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National Athletic Trainers’ Association (NATA) Position Statement: Management of Sport-Related Concussion Journal of Athletic Training, 2004; Volume 39, Number 3 Home Care Instructions for Student-Athletes 1. An athlete with a concussion should be instructed to AVOID: a. Taking medications except acetaminophen after the injury. Acetaminophen and other medications should be given only at the recommendation of a physician. b. Ingesting alcohol, illicit drugs, or other substances that might interfere with cognitive function and neurologic recovery. 2. An athlete with a concussion SHOULD: a. Rest, but complete bed rest is not recommended. b. Be awakened during the night to check on deteriorating signs and symptoms only if he or she experienced loss of consciousness (LOC), had prolonged periods of amnesia, or was still experiencing significant symptoms at bedtime. The purpose of the wake-ups is to check for deteriorating signs and symptoms, such as decreased levels of consciousness or increasing headache, which could indicate a more serious head injury or a late-onset complication, such as an intracranial bleed. c. Resume normal activities of daily living as tolerated while avoiding activities that potentially increase symptoms. d. Resume a graded program of physical and mental exertion, once he or she is symptom free without contact or risk of concussion, up to the point at which post-concussion signs and symptoms recur. If symptoms appear, the exertion level should be scaled back to allow maximal activity without triggering symptoms. e. Eat a well-balanced diet that is nutritious in both quality and quantity. f. Oral and written instructions for home care should be given to the athlete and to a responsible adult such as a parent or roommate, who will observe and supervise the athlete during the acute phase of the concussion while at home or in the residence hall.