Karl H. Shipman, MD
To the Editors: The use of restraints in nursing home patients is a highly charged emotional issue affecting the patient, nursing staff, physicians, and families; thus, any effort to improve criteria for their use is welcome. The article by Tinetti and colleagues (1), however, reminds one of an old saying, "Don't try to confuse me with facts, when I am searching for the truth." The conclusion that "mechanical restraints were associated with continued, and perhaps increased, occurrence of serious fall-related injuries" and the subtle implication that perhaps nursing home patients would do better without restraints cannot be substantiated by their
Shipman KH. Do Restraints Prevent Falls?. Ann Intern Med. ;117:442–443. doi: 10.7326/0003-4819-117-5-442
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Published: Ann Intern Med. 1992;117(5):442-443.
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