonemergent indwelling urinary catheters should be required to sign a consent form, we disagree. Such a policy is less likely to have the desired effect than it is to serve as a deterrent to doctors' placing or ordering urinary catheters. Whether the deterrent would decrease inappropriate use without compromising appropriate use is a matter for empirical investigation. One could extend Munasinghe ...References1. Munasinghe RL, Yazdani H, Siddique M, Hafeez W. Appropriateness of use of indwelling urinary catheters in patients admitted to the medical service. Infect Control Hosp Epidemiol. 2001;22:647-9. [PMID: 11776352] CrossrefMedlineGoogle Scholar2. Kass NE, Sugarman J, Faden R, Schoch-Spana M. Trust. The fragile foundation of contemporary biomedical research. Hastings Cent Rep. 1996;26:25-9. [PMID: 8891706] CrossrefMedlineGoogle Scholar3. White G. Informed consent. Am J Nurs. 2001;100:83. [PMID: 11002799] MedlineGoogle Scholar4. Jain P, Parada JP, David A, Smith LG. Overuse of the indwelling urinary tract catheter in hospitalized medical patients. Arch Intern Med. 1995;155:1425-9. [PMID: 7794092] CrossrefMedlineGoogle Scholar5. Cornia PB, Armory JK, Fraser S, Saint S, Lipsky BA. Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients [Abstract]. Clin Infect Dis. 2001;33:1225. Google Scholar Author, Article, and Disclosure InformationAffiliations: Veterans Affairs Ann Arbor Health Care System; Ann Arbor, MI 48109-0429 (Saint)Veterans Affairs Puget Sound Health Care System; Seattle, WA 98108-1597 (Lipsky)University of Michigan; Ann Arbor, MI 48109-0429 (Goold) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIndwelling Urinary Catheters: A One-Point Restraint? Sanjay Saint , Benjamin A. Lipsky , and Susan Dorr Goold Urinary Catheters: A One-Point Restraint? Rajika L. Munasinghe , Vijayalakshmi Nagappan , and Mohamed Siddique Metrics 4 February 2003Volume 138, Issue 3Page: 238-239KeywordsCatheterizationCathetersDisclosure ePublished: 4 February 2003 Issue Published: 4 February 2003 CopyrightCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...