1 MODULE MULTIPLE SLEEP LATENCY TEST AND MAINTENANCE OF WAKEFULNESS TEST (MWT)
2 MULTIPLE SLEEP LATENCY TEST AND MAINTENANCE OF WAKEFULNESS TEST (MWT) OBJECTIVES: At the end of this module the student must be able to: Know the appropriate indications, normative values and protocols for MSLT/MWT Perform MSLT/MWT Generate an MSLT/MWT report
3 OBJECTIVES: To assess and diagnose disorders of excessive daytime somnolence. The MSLT must be performed immediately following polysomnography recorded during the individual s major sleep period.
4 INDICATIONS: MSLT is indicated to rule out: Sleep Apnea Movement Disorders Circadian Rhythm Disorders Insufficient/Poor Sleep Other sleep disorders
5 PROCEDURE: This is a series of four to five opportunities for the patient to sleep at a 2 hour interval each nap. The first nap should start 1.5 to 3 hours after awakening the patient from the polysomnogram. The morning after the polysomnogram, the technician is to remove the following: Leg leads Respiratory belts Intercostal EMGs Thermocouple Oximeter Watch/Alarm clock (if applicable)
6 PROCEDURE: (cont d) The patient is to change into their daytime clothes. Patient should be informed to bring buttoned down pajama tops and buttoned down t-shirts so as not to cause any damage to the electrodes already in place. It is important that the technician NOT wake the patient out of the last REM period of the night because the patient may experience a REM rebound on Nap #1. Patients should be asked if they need to go to the bathroom prior to the start of each nap opportunity.
7 Conventional Montage The montage should entail the following: 2 EEG leads (a Central and an Occipital) 2 Referential leads (M1 and M2) 2-4 EOG leads (ROC/M1, LOC/M2 and optional RUE/M1, RLE/M1) 3 EMG leads (mentalis and 2 submentalis) EKG leads The purpose of the Right Upper Eye and Right Lower Eye is to pick up more questionable Rapid Eye Movements
8 Contraindications The use of the MSLT to support a diagnosis of Narcolepsy is suspected if TST on the prior night sleep is less than 6 hours. The test should not be performed after a split-night study. Sleep logs may be acquired for one week prior to the MSLT to assess sleep-wake schedules (sleep hygiene)
9 Standardization Sleep rooms should be quiet and dark during testing. Room temperature should be set based on patient s comfort level. Smoking should be stopped at least 30 minutes prior to each nap opportunity. Vigorous physical activity should be avoided during the day and any stimulating activities by the patient should end at least 15 minutes prior to each nap opportunity. Patients must abstain from any caffeinated beverages and avoid unusual exposures to bright sunlight.
10 Standardization (cont d) A light breakfast is recommended at least 1 hour prior to the first nap. A light lunch is recommended immediately after the termination of the second nap.
11 Medications Stimulants, stimulant-like medications, and REM suppressing medications should be ideally stopped 2 weeks before the MSLT. Use of the patient s other usual medications (antihypertensives, insulin, etc.) should be thoughtfully planned by the sleep clinician before MSLT testing so that undesired influences by stimulating or sedating properties of medications are minimized. Sleep technologists who perform the MSLT should be experienced in conducting the test.
12 Patient Calibrations: The Patient Calibrations should be performed prior to commencing each nap. This is done to ensure the integrity of the electrodes and to correct any problems that may have occurred in between naps. Impedances should always be checked prior to each nap as well. Mr./Ms. please keep your eyes open for approximately 30 seconds. (note: Eyes Open)
13 Patient Calibrations: (cont d) Without moving your head, using only your eyes, please look to the Right, Left, Right, Left. (note: Look Right-Left-Right-Left) Again, without moving your head, using only your eyes, please look up towards your forehead, now down towards your feet, look back up again and back down (note: Look Up-Down) Now slowly and distinctly, please blink your eyes five times. (note: Blink x5) Grit your teeth and relax. (note: Grit teeth) Now close your eyes for approximately 30 seconds and I ll be in shortly. (note: Eyes closed)
14 Performance: Have the patient complete the Pre-Nap Questionnaire (see attached). Once this is completed then you can commence the nap. Instruct the patient to lie quietly and do whatever comes naturally. Turn off lights and start the test. If the patient does not sleep, you are to run the nap for 20 minutes or 40 epochs. If during this 20-minute time frame the patient falls asleep, you are to run the nap for 15 minutes or 30 epochs from the point where the patient fell asleep.
15 Pre-Nap Questionnaire (1) Feeling active and vital, alert, wide awake (2) Functioning at a high level, but not at peak, able to concentrate (3) Relaxed and awake, not at full alertness, responsive (4) A little foggy, let down (5) Fogginess, beginning to lose interest in remaining awake (6) Sleepiness, prefer to be lying down, fighting sleep, woozy (7) Almost in reverie, sleep onset soon, losing struggle to remain awake Nap #1: Nap #2: Nap #3: Nap #4: Nap #5:
16 Procedure If the patient gets into REM during this 15-minute time frame, you are to end the nap at the end of the 15 th minute of sleep. On the Technician Report Form, you are to compute the Sleep and REM Latencies (if applicable). If the patient does not sleep, you are to put as a Sleep Latency time of 20 minutes. To compute Sleep Latency, you would calculate Sleep Onset Epoch Lights Out Epoch then divide by 2. To compute REM Latency you would calculate REM Onset Epoch Sleep Onset Epoch then divide by 2.
17 Procedure (cont d) At the end of each nap, have the patient complete the Post-Nap Questionnaire (see attached). Disconnect the jack box and inform the patient that he must stay out of the bed and remain awake until the next nap commences. To calculate for the Mean Sleep Latency, you would add up all of the Sleep Latencies then divide by the number of naps.
18 Post-Nap Questionnaire Nap 1 Nap 2 Nap 3 Nap 4 Nap 5 Did you sleep? Y/N How long did you sleep? Did you dream? Y/N How long did it take you to fall asleep?
19 DIAGNOSIS: To be diagnosed as Narcoleptic, the patient would have to demonstrate a Mean Sleep Latency (an average of all the sleep latencies) of 5.0 minutes or less and demonstrate at least 2 Sleep Onset REM Periods (SOREMP). The primary clinical features of Narcolepsy are: Excessive Daytime Somnolence Sleep Paralysis Hypnogogic Hallucinations Cataplexy Not all four of the Narcolepsy Tetrad are experienced by the patient. Generally, two of the four features.
20 Nap #1 Lights Out at 9:00 am If no sleep, you would end the nap at: (1) Sleep onset occurred at 9:06 am Sleep latency is: (2) minutes Lights On at: (3)
21 Answer: Nap #1 Lights Out at 9:00 am If no sleep, you would end the nap at: 9:20 am If Sleep onset occurred at 9:06 am Sleep latency is: 6 minutes Lights On at: 9:21 am
22 How to derive the answers? Remember the rules: (1) if no sleep occurs, run the nap for 20 minutes (2) Sleep Latency is computed using the formula: Sleep Onset Time (9:06) - Lights Out Time (9:00) (3) Lights On will be 15 minutes after the sleep onset
23 Nap #2 Lights Out at: (1) am Sleep onset occurred at 11:03 am Sleep latency was: (2) minutes Wake observed at 11:04 am Lights On at: (3) am
24 Answer: Nap #2 Lights Out at: 11:00 am Sleep onset occurred at 11:03 am Sleep latency was: 3 minutes Lights On at: 11: 18 am
25 How to derive the answers? Remember the rules: (1) the naps will be run on a 2-hour interval (2) Sleep Latency is computed using the formula: Sleep Onset Time (11:03) - Lights Out Time (11:00) (3) Lights On will be 15 minutes after the sleep onset
26 Nap #3 Lights Out at: (1) pm Sleep onset occurred at 1:00 pm Sleep latency was: (2) minutes REM onset occurred at 1:02 pm REM latency was: (3) minutes Lights On at: (4) pm
27 Answer: Nap #3 Lights Out at: 1:00 pm Sleep onset occurred at 1:00 pm Sleep latency was: 0 minutes REM onset occurred at 1:02 pm REM latency was: 2 minutes Lights On at: 1:15 pm
28 How to derive the answers? Remember the rules: (1) the naps will be run on a 2-hour interval (2) Sleep Latency is computed using the formula: Sleep Onset Time (1:00) - Lights Out Time (1:00) (3) REM Latency is computed using the formula: REM onset Time (1:02) Sleep Onset Time (1:00) (4) Lights On will be 15 minutes after the sleep onset
29 Nap #4 Lights Out at: (1) pm Sleep was not observed Sleep latency would be: (2) minutes Lights On at: (3) pm
30 Answer: Nap #4 Lights Out at: 3:00 pm Sleep was not observed Sleep latency would be: 20 minutes Lights On at: 3:20 pm
31 How to derive the answers? Remember the rules: (1) the naps will be run on a 2-hour interval (2) if no sleep, run the nap for 20 minutes (3) Lights On will also be after 20 minutes since no sleep was achieved
32 Nap #5 Lights Out at epoch 350 Sleep onset occurred at epoch 355 Sleep latency was: (1) minutes REM onset occurred at epoch 365 REM latency was: (2) minutes Lights On at epoch: (3)
33 Answer: Nap #5 Lights Out at epoch 350 Sleep onset occurred at epoch 355 Sleep latency was: 2.5 minutes REM onset occurred at epoch 365 REM latency was: 5 minutes Lights On at epoch: 385
34 How to derive the answers? Remember the rules: (1) Sleep Latency is computed using the formula: Sleep Onset Epoch (355) - Lights Out Epoch (350) 2 (to convert epoch to minutes) (2) REM Latency is computed using the formula: REM Onset Epoch (365) Sleep Onset Epoch (355) 2 (to convert epoch to minutes) (3) Lights On will also be after 30 epochs or 15 minutes from sleep onset.
35 Calculation for Mean Sleep Latency Add all of the sleep latencies (including No Sleep of 20 minutes) and divide by the number of naps Example Nap #1: 6.0 minutes Nap #2: 3.0 minutes Nap #3: 0.0 minutes Nap #4: 20.0 minutes Nap #5: 2.5 minutes 31.5 minutes 5 = 6.3 minutes Mean Sleep Latency
36 On this lesson you have learned the standard procedure and protocols on how to conduct an MSLT. You have also learned how to generate an MSLT report. Next lesson will be the Maintenance of Wakefulness Test.
37 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) The Maintenance of Wakefulness Test (MWT) is an evaluation used as a quantitative polysomnographic (PSG) measurement of daytime wakefulness/ somnolence during soporific circumstances. The assessment of such disorders requires a polygraphic approach, in which multiple physiologic parameters are recorded during overnight evaluation followed the next day by 4 scheduled test periods.
38 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) MWT Protocols 4-trial MWT 40-minute protocol is 2 hour intervals. First trial begins 1.5 to 3 hours after the patient s usual wake-up time. Performance of a PSG prior to MWT should be decided by the clinician based on clinical circumstances. Sleep logs prior to MWT may be used based on clinical judgment. Room should be maximally insulated from external light.
39 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) MWT Protocols (cont d) Light source should be positioned slightly behind patient s head (out of field of vision) with an illuminance of lux at the corneal level (i.e. 7.5 watt light) Room temperature should be set based on the patient s comfort level. Patient should be seated in bed, with the back & head supported by a bedrest/bolster pillow such that the neck is not uncomfortably flexed or extended. Use of tobacco, caffeine and other medications by the patient before and during MWT should be addressed and decided upon by the sleep clinician before MWT.
40 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) MWT Protocols (cont d) Drug screening may be indicated to ensure that sleepiness/wakefulness on the MWT is not influenced by substances other than medically prescribed drugs. Sleep technologists who perform the MWT should be experienced in conducting the test. Conventional recording montage should be utilized. Prior to each trial, patient should be asked if they need to go to the bathroom. Standard instructions for Bio-cals should be performed prior to each trial.
41 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) MWT Protocols (cont d) Instruct the patient Please sit still and remain awake for as long as possible. Look directly ahead of you, and do not look directly at the light. Patients are not allowed to use extraordinary measures to stay awake such as slapping the face or singing. Trials are ended after 40 minutes if no sleep occurs, or after unequivocal sleep, defined as three consecutive epochs of stage 1 sleep or one epoch of any other stage of sleep. Start/Stop times for each, Sleep latency, TST, Stages of sleep achieved for each trial, and the mean sleep latency should be recorded.
42 LESSON 2: MAINTENANCE OF WAKEFULNESS TEST (MWT) On this lesson you have learned the protocols for conducting MWT.
43 MULTIPLE SLEEP LATENCY TEST AND MAINTENANCE OF WAKEFULNESS TEST (MWT) Reference AASM Practice Parameter: Practice Parameters for Clinical Use of the Multiple Sleep Latency Test and the Maintenance of Wakefulness Test, Sleep, Vol. 28, No. 1, 2005.
Instructions for In-Lab Sleep Study Procedures Please refer to the font of this booklet or email for the test you have been scheduled for Description Procedure Code Standard PSG (Polysomnogram) 95810 Split
Sleep Laboratory Sleep Laboratory Services The Sleep Laboratory conducts sleep studies to help patients determine the cause of their sleep problems. This brochure shares with you what to expect before,
General Information about Sleep Studies and What to Expect Why do I need a sleep study? Your doctor has ordered a sleep study because your doctor is concerned you may have a sleep disorder that is impacting
Tulane Comprehensive Sleep Medicine Center Home Faculty Our services FAQ Contact us Fellowship program As a leading Research and Academic Center in the Gulf South, Board-certified Sleep Medicine specialists
PRACTICE PARAMETER Practice Parameters for Clinical Use of the Multiple Sleep Latency Test and the Maintenance of Wakefulness Test An American Academy of Sleep Medicine Report Standards of Practice Committee
SLEEP QUESTIONNAIRE Name: Today s Date: Age (years): Your Sex (M or F): Height: Weight: Collar/Neck Size (inches) Medications you are taking: Medical conditions: High blood pressure Heart Disease Diabetes
Understanding Sleep Disorders Bob, diagnosed in 2005. What Are Sleep Disorders? Many sleep disorders are brain disorders that cause interruptions in sleep patterns. They prevent people from getting enough
Introduction Excessive daytime sleepiness (EDS) is a common complaint. Causes of EDS are numerous and include: o Intrinsic sleep disorders (e.g. narcolepsy, obstructive sleep apnoea/hypopnea syndrome (OSAHS)
Sleep Difficulties By Thomas Freedom, MD and Johan Samanta, MD For most people, night is a time of rest and renewal; however, for many people with Parkinson s disease nighttime is a struggle to get the
Snoring and Obstructive Sleep Apnea (updated 09/06) 1. Define: apnea, hypopnea, RDI, obstructive sleep apnea, central sleep apnea and upper airway resistance syndrome. BG 2. What are the criteria for mild,
Preparation guidelines for your Child s Sleep Study Patient Sticker here Maintain your child s regular night sleeping and nap schedule for several days before the study. On the day of the study, do not
Corporate Medical Policy Polysomnography for Non Respiratory Sleep Disorders File Name: Origination: Last CAP Review: Next CAP Review: Last Review: polysomnography_for_non_respiratory_sleep_disorders 10/2015
History of the present illness: 70 year old patient went to the sleep lab at his wife s request in 2007 with the results shown below. He denied sleepiness at the time and denies that CPAP led him to feel
Neurological causes of excessive daytime sleepiness Professor Adam Zeman Royal Devon and Exeter Hospital University of Exeter Medical School Excessive daytime sleepiness Physiological sleep deprivation,
Don t just dream of higher-quality sleep. How health care should be Many of our patients with sleep disorders don t realize there s another way of life, a better way, until they are treated. Robert Israel,
a wellness booklet from the American Academy of Sleep Medicine Dear Reader Sleep isn t just time out from daily life. It is an active state important for renewing our mental and physical health each day.
A Practical Guide on SLEEP AND PARKINSON S DISEASE MICHAELJFOX.ORG Introduction Many people with Parkinson s disease (PD) have trouble falling asleep or staying asleep at night. Some sleep problems are
Sleep Disorders Center 505-820-5363 455 St. Michael s Dr. 505-989-6409 fax Santa Fe, New Mexico 87505 QUESTIONNAIRE NAME: DOB: REFERRING PHYSICIAN: PRIMARY CARE PHYSICIAN: Do you now have or have you had:
Page 1 Chapter 8 Eating and Sleep Disorders Eating Disorders: An Overview Two Major Types of DSM-IV Eating Disorders Anorexia nervosa and bulimia nervosa Both involve severe disruptions in eating behavior
How To Avoid Drowsy Driving AAA Foundation for Traffic Safety Sleepiness and Driving Don t Mix Feeling sleepy is especially dangerous when you are driving. Sleepiness slows your reaction time, decreases
Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia
Stroke and Sleep Disorders What is a sleep disorder? Getting a good night s sleep is an important part of stroke recovery, yet sleep problems are common among stroke survivors. When sleep problems go on
Obstructive Sleep Apnea Case Study Shirin Shafazand, MD, MS Neomi Shah, MD for the Sleep Education for Pulmonary Fellows and Practitioners, SRN ATS Committee August 2014 Part 1: Case Presentation Mr. Simon
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
Reading: Skimming and Scanning Skimming involves quickly glancing through a text to get a general sense of what it is about. You do not actually read the whole piece; you simply look through it, perhaps
OHTAC Recommendation Polysomnography in Patients with Obstructive Sleep Apnea June 16, 2006 1 The Ontario Health Technology Advisory Committee (OHTAC) met on June 16, 2006 and reviewed a health technology
SLEEP QUESTIONNAIRE Patient Name: Height: Weight: Date : My Main Sleep Complaint(s) : Trouble sleeping at night.. yes no Falling asleep.. yes no Staying asleep.. yes no Snoring. yes no Stop breathing yes
INSOMNIA SELF-CARE GUIDE University of California, Berkeley 2222 Bancroft Way Berkeley, CA 94720 Appointments 510/642-2000 Online Appointment www.uhs.berkeley.edu All of us have trouble sleeping from time
Sleep Disorders Introduction Sleep disorders are very common conditions that can be overcome. It is important to understand what affects sleep and the importance of sleep. This reference summary will help
SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P. Problems with sleep are common in Parkinson s disease. They can sometimes interfere with quality of life. It is helpful to
SLEEP CLINIC Patient Information Sheet It is very important that you arrive for your scheduled appointment. If you are unable to make it to your appointment, please ensure you call the clinic to cancel
Keeping the night shift healthy (and happy ) Danielle Livelsberger RPSGT OSU Sleep Lab Manager Objectives Identify good sleep practices Identify actions to help manage sleep when working night shift Sleep
THE ROLE OF SLEEP IN THE LIFE OF A TEEN Did You Know? 85% of teens get less than the minimum requirement of 8 ½ hours of sleep Less Sleep More Time Shortened sleep impairs learning, performance, health
MWT review paper.qxp 12/30/2004 8:46 AM Page 123 REVIEW PAPER The Clinical Use of the MSLT and MWT Donna Arand, Ph.D 1, Michael Bonnet, Ph.D 2, Thomas Hurwitz, M.D 3, Merrill Mitler, Ph.D 4, Roger Rosa,
Sleep Disorders Interview Name: Gender: M F Marital Status: M Sep Single D W Day Phone: Date of Birth: / / Education (Yrs): Yr Mth Day Referral Source: Interviewer: Nature of Sleep-Wake Problem In a typical
Sleep Study Frequently Asked Questions Upstate Sleep Center Medical Center West Suite 101 5700 West Genesee Street Camillus, NY 13031 (315) 487-5337 What Causes Snoring? Snoring is the sound made by air
teenagers drowsy driving Staying safe behind the wheel a wellness booklet from the American Academy of Sleep Medicine Dear Reader Sleep isn t just time out from daily life. It is an active state important
Dr Sarah Blunden s Adolescent Sleep Facts Sheet I am Sleep Researcher and a Psychologist. As a Sleep Researcher, I investigate the effects of poor sleep on young children and adolescents. I also diagnose
4. What is the ECG abnormality in the epoch shown in Figure 4-A? A. Nonconducted premature atrial contractions B. Third-degree (complete) heart block C. Mobitz type I second-degree heart block D. Mobitz
SLEEP QUESTIONNAIRE AND WAKEFULNESS (SQAW) PATIENT: DOCTOR: DATE COMPLETED: Must Be Completed by Appointment Date 7423-029-W-BKLT 11-1-09 For questions to be answered on a scale of 1 to 5, please circle
What to Expect During Your Stay at a Sleep Disorders Lab Information for patients and families Read this information to learn: what a sleep study is what a CPAP titration study is how to prepare what to
How to sleep better at night - sleep hygiene Information for anyone having trouble sleeping www.leicspart.nhs.uk mail: email@example.com Aim for a good night s sleep A good night s sleep should
ATN Sleep Strategies Document for Teens Sleep problems-- either trouble falling asleep, staying asleep, or early morning waking, are common problems in teens with Autism Spectrum Disorders (ASD). There
Welcome! Please read the following document carefully as it contains pertinent information regarding your sleep study, interpretation of your study, and billing information. On behalf of our staff here
SLEEP DISORDER ADULT QUESTIONNAIRE Name: Date: Date of Birth (month/day/year): / / Gender: ο Male ο Female Marital Status: ο Never Married ο Married ο Divorced ο Widowed Home Address: City: Zip: Daytime
Coping with Shift Work & Fatigue A good practice guide for drivers Working shifts can lead to fatigue. This may make you more likely to be involved in incidents and accidents. Managing your sleep at home
Patient Packet Sleep/Wake Disorders Center Centers of Excellence Sleep Center directions To help determine your medical treatment, your physician has requested that you undergo sleep testing at the Community
SLEEP DISORDERS CENTER St. Joseph Mercy Ann Arbor 5305 Elliott Drive, Ypsilanti, MI 48197 734-712-2276 / Fax 734-712-2967 Sleep Study Information Home Sleep Apnea Testing Dear,, Your are Sleep scheduled
CRUfADclinic Patient Resource CRUfADclinic.org - Resource Additional Resource Good Sleep Guide www.crufadclinic.org 2 Improving your Sleep Many people with anxiety and depression suffer from difficulties
Sleep Medicine and Psychiatry Roobal Sekhon, D.O. Common Diagnoses Mood Disorders: Depression Bipolar Disorder Anxiety Disorders PTSD and other traumatic disorders Schizophrenia Depression and Sleep: Overview
SUMMA HEALTH SYSTEM Sleep Medicine Services Contents Why should I be concerned about a sleep disorder? 2 Evaluate Your Daytime Sleepiness 3 Common sleep disorders 5 About sleep studies 6 What to expect
Name: Age: Gender: Male Female Date of Birth (month/day/year): / / Race: Marital Status: Never married Married Divorced Widowed Home Address: City: ZIP: Daytime Phone: ( ) Evening Phone: ( ) _ Cell Phone:
Memorial Hospital Sleep Center Rock Springs, Wyoming 82901 Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am) Office Phone: 307-352- 8390 (Mon Fri 8:00 am 4:00 pm ) Patient Name: Sex Age Date Occupation:
THE CENTER FOR SLEEP DISORDERS GW- MEDICAL FACULTY ASSOCIATES SLEEP DISORDERS INVENTORY Vivek Jain, M.D. Director, The Center for Sleep Disorders GW-Medical Faculty Associates Samuel J. Potolicchio, M.
Patient Education Sleep and Brain Injury This handout describes how brain injury may affect sleep. A list of resources is included. Why is sleep important? During sleep, your brain and body recharge. Proper
o Initial privileges (initial appointment) o Renewal of privileges (reappointment) o Expansion of privileges (modification) All new applicants must meet the following requirements as approved by the UNMH
Do you have a sleep disorder? Take this self-test Yes No Have you been told that you snore? Do you often feel tired or have a headache when you awake in the morning? Do you awaken frequently during the
Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem Nearly 40 million Americans suffer from sleep disorders Greater in women National Sleep Foundation 2010 Sleep in America Poll 25% reported
LifeCoach: Overcoming Depression Session 2 Sleep Scheduling and Stimulus Control Techniques Lesson 1: Sleep Scheduling Techniques Two of the most important techniques in the Conquering Insomnia program
National Sleep Foundation s Guide to Promoting, Marketing and Advocating Healthy Sleep in Your Community Teen Sleep Diary WHAT CAN SLEEP DO FOR YOU? Make it easier to learn, pay attention and solve problems
LifeCoach: Overcoming Depression Session 1 Understanding Insomnia Lesson 1: Introduction to Conquering Insomnia Conquering Insomnia What Is Insomnia? Let s start by defining insomnia. Insomnia means not
3800 Reservoir Road, NW Washington DC, 20007 5 th Floor Main Building #5411 MedStar Georgetown University Hospital Sleep Disorders Center Pediatric Patient Information Packet Appointment Time: 8:30pm Please
Scope Primary Care Management of Sleep Complaints in Adults (Revised 2004) This guideline is for the primary care management of non-respiratory sleep disorders in adults and follows the DSM-IV-TR classification
Cognitive Behavioral Therapy for Insomnia (CBT-I) Virginia Runko, PhD, CBSM Behavioral Sleep Medicine Specialist Licensed Psychologist The Ross Center for Anxiety and Related Disorders, Washington DC Workshop
Poor sleep/sleepiness in teenagers what causes it how to assess it what can be done to help Dorothy Bruck Professor of Psychology 1 My aim today. Help you know what to ask make differential assessments
State perception in physiological sleep Rated versus measured sleep Outline Definition and criteria of sleep Methods to measure sleep Discrepancies between measured and rated sleep Studies with interviews
Sleep Deprivation and Fatigue Effects on Performance in Residency Training Adapted from the American Academy of Sleep Medicine Learning Objectives 1. List factors that put you at risk for sleepiness and
Sleep Strategies for Teens with Autism Spectrum Disorder A Guide for Parents These materials are the product of on-going activities of the Autism Speaks Autism Treatment Network, a funded program of Autism
Syed Hassan Almashoor, MRCP, Abu Bakar, MRCP, Buhari Hashami, MRCP, Rojey Berinoe, MRCP The aim of the study was to compare the sleep architecture of two groups of patients who presented with insomnia.
The following product has been developed by the American Academy of Sleep Medicine Copyright 2003 American Academy of Sleep Medicine One Westbrook Corporate Center, Ste. 920, Westchester, IL 60154 Telephone:
Diabetes and Sleep Problems Sleep Study Diabetes and Sleep Problems Sanjay R. Patel, MD, MS Suzanne M. Bertisch MD, MPH Amy P. Campbell, MS, RD, CDE David Erani, MD This booklet was developed by Joslin
1 ROLE OF ORAL APPLIANCES TO TREAT OBSTRUCTIVE SLEEP APNEA There are three documented ways to treat obstructive sleep apnea: 1. CPAP device 2. Oral Appliances 3. Surgical correction of nasal and oral obstructions
Diagnosis of Sleep Apnea John E. Stevenson, MD, FACP ABSTRACT Rapidly accumulating evidence shows that sleep apnea is a major factor influencing personal health and public safety. Diagnosis and treatment
Using EEG for recording Sleep Elaine Tham 1. What is sleep polysomnography or sleep EEG? 2. Sleep stages/scoring 3. Relating sleep EEG with behavioural data 1. Sleep Polysomnography THE REST (Head) EYES
Aging with Physical Disability FACT SHEET Sleep and Aging with a Disability Many people with physical disabilities suffer from sleep disturbances, and sleep tends to become more disrupted as we get older.
Summary of AASM Clinical Guidelines for the Manual Titration of Positive Airway Pressure in Patients with Obstructive Sleep Apnea - Updated July 2012 SUMMARY: Sleep technologists are team members who work
HEALTH EVIDENCE REVIEW COMMISSION (HERC) COVERAGE GUIDANCE: DIAGNOSIS OF SLEEP APNEA IN ADULTS DATE: 5/9/2013 HERC COVERAGE GUIDANCE The following diagnostic tests for Obstructive Sleep Apnea (OSA) should
The Older Driver Dilemma In America, driving a vehicle is not just a way to get from one place to another. It frequently means something about who we are and how we conduct our lives. If we lose the ability