scheduled fr joint repllacinent surgery. This study is being done to ser if thre is a
 relationship between your spiritual belef h and your health evaluation and your nted fr pain
 medicine. T11 purpose o ihis study is to measure the amount of ain medication you use for .
 the first three days after )our surgery.

6. What wWl be done if ou take part l (hias research study?

 You will be asked to participate in this sIudy after >ou haFe been scheduled with Dr. P.
 Gearen for hip or knee replacenmnI surgery. Through your panicipalon -i this study you will
 be asked to complex Iwo survey questionnaires. These survey queslionrA~res ul l dke
 approxin~tely 20 minutes io complete. You do not lave to answer ahl ofth questions if you
 do not want to answer lL The purp~bc orthis study is to explore reltionshps between
 sprtual beliefs, spiritual involvcneni, a personal health evaluation and the amount of pain
 indication use after joint replaemen surgery. Your medical record wil be eaminied for
 three days after surgery to determine the amount orpain ou report nr surgery and the
 amount of pain meication you use. Other info nm oron e'mincd froim your medical record
 Aill include your age, sex, diagnosis, location orjorum replacerncni and anesthesia given 10
 you during your surgery. The Prncrpal Investigalor will code Oil ofyour infor nnion wilh
 confidential code numbers. All ofyour data will kep in a locked secure fie.
 All of your care wa be normal procedures ihat arc part of he ireaL-erm for all patients
 haT-irng otial joint replacernent surgery. There will be no differences in your treatment while
 you are part ofthis study.


7. Whma ar e heposible discomforts and riss?

 There will be no possible risks for you as a participant in this study. You may experience
 discnmfort in aswering qulestons regarding .3ou spirilualil)
 Throughoi the study, the researcher will norify yu of new infomaliaon that nay become
 available that irna) aff et .or dJcsion 10 reniain in the sudy.

 If you wish to discuss the information above or anr discomforts you nmay e,<pcricncc, you may
 ask queiorns nrow or call ihe Principal Inlrigator or co cun person listed on the front page of
 this form.


 sa, What are the possible baenelts to you?

 There are no benefits to you as part of hi study.


 8b.What are the possible benefits to others?

 If this lsudy should show a relationship between spiritual b]ie l spiritual participation
 person health evaluation and pain medication use, other studies may be done to develop
 alternaiWve ways to treat patients in the future.


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