Acute Pain Management Guideline Panel. Pain Control After Surgery. A Patient's Guide. AHCPR Pub. No. 92-0021. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services. Feb. 1992.

Pain Control Plan

Pain control plan for _______________________
(your name) Before surgery, I will take___________________
(name of medicine)

How I will take the medicine ___________________________________

___________________________________

___________________________________

After surgery I will take__________________
(name of medicine) in the hospital.

The medicine will be given to me:

_______as a pill _______through a vein _______as a shot _______through a tube in my back

I will recieve the medicine:

_____at certain times

_____every_____hours for_____days:

_____around the clock _____when I call the nurse.

I will also use these non-drug pain control methods in the hospital and at home ___________________________________________________________

___________________________________________________________

___________________________________________________________(list methods)

 

At home I will take________________________________________(name of medicine)

How I will use the medicine at home

_______________________________________________________

_______________________________________________________

_______________________________________________________

 

Want to know more?
The information in this booklet was taken from the Clinical Practice Guideline for Acute Pain Management: Operative or Medical Procedures and Trauma. The guideline was developed by a private sector, expert panel made up of doctors, nurses, other health care providers, an ethicist, and a consumer representative. It was sponsored by the Agency for Health Care Policy and Research (AHCPR), an agency of the U.S. Public Health Service. Other guidelines on common health problems will be issued in the near future.

For more information about the guidelines or to receive additional copies of this booklet or other guideline materials, call 1-800-358-9295 or 301-495-3453, or write to:

AHCPR Publications Clearinghouse
P.O. Box 8547
Silver Spring, MD 20907

Department of Health and Human Services
Public Health Service
Agency for Health Care Policy and Research
Executive Office Center
2101 East Jefferson Street, Suite 501
Rockville, MD 20852

 

Pub. No. AHCPR 92-0068