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File: 120396_sep96_decls16_0002.txt
Subject: USNS COMFORT COMBAT STRESS CENTER MISSION STATEMENT
Unit: VAR. BUMED
Parent Organization: BUMED
Box ID: BX303815
Folder Title: USNS COMFORT TAH 20 NURSING SERVICE 31 AUG 90-JAN 91
Document Number: 11
Folder SEQ #: 46
U CQASSIFIED
USNS Comi@rt Combat Stream Center USKS Comfort Combat Stress Center
...._gn_untraat*d caz"ltlos.
STANDARDS OF CARE FOR COMBAT STRESS RoinfOica-"tfii '-d@@bit -@ti as Casu@ltieo n@ity AX a
cab t Stress Is a complex and constantly changing response X&Pvicamember, keep An full uniform, Instill expectancy of return
to mtntali and *motional stressore associated with the combat to duty. i
environment. This a normal response In anyone who is exposed to Maintain appropriat distinctions. titl*,, and
the extrejae mental and *motional streamers of combat situations. courtesies.
These r*aptions may occur In anticipation of action, during
Allow B*Vvicemomber :a r 4in personal possessions except
action after action as long as they occur in the Theater of for knives and weapons in ke*pinglwith ships policy.
0*I Restorative Treatment: R at, food. hygian* and Activities to
p&ratio.a. restore confidence.
Related Ter=: Battle Fatigue Suggestion and or non-ph:r.
cologic&L Interventions will be
Field Fatigue used to promote sleep. Sloop medications will only be used as a
Shall Shook last resort.
Antianxi&ty drugs should *lot be given routinely during
Dl&g onin of Combat Stream is based an observed signs And restoration.
behaviors, Restraints. chemical and or !physical, my be necessary for
and may be Identified La mervicamembe4a with or without initial @nagament of disruptive behavior.
other injprlox. Combat Stream is best treated ith reassurance,
Past, raplanlshm*nt of physical needs, and activities which Re@nditioning Treatment: Physical Training and atructur&d
restart confidence with the expectation of return to duty. The program of supportive treatment, counseling, and military
fOllOWIA91 &XPSCTR of Combat Stress will be observed, decanted, activities.
and abnormalities reported to a nurso corps officer or medical Provide servlcomember opportunity to talk about what
officer happened. 'How he.came to be a casualty.'
Provide individual and group Instruction in xtragn
0
Si NS AND SYMPTOMS: management and relaxation t*chhiqtiax.
FATIGUE:ITiredness. loss of Initiative. indecisiveness, Conduct Basin Shipboard Tr@ining (LLf*vest,. EEBD. Egress.
in& ttentL... general P.thy, s*lf-care deflaiets. Shipboard al&r= and procaduroal
Assign millt&ry-ralevan t wol
ANXIETY:I Startle response. tremor. sweating. p&lpatations. k details.
lnxomi&.Inight@r*n, hyperarouo&l. Provide enjoyable, relaxing activity. encourage
DEPRESSIO)T: Self-doubt, self-blam .hopl&ssn*az. grief and sfvvica@abor to wit* home.
bere@tuent. Prepare for Return to Duty
MEMORY LOSS: Inability to remember recent orders to
disorientation and regression.
DISTURBANCE OF PHYSICAL FUNCTION: Motor, sensory or cognitive
dotlal*tz.
PSYCliOSOMATIC: Physical responses to stress including
cardlareapiratory. gastrointestinal, and/or :muxculozkal&t&l
symptom..
DISRUPTIVE: Disorganized. bizzar*, Impulsive, or violent
behavior total withdrawl, porxistant bAllucInatlons,
.u icidal@homicidal ideations.
MISCONDUCT: Nonbattl* InJuries, disciplinary intractiona, AWOL.
drugland alcohol abuset
O)IS.
ianualss casualty data to determine functional capacity,
appropriate treatment and or return to duty status.
Give imadiate r*aesuranco that they only have 'Combat Combat Street Center (Code'43)
Str&is' l(plus whatever other minor physical problem may USKS Comfort CT-AH 20)
cont@ibut,a, such as dehydration, sleep lose or heat/cold FPO Now York 99588-40(ja
expe ure.,l I
S&gzlegat* Combat Stress Casualties from critically wounded
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Document 2 f:/Week-38/BX303815/USNS COMFORT TAH 20 NURSING SERVICE 31 AUG 90-JAN 91/usns comfort combat stress center mission statem:1122961638228
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-38
Box ID = BX303815
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = USNS COMFORT TAH 20 NURSING SERVICE 31 AUG 90-JAN 91
Folder Seq # = 46
Subject = USNS COMFORT COMBAT STRESS CENTER MISSION STATEM
Document Seq # = 11
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 22-NOV-1996