Self-care Class Brief

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Self-care Time Frames

• Each symptom evaluation chart has a suggested
  time frame for using self-care measures.
• The time frame is underlined and in italics.
• If you dont start to get better within the
  suggested time frame, see a health care provider.
  
• If at any time you think you are getting worse,
  see a health care provider. 

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Manage Symptoms Using Self-care

• Step 1. Prevent symptoms from occurring.
• Step 2. Read and use the self-care measures.
• Step 3. Use common non-medications/home
  remedies.
• Step 4. Use available OTC medications.
• Step 5. See a health care provider.

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Using Over-the-Counter Medications (OTC)

• OTC medications are available through the
  Self-care Program in the Self-care Pharmacy.
• Follow all directions from the pharmacist as well
  as instructions on the package.
• Follow all instructions on the self-care green
  sheet.

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Over-The-Counter Drugs (OTC Rx)

• Non-prescription medications.
• Most OTCs relieve symptoms only.
• Some cure minor medical problems.
• Others prevent minor illness.
• Make sure you read and follow the directions.
• Learn to recognize generic names.

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OTCs That Relieve Symptoms

• Analgesics Motrin IB (Ibuprofen - generic name)
• Anti-Itch Creams Cortaid (Hydrocortisone)
• Cough Suppressants Sucrets Cough Suppressant
• Nasal Decongestants Sudafed (pseudoephedrine -
  generic name)
• Sore Throat Lozenges Cepacol

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OTCs That Cure Minor Illness

• Antifungals Miconazole Cream
• Antibiotic Ointments Bacitracin
• Acne Treatment Benzoyl Peroxide

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OTCs That Prevent Illness

• Body Powders Talcum Powder
• Mole Skin Mole Foam
• Stool Softeners Colace (Ducosate)
• Skin Protection Sunscreen

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Pharmacy

• Over-the-Counter Medication Usage Guidelines.
• Report all known allergies.
• Ask questions.
• Frequency
• Dosage
• Side effects
• Precautions

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Important Points to Remember
You may use the Self-care Program and sick call
at different times and in different situations.

• Up to five OTC drugs can be issued at one time
  and all must relate to the chief complaint.
• OTCs cannot be shared with your buddies.
• OTCs can mask serious symptoms.

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Symptom Evaluation Charts Exercise

• Scenario 1 Soldier thinks he/she has a cold.
  Symptoms pain around the eyes and in the head,
  no fever, no cough, and a stuffy nose.
• Scenario 2 Soldier strained or pulled a muscle
  during exercise.
• Scenario 3 Soldier has menstrual cramps.

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TROOP MEDICAL CLINIC (TMC) SELF-CARE
PROGRAMTREATMENT OPTIONS FOR SYMPTOMS/CONDITIONS
Sample
Green Sheet

• I am aware that I am participating in a
  self-care program. I understand that to properly
  perform self-care and safely treat any symptom(s)
  of conditions(s) that I may have during training
  I must follow the symptom evaluation charts. I
  also understand that I am responsible for
  carefully following the directions for use of any
  medication received through this program. I
  verify that I have read the self-care decision
  guide and the recommendations provided therein.
  I also verify that I am requesting treatment
  options(s) voluntarily. I also agree that I will
  not share medication with anyone and that I will
  be the sole user.
• What allergies, to include medications, do you
  have?_________________________________________
• What medicines are you presently taking?
  ______________________________________________
• Print Name Print SSN Date
• Signature ? Unit Sex M F
• INSTRUCTIONS After reading the Soldier Health
  Maintenance Manual and identifying the proper
  treatment option(s), find the symptom(s)/condition
  (s) that you have on the list below. Circle it.
  Then follow the line across to find the treatment
  option(s) for your symptom(s)/condition(s).
  Circle the treatment you would like to receive.
  Request the identified treatment option(s) from
  the Consolidated Troop Medical Clinic Pharmacy.
• Treatment requests will be limited to five items.
• ?NOTE You can select Daytime OR Robo DM
  liquid but NOT BOTH. You can select Daytime OR
  SudaGest, but NOT BOTH.

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• SYMPTOM/CONDITION TREATMENT OPTION
• Acne . . . . . . . . . . . . . . . . . . . . . .
  . . . . . . Medication (Benzoyl Peroxide)
• Allergies Hay Fever . . . . . . . . . . . . . .
  . . . . . .SudaGest Decongestant
  (Pseudoephedrine)
• Athletes Foot . . . . . . . . . . . . . . . .
  Miconazole Nitrate Antifungal Cream
• Blisters . . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . . . . . . . .
  Mole Skin
• . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . . . . . . . . . .
  . Band-Aid
• . . . . . . . . . . . . . . . . . .
  . . . . . . . . Bacitracin Antibiotic Ointment
• . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . . Baby Powder
  (Talc)
• Constipation . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . Genasoft (Ducosate)
• Cough with congestion . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . . Daytime
• Cough (dry) . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . Robo DM liquid
• Cut or Scrape . . . . . . . . . . . . . . . . . .
  . . . Bacitracin Antibiotic Ointment
• . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . . . . . . . . . .
  . Band-Aid
• Diarrhea . . . . . . . . . . . . . . . . . . . .
  . . . . . . . Anti-Diarrheal (Loperamide)
• Earache . . . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . Ibuprofen Tablets
• Headache . . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . Ibuprofen Tablets
• Heat Rash . . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . Baby Powder (Talc)
• Insect Bite . . . . . . . . . . . . . . . . . . .
  . . . . . . . . . . . . . . . . Calamine Lotion

SAMPLE
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Using the Green Sheet

• Scenario 1 Soldier thinks he/she has a cold.
  Symptoms pain around the eyes and in the head,
  no fever, no cough, and a stuffy nose.
• Scenario 2 Soldier strained or pulled a muscle
  during exercise.
• Scenario 3 Soldier has menstrual cramps.

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For Emergency Symptoms

• Self-care is only for minor health problems. If
  you are sick or hurt, get medical help right
  away. Tell your Drill Sergeant.
• If you are very sick or badly hurt, call 911.
  Dont risk your health.

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Get Medical Care for these SIGNS and SYMPTOMS

• Fever gt 100.5 F
• Severe pain.
• Vomiting.
• Blood in stools, urine, or vomit.
• Any major injury.
• Any dark colored or foul smelling discharge.
• Shortness of breath, mental confusion, or
  fainting.
• Signs of continuing infection.

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Questions?
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Self-care Quiz
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Self-care Quiz

• 1. Self-care is taking care of your own health
  for treatment of minor health problems.
• a. True
• b. False
• I can get up to 5 self-care medications for minor
  health symptoms that I might have.
• a. True
• b. False

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Self-care Quiz

• 3. Ibuprofen tablets are available through the
  Self-care Program.
• a. True
• b. False
• 4. To use the Self-care Program, I have to fill
  out a green sheet.
• a. True
• b. False
• 5. If I answer yes to a question on a symptom
  evaluation chart, I must use sick call.
• a. True
• b. False

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Self-care Quiz

• 6. I can share medications from the Self-care
  Program with my battle buddies.
• a. True
• b. False
• 7. Information about over-the-counter (OTC)
  medications is located in the Soldier Health
  Maintenance Manual.
• a. True
• b. False
• 8. The pharmacist can answer questions that I
  may have about OTC medications.
• a. Yes
• b. No

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Self-care Quiz

• 9. If I have severe pain and vomiting, I
  should
• a. Get medical help right away.
• b. Use the Self-care program.
• 10. If I have a symptom that is not in the book,
  I should use
• a. the Self-care Program
• b. Sick call.