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IMPORTANT INFORMATION TO GATHER FOR POST-SURGICAL CARE PLAN

  • What is your full name and date of birth?
  • Who is your emergency contact, and what is their relationship to you?
  • Do you have any specific preferences or concerns regarding your post-surgical care?


  • What type of surgery did you have?
  • What was the date of your surgery?
  • Who was your surgeon, and what is their contact information?
  • What hospital or facility was your surgery performed at?
  • Do you have any follow-up appointments scheduled?


  • Do you have any pre-existing medical conditions (e.g., diabetes, high blood pressure, heart disease)?
  • Do you have any allergies, especially to medications or anesthesia?
  • What medications are you currently taking?
  • Do you need assistance managing your prescriptions?


  • Do you have stitches, staples, or drains that require monitoring?
  • Are there any movement restrictions given by your doctor?
  • Do you need assistance with mobility (e.g., walker, crutches, wheelchair)?


  • How is your pain level, and do you have prescribed pain medication?
  • Do you need help with positioning for comfort and healing?
  • Are there specific comfort measures you prefer (e.g., heating pads, pillows, certain sleeping positions)?


  • Are there any dietary restrictions following your surgery?
  • Do you need help with meal preparation or grocery shopping?
  • Are you experiencing nausea or difficulty eating/drinking?


  • Do you need assistance with bathing, dressing, or toileting?
  • Would you like help with household tasks such as laundry and cleaning?
  • Do you need transportation to follow-up appointments?


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