Presentation on theme: "Dunham US Army Health Clinic"— Presentation transcript:
1Dunham US Army Health Clinic TAKING CAREOF YOUSelf Care ProgramDunham US Army Health ClinicCarlisle, PA
2Be a wise medical consumer Put Prevention Into Practice Get on target and ...Be a wise medical consumerPut Prevention Into PracticeAdopt good habits to stay healthy and independentBe sure to complete clinical preventative services at recommended intervals
3Dunham Army Health Clinic Family Practice Clinic:Hours of Operation 0730 AM – 1630 PM Tuesday through Friday (Closed Mondays, weekends and Holidays.)Appointment Line opens 07:30 AM*Call Center for Appointments, Cancellations and messages:
4Dunham Army Health Clinic Patient Advocate: Gary FeathersTRICARE Line: TRICAREHealth Benefits Advisor:
5Why the Self-Care Program? Not “alternative” medicineNot a substitute for medical careGoals:Take charge of your own healthPreventing illness and injuriesBring out the “Doctor Within YOU”
6Focuses on prevention of illnesses and promotion of healthy lifestyles SELF-CARE PROGRAMFocuses on prevention of illnesses and promotion of healthy lifestylesProvides essential information for making proper choicesEnables YOU to take charge of your own healthSelf-care is an attitude of believing that we are each important, entitled to quality health care, and that we are a critical resource in achieving quality health care. Self care is not an attempt to replace doctors or other health-care providers. Self-care is about becoming active participants in our own health and health care. Self-care provides a framework for us to look at our own health and that of our families, and then to work with health-care providers to prevent and jointly care for health problems.
7Examples of Self Care Minor sore throats Stuffy or runny nose Short-lived vomiting or diarrhea (less than 48 hrs)Skin rash over a small areaMinor low back painA mild strain or sprainSmall cuts, scrapes or burnsTemperature 101 or lowerAs many as 70 percent of all visits to doctors for new problems may be unnecessary. These visits are often for minor health problems such as uncomplicated colds, minor cuts, or minor sprains. So yes you should consider self-treatment. Examples of problems we can treat or manage at home include acne, many allergies, athlete's foot, back pain, bruises and minor burns, lice, colds, colic, diaper rash, heat rash, flu, most headaches, most vomiting, diarrhea, sore throats, and teething.
8(Often gets better with self care) Routine CareShoulder painSore throatsColds and fluFeverSkin rashesToothachesMinor cuts and scrapesConditions that are uncomfortable but they do not require emergency treatment. Care for these can safely be delayed at least 12 hours or longer. If possible, treat at home or call your primary care clinic to make an appointment.(Often gets better with self care)
9Routine Care Immunizations Periodic health exams Screening and treatment for problemsFollow up for chronic problemsMinor aches and painsNo relief after 48 hours of self careMedication refillsConditions that are uncomfortable but they do not require emergency treatment. Care for these can safely be delayed at least 12 hours or longer. If possible, treat at home or call your primary care clinic to make an appointment.
10Communicating With Your Doctor Chief complaintWhat brings you to the doctor today?Know in advance how to state your problemPresent illnessWhen did it start/how long?What are the symptoms?Medical historyReview of body systemsSocial history
11Ask Questions Risk versus benefit of treatment What is the name? Why is it needed?What are the risks?Are there alternatives?What if I do nothing?When do I return?Make a list of your questionsMake sure you understand answersAsk the doctor...
12Achieving or maintaining a level of optimal functioning What Is Wellness?Achieving or maintaining a level of optimal functioningNot simply the absence of diseaseMeans different things to different people
13There is a new Food Pyramid that that replaces the traditional health food pyramid. Instead of focusing on quantity, this new food pyramid focuses on quality foods and making smart choices. It can be found on MyPyramid.gov. This site is sponsored by a joint venture between the Health and Human Services department and the USDA. You can plan weekly menus, create a personalized food diary, and can show animated videos to your children about how to make good food choices.
14Follow a Prudent DietGet in the habit of making healthy food substitutions for unhealthy ones. Replace refined grains such as found in white bread or white rice with whole grains found in brown bread or brown rice. Eat two and a half cups of vegetables daily. Replace sugary sodas and juice drinks with fresh fruit or 100% fruit juice. Use skim milk instead of 2%. Replace high fat hamburgers and salty lunch meats with lean meat and poultry without the skins. Remember: Bake, Broil or Grill foods to reduce unwanted fat.
15Exercise Regularly Warm-up: Stretching exercises: THIS IS A SAMPLE WORKOUT –ALWAYS CONSULT YOUR PCM FIRSTWarm-up:5-10 minutes prior to stretchingStretching exercises:10 minutes, prior to exerciseStrengthening exercises:15-30 minutes, 2-4 days a weekAerobic Exercises:20-30 minutes, 3-5 days per week“You cannot achieve fitness in one workout, just as youcannot live your life in one day.”7
16Benefits of Exercise Increases Energy Higher Level of Self-Esteem Lowers Resting Pulse RateLowers Blood PressureDecreases Body FatIncreases “Good” HDL CholesterolDecreases “Bad” LDL CholesterolReduces Stress8
17Terrific Calorie Busters 71. Daily food diary2. Eat 3 meals and planned snacks3. Take at least 20 minutes to finish each meal4. Substitute a new habit for a food habit5. Wanting to eat when you’re not hungry?Drink a cup of tea or diet sodaEat a banana (sweet)6. No time for 30 minute a day exercise?Exercise for 15 minutes - twice7. Make easy-to-follow rules
18Maintain Desirable Weight Exercise regularlyFollow a balanced dietChange sedentary behaviors
19“A sound mind in a sound body” Exercise RegularlyExercise your mindLearn all you canExercise your spiritMake time for some peace and quietCheck to see if your priorities are on track, or if you’ve become de-railed.“A sound mind in a sound body”“Even if you are on the right track, you’ll get run over if you just sit there.”7
20Maintain Desirable Weight “My doctor has advised me to give up thoseintimate little dinners for four, unless there arethree other people eating with me”Orson Wells
21Smoking Decreases night vision Increases risk of stroke and heart attackLung and other cancersSlows healingMore susceptible to coldsSexual dysfunctionDunham has a Smoking Cessation course monthlyThe American Lung Association has a Freedom From Smoking on-line course free of charge, but you must Register to take it. URL:
22Moderate or No Alcohol Consumption Limit alcohol to no more than 1 – 2drinks per dayOne Drink Equals:1¼ ounces of 80 proof liquor12 ounces of beer4 ounces of wine* Note: the laws for exceeding the legal limit for alcohol use vary by state.15
23Get Adequate SleepMost research shows that hours of sleep is adequateIf you need an alarm clock to wake up, you might not be getting enough sleep
24Preventive Health Care Know your bodyProfessional health screeningsSelf examsEarly treatmentImmunizations
25Breast ExamsOne out of eight women are diagnosed each year with Breast CancerSelf exams should be done once a monthWhen is the best time?Breast Cancer is the second leading cause of cancer deaths in women today (after lung cancer) and is the most common cancer among women. According to the American Cancer Society, about 1.3 million women (1 in 8) will be diagnosed with breast cancer annually worldwide and about 465,000 will die from the disease. The best time to examine your breasts is about a week after your period, when breasts are not swollen or tender. If you no longer have a period, examine yourself on the same day every month
26Testicular ExamsTesticular cancer is not common; a man's lifetime chance of developing testicular cancer is about 1 in 300. Because treatment is so successful, the risk of dying from this cancer is very low: about 1 in 5,000.Monthly self examsThe testicular self exam is best performed after a warm bath or shower. (Heat relaxes the scrotum, making it easier to spot anything abnormal)
27Funny Business Laughter reduces stress Boosts your immune system (every giggle)Alleviates pain (5-10 minutes of laughter produces an analgesic effect)Don’t take yourself, or life so seriously
28can take better care of you, Remember ...“No onecan take better care of you,than you.”17
29What Are OTCs? Over-The-Counter Medications Many products AspirinWhat Are OTCs?Over-The-Counter MedicationsNon prescriptionNot automatically safeCheck dosage carefullyMany productsBecome familiar with ingredientsName brand not always betterFor minor and temporary conditionsAntacidTylenol6
30Medication Questions Ask the pharmacist Discuss all OTCs and prescription medications you are taking with your PCM or pharmacistRead medication insertsFollow the pharmacist’s or PCM’s instructions if they differ from those listed on the medication insert.
31In Your Medicine Cabinet Pain and fever medicationsAntacidsThermometerAntihistamines and decongestantsRubbing Alcohol/ Hydrogen Peroxide7
32Tylenol 80mg chewable tabs Tylenol 160mg/5ml liquid Aspirin Ec 81mg tabsBacitracin OintmentBenadryl CapsulesBenadryl ElixirCondomsDebrox ear wax removalHydrocortisone CreamImodium ADLotriminMaalox/MylantaMilk of MagnesiaMotrin 200mg tabsMotrin SuspensionMycelex Vaginal CreamPepto BismolRobitussinRobitussin DM SyrupSaline Nasal MistSudafed tabs or syrupTylenol 80mg chewable tabsTylenol 160mg/5ml liquidTylenol 325mg tabletsTylenol oral dropsList of items currently available at Dunham pharmacy Main Clinic for self care participants. DDC New Cumberland patients who have completed this class or a certified wellness class can complete the Request Form 706, but will have wait 3 business days for pick-up, as DDC does not carry these medications as stock items.Note: You are limited of 2 medicationsper individual per 30-calendar day period
33Cough PreparationsShort-term treatment of cough due to colds and/or fluExpectorants: Helps thin the mucus and make it easier to cough up when you have a productive cough (Robitussin – Guaifenesin)Suppressants: Suppress cough reflex – for dry, hacking coughs that keep you awake (Robitussin DM - Dextromethorphan and Guaifenesin)Dextromethorphan = DM which- calms the cough center and seldom decreases the cough by more than 50%. The med does not totally decrease the cough which is good as a cough is protective; the guaifenesin (expectorant) draws the liquid in your body into the mucous that triggers a cough
34Nasal DecongestantsReduces symptoms of nasal/sinus congestion (stuffy nose), postnasal dripDecongestants make breathing easier by shrinking swollen mucous membranesPseudoephedrine = Sudafed(tablets and syrup)“ephrine” or “edrine” usually identifies a decongestant; Runny nose is big business! But it is a temporary solution and there are certain restrictions as to who should take these meds- people with HTN or other heart diseases need to talk to their PCM before taking these products, because these meds work by constricting blood vessels and may aggravate a coexisting problem; also these products should only be used temporarily due to the problem of rebound vasodilation- drugs work by causing muscle in walls of the blood vessels to shrink, which decreases blood flow to the area. After many applications, the small muscles fatigue and fail to respond. The problem of nasal stuffiness could then get worse and the cycle of taking the meds repeats itself. Remember, to read the dosing, and the products should not be used for more than 3-4 days. If symptoms are not resolved, then see your PCM. Nasal Saline is another alternative to relieve sinus congestion.
35AntihistaminesAntihistamines dry up nasal secretions and are commonly used to treat allergy symptoms: runny nose, sneezing, watery eyes, itchy eyes/noseSide effects: drowsiness, (reaction time slowed), dryness of mucous membranes (caution use with asthmatics)Examples: diphenhydramine = Benadryl (capsules, elixir)Seasonal allergies: nonsedating antihistamines are availabe OTC and by RxAntihistamines and decongestants are commonly confused. Antihistamines are for sneezy, itchy watery symptoms; remember, speak to your PCM for seasonal allergies, as treatment will be for a longer time frame, and there are prescription meds, such as allegra, used for seasonal allergies and have a better Side effect profile- less to no drowsiness; emphasize that the asthmatic does not want to have their secretions dried up as they need to maintain a moist environment, not dry
36Heartburn / Acid Indigestion Antacids are taken to relieve heartburn or indigestion caused by excess stomach acidAluminum/magnesium hydroxide, simethicone = Maalox extra strength suspensionBismuth Subsalicylate = Pepto Bismol tabletsWarning! Interferes with other medication absorptionThese meds interact with many meds so speak to PCM; take two hours before/after medications; drug interactions common with cardiac meds. Refer to Pharmacist or Physician if you are allergic to aspirin before taking Pepto-Bismol.
37Diarrhea Antidiarrheal products slow the movement of the intestine Diarrhea helps rid your body of infection. Try to avoid using antidiarrheal medications for the first 24 hoursLoperamide = Immodium AD capletsBismuth subsalicylate = Pepto-Bismol tabletsReplace lost body fluids to prevent dehydrationRemember- the body tries to rid itself of offending organisms, so allow diarrhea to occur for a short time; allow body to rid itself of toxins; regular use is not recommended and can do harm; short term use has low side effects profile and these meds work well
38Pain & Fever Reducers Short-term treatment of pain/fever Acetaminophen= Tylenol (caplets, solution, drops)Ibuprofen = Motrin (suspension, tablets)Remember, keep all meds out of reach of children; Tylenol overdose can kill; Low side effects profile; read all labels, and if your child’s weight or age is not noted, then speak to PCM for him to order for you. Difference between suspension and drops: Suspension has more volume, usually a teaspoon and it is tastier, and drops are more concentrated and are given in a smaller volume or amount
39Skin ConditionsThe following are medications that you can obtain through the Dunham Pharmacy Self-care program to treat skin conditions:Bacitracin ointment: used to treat or prevent superficial bacterial infections (minor cuts, scrapes, burns)Clotrimazole= Lotrimin topical ointment: used to treat superficial fungal infections (athletes’ foot, jock itch)Hydrocortisone Cream: used to reduce inflammation, itching, swelling, and discomfort with certain skin problemsTreat or prevent superficial bacterial infections (minor cuts, scrapes, burns)= bacitracinTreat superficial fungal infections (athletes’ foot, jock itch) Lotrimin. For reducing inflammation, itching, swelling, and discomfort with certain skin problems use hydrocortisone.
40Miscellaneous Condoms: prevention of STDs/Pregnancy- (10 count) Carbamide: (Debrox equiv) drops – ear waxPyrethrum/Piperonyl: (Rid equiv) shampoo – head liceSalicylic Acid 17%: (Compond W equiv) sol – wartsSaline Nasal Mist: moisten nasal passageAspirin 81mg tablets* Aspirin should be taken under the supervision of your physician. Poison Control
41Eligibility for the Self-Care Program At least one family member who is 18 years of age or older must attend a self-care education session at any military MTF that participates in the Self-Care programMust show documentation to the Pharmacy such as a certificate of completionDo not need an appointment- Walk-ins permitted, however you may have to wait until the med is added to your medication profile and screened for interactions.Limited of two medications per individual per 30-calendar day periodQuantity of each medication dispensed is restricted to a reasonable usage rate for the medication.Must present a valid Uniformed Services Identification Card at Pharmacy windowMust present the Self-care Over-the-Counter Card. (MEDDAC Form 704)Suspension of privileges: any suspected misuse of the self-care program noted by the Chief, Pharmacy Service or a primary care provider will result in loss of an individual’s self-care program privileges for three months for the first offense and permanently after the second offense.*Note: Each person
43Self-Care Program Over-the-Counter Card Self-Care CardSelf-Care Program Over-the-Counter CardDunham ClinicWELLNESSYou can make it happen!Name(s) of authorized user(s):_______________________________________________________________Sponsor's Social Security Number: ___________________________________MEDDAC Form 704, April 2010Previous editions are obsolete.
44COMPLETION VERIFICATION In order to receive your Self-Care card, you must send an to our Pharmacy team. Please click HERE to start the process.Please indicate in your that you have reviewed all of the slides in this presentation. When you come to the Pharmacy, please remember to bring your valid Military ID card.
45Questions? Suggestions? * For any questions: contact Dunham Clinic at (717)