12
Management
Figure 3. Patient Education Materials on Postoperative Pain
Control and Opioid Use
1. In the first four days after surgery, how much did pain interfere with your ability to
sit in a chair, stand or walk?
☐ Not at all
☐ Occasionally
☐ About half of the time
☐ Most of the time
☐ All of the time
2. In the first four days after surgery, how much did pain interfere with your ability to
eat and swallow?
☐ Not at all
☐ Occasionally
☐ About half of the time
☐ Most of the time
☐ All of the time
3. What medications did you use to manage your pain? (please check all that apply):
☐ Non-medication therapies
☐ Acetaminophen (Tylenol)
☐ Nonsteroidal Anti-inflammatory Drugs (NSAIDS):
☐ Aspirin
☐ Ibuprofen (Advil, Motrin)
☐ Naproxen (Aleve)
☐ Celecoxib (Celebrex)
☐ Nerve pain medications:
☐ Gabapentin (Neurontin)
☐ Pregabalin (Lyrica)
☐ Opioids:
☐ Tramadol (Ultram)
☐ Codeine with acetaminophen (Tylenol #3 or #4)
☐ Hydrocodone (Norco, Vicodin, Lorcet)
☐ Hydromorphone (Dilaudid)
☐ Oxycodone (OxyContin)
☐ Oxycodone with acetaminophen (Percocet)
☐ Other (Please describe):
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