● Discuss any prescribed medical treatment. ● Evaluate the need for ongoing counseling or participation in support groups. ● Discuss or suggest dietary supple- ments including a basic multivita- min with minerals (including vitamin B and E, calcium, and magnesium) Objectives Clinical Assessments and Interventions Follow-up Actions 77 Monitor employee status. Provide information and resource materi- als to help manage symptoms. ● Recommend employee develop and keep a chart or calendar for 3 to 4 months, with daily recordings of physical and emotional symptoms and menstrual cycle. ● Discuss healthy nutrition and weight con- trol. Eating six small meals, at regular 3- hour intervals, that are high in complex carbohydrates and low in simple sugars may be beneficial. ● Discuss substantially reducing and elimi- nating use of caffeine, alcohol, salt, fats, and simple sugars to reduce bloating, fa- tigue, tension, and depression. ● Instruct employee about relaxation tech- niques and stress management skills. ● Assist employee in establishing and main- taining an effective exercise program. ● Discuss quality and quantity of sleep and methods to improve or enhance sleep. ● Provide written resource material as well as referral sources related to symptom man- agement.