Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: We disagree with Dr Milmore that
our intervention jeopardizes ongoing discussion. We view the universal consent
form as an opportunity to introduce the patient, the patient's proxy, or both,
to the environment of intensive care. Recommended procedures and their alternatives
can be discussed in detail, while procedures that may become necessary are
introduced. We believe that this important initial interaction, coupled with
informational material, can improve communication by laying the groundwork
for future discussions.
Gehlbach BK, Kress JP, Hall J. Universal Consent for Invasive Procedures in the Intensive Care Unit. JAMA. 2003;290(6):751. doi:10.1001/jama.290.6.751-a