Continuous Positive Airway Pressure Education On Adherence In Adults With Obstructive Sleep Apnoea

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Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea

Author : Yuen-Kwan Agnes Lai
Publisher : Open Dissertation Press
ISBN 13 : 9781361343098
Total Pages : pages
Book Rating : 4.3/5 (43 download)

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Book Synopsis Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea by : Yuen-Kwan Agnes Lai

Download or read book Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea written by Yuen-Kwan Agnes Lai and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Continuous Positive Airway Pressure Education on Adherence in Adults With Obstructive Sleep Apnoea" by Yuen-kwan, Agnes, Lai, 賴婉君, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Poor adherence to continuous positive airway pressure (CPAP) treatment in patients with obstructive sleep apnoea (OSA) limits its therapeutic effectiveness and has a major impact on clinical outcomes. Effective education programme is important to enhance CPAP use. However, existing education programmes are either manpower or resource demanding and may not be feasible in clinical practice. Moreover, the Self-Efficacy Measure for Sleep Apnoea (SEMSA) has been widely adopted for assessing adherence-related cognitions on CPAP therapy in OSA patients, but it was not available for Chinese. The aims of this thesis are: (i) to perform linguistic and psychometric evaluation of a Chinese version of SEMSA (SEMSA-C); (ii) to examine the efficacy of brief motivational enhancement education programme in addition to standard care versus standard care only on improving adherence to CPAP treatment in patients with OSA. The SEMSA-C was obtained after the standard forward-backward translation process. A randomised controlled trial was then conducted on newly diagnosed OSA patients. Patients in the control group received standard care (SC) comprising advice on the importance of CPAP therapy and its care while those in the intervention group received SC plus motivational enhancement education programme (ME). ME focused to enhance subjects' knowledge, motivation and self-efficacy to use CPAP, comprising one 45-minute session on the day after CPAP titration and one 10-minute telephone follow-up shortly after commencing CPAP treatment. Epworth Sleepiness Scale (ESS), SEMSA-C, and quality of life were assessed. CPAP usage data were downloaded at the completion of this 3-month study. The primary outcome was the CPAP adherence. Furthermore, 21 patients were randomly sampled at baseline and completed the SEMSA-C at one week. 100 patients (Men: Women, 84: 16) with OSA indicated for CPAP treatment were recruited, with an average age of 5210 years, and apnoea hypopnoea index (AHI) of 36.222 events/hour. Factor analysis of SEMSA-C identified three factors: risk perception, outcome expectancies and treatment self-efficacy. Their corresponding internal consistency was high with Cronbach's alpha >0.88, which were larger than all correlations between subscales (Range: 0.14 to 0.58). The correlations between items and their hypothesized subscale (Range: 0.58 to 0.85) were generally higher than the correlations between items and their competing subscales (Range: -0.10 to 0.58). One-week test-retest intra-class correlation ranged from 0.70 to 0.82. CPAP adherence was associated with outcome expectancies and treatment self-efficacy at 3-month assessment. Furthermore, SEMSA-C demonstrated an improvement in self-efficacy (standardised response mean = 0.33, p = .044) but no significant changes were observed in the other two factors, after CPAP use. The 100 patients were followed for 3 months. The interventional effects maintained during the 3-month study period. There were a better CPAP use [higher daily CPAP usage of 2 hours/day (Cohen d = 1.33, p = 70% of days with >= 4 hours per day (p The traditional Chinese SEMSA-C possesses satisfact

Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea

Author : 賴婉君
Publisher :
ISBN 13 :
Total Pages : 278 pages
Book Rating : 4.:/5 (883 download)

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Book Synopsis Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea by : 賴婉君

Download or read book Continuous Positive Airway Pressure Education on Adherence in Adults with Obstructive Sleep Apnoea written by 賴婉君 and published by . This book was released on 2013 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Drug-Induced Sleep Endoscopy

Author : Nico de Vries
Publisher : Thieme
ISBN 13 : 3132403660
Total Pages : 442 pages
Book Rating : 4.1/5 (324 download)

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Book Synopsis Drug-Induced Sleep Endoscopy by : Nico de Vries

Download or read book Drug-Induced Sleep Endoscopy written by Nico de Vries and published by Thieme. This book was released on 2020-11-11 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.

CPAP Adherence

Author : Colin M. Shapiro
Publisher : Springer Nature
ISBN 13 : 3030931463
Total Pages : 388 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis CPAP Adherence by : Colin M. Shapiro

Download or read book CPAP Adherence written by Colin M. Shapiro and published by Springer Nature. This book was released on 2022-04-27 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a broad range of perspectives on the topic of CPAP adherence. This includes theoretical underpinnings of adherence; multi-disciplinary practical approaches as well as special considerations in diverse clinical populations, age groups and cultures by authors from five continents. CPAP Adherence is a novel and highly relevant publication for sleep physicians, psychologists, dentists, respiratory therapists, sleep technicians, family physicians as well as PAP and oral appliance providers. This book will help improve patient care and quality of life.

Complex Sleep Breathing Disorders

Author : Christine Won
Publisher : Springer Nature
ISBN 13 : 3030579425
Total Pages : 240 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Complex Sleep Breathing Disorders by : Christine Won

Download or read book Complex Sleep Breathing Disorders written by Christine Won and published by Springer Nature. This book was released on 2021-01-05 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a clinically relevant and educational resource for sleep specialists, practitioners, and sleep or pulmonary trainees in the management of complicated sleep disordered breathing. It tackles complicated sleep breathing disorders by discussing their epidemiology, pathophysiology, clinical significance, physical findings, and their diagnosis and management. Organized into 21 chapters, opening chapters cover a variety of sleep apnea manifestations including hypercapnic obstructive sleep apnea, complex breathing disorders and strokes. Subsequent chapters discuss detailed approaches to PAP titrations based on best evidence, current guidelines, or expert opinion. Treatment options, complications, comorbidities, and sleep apnea in specific demographics such as pregnant women are also addressed. Complex Sleep Breathing Disorders: A Clinical Casebook of Challenging Patients is a necessary resource for all sleep trainees and pulmonary fellows, as well as a resource for sleep specialists including sleep technicians.

Sleep Medicine and Physical Therapy

Author : Cristina Frange
Publisher : Springer Nature
ISBN 13 : 3030850749
Total Pages : 430 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Sleep Medicine and Physical Therapy by : Cristina Frange

Download or read book Sleep Medicine and Physical Therapy written by Cristina Frange and published by Springer Nature. This book was released on 2021-12-10 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep is considered one of the vital signs and has become an important public health issue in our society. Thus, sleep impacts on overall health and, conversely, certain common medical conditions can impair sleep. Emerging evidence, in conjunction with clinical experience, demonstrates that physical therapy improves several sleep disorders and also optimized sleep contributes to boost rehabilitation. As health care professionals, physical therapists are singularly concerned with well-being and need to be competent to instruct their patients to rest and sleep. This book discusses evidences of physiotherapy and sleep medicine. It elucidates the neurophysiological background and mechanisms for physiotherapeutic resources and techniques, directing the future for promising research in the area. Divided in seven sections, the work initially addresses the basic concepts of sleep and physiotherapy and its relation to practice, including the importance of sleep medicine for health. The second section focuses on the basic conceptions of physical therapists' understanding and working in clinical practice and research with sleep.The next section reviews the most common sleep disturbances such as insomnia, restless legs syndrome, and respiratory sleep disturbances. Special populations, spotlighting childhood and adolescence, women physiologic reproductive stages, sleep and gender, and sleep and pain interactions are also examined. Last sections discuss the physical therapy resources to improve sleep and to treat sleep disturbances. This title is an essential resource not only for graduate students, residents, health professionals and physiotherapists working in prevention and rehabilitation, but also for researchers interested in screening, diagnostic and treatment innovations. It is addressed to neurologists, sleep medicine specialists and physical educators as well.

Snoring and Obstructive Sleep Apnea

Author : David N. F. Fairbanks
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781740791
Total Pages : 304 pages
Book Rating : 4.7/5 (47 download)

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Book Synopsis Snoring and Obstructive Sleep Apnea by : David N. F. Fairbanks

Download or read book Snoring and Obstructive Sleep Apnea written by David N. F. Fairbanks and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.

Message Framing as a Predictor of Adherence to Continuous Positive Airway Pressure Therapy

Author : Robin J. Trupp
Publisher :
ISBN 13 :
Total Pages : 128 pages
Book Rating : 4.:/5 (669 download)

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Book Synopsis Message Framing as a Predictor of Adherence to Continuous Positive Airway Pressure Therapy by : Robin J. Trupp

Download or read book Message Framing as a Predictor of Adherence to Continuous Positive Airway Pressure Therapy written by Robin J. Trupp and published by . This book was released on 2008 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Sleep disordered breathing is a family of disorders characterized by abnormalities in either the quality or quantity of respirations during sleep. Approximately 5% of the general population and 30% of those with cardiovascular disease have some type of sleep disorder, most commonly manifested as obstructive sleep apnea (OSA). Continuous positive airway pressure (CPAP) is the gold standard for treating OSA. By acting as a pneumatic splint, CPAP essentially mitigates many of the acute physiologic responses to OSA. Just 4 hours of CPAP therapy can provide benefit in sleepiness, snoring, blood pressure, and cognitive functioning with carry-over effects that continue for the following day. CPAP treatment is associated with suboptimal and variable rates of adherence. Importantly, these rates are established quickly, often within the first week of therapy, and are not easily altered after that initial exposure. To date, no reliable or modifiable variables or technological advancements have been shown to consistently improve CPAP use. This research examined the impact of positive or negative educational messages about CPAP on 30-day adherence to the therapy in 55 patients with a history of cardiovascular disease and who were CPAP naive. Following standard information about CPAP, participants were randomized to receive supplemental education about CPAP, from either positive (focusing on good outcomes associated with using CPAP) or negative (emphasizing the consequences of untreated OSA) framing formats. In post hoc analysis, using CPAP for 4 or more hours the first night strongly predicted 30-day adherence (p

Depression and Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea

Author : Rachel Denise Wells
Publisher :
ISBN 13 :
Total Pages : 240 pages
Book Rating : 4.:/5 (612 download)

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Book Synopsis Depression and Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea by : Rachel Denise Wells

Download or read book Depression and Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea written by Rachel Denise Wells and published by . This book was released on 2005 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Obstructive Sleep Apnoea

Author : Ferran Barbé
Publisher : European Respiratory Society
ISBN 13 : 1849840601
Total Pages : 342 pages
Book Rating : 4.8/5 (498 download)

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Book Synopsis Obstructive Sleep Apnoea by : Ferran Barbé

Download or read book Obstructive Sleep Apnoea written by Ferran Barbé and published by European Respiratory Society. This book was released on 2015-03-01 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obstructive sleep apnoea (OSA) is a common and progressive chronic disease. It is responsible for a high number of comorbidities and is linked with increased mortality, including a rise in the rate of sudden cardiac death. It is widely acknowledged that OSA now affects millions of people worldwide. This Monograph considers this high-impact condition from four different perspectives: pathogenesis; at-risk populations; clinical scenarios; and treatment and management. Comprehensive and up-to-date chapters provide the reader with a concise overview of OSA, making this book a useful reference for pulmonologists concerned with the management of this disease.

Management of Obstructive Sleep Apnea

Author : Ki Beom Kim
Publisher : Springer Nature
ISBN 13 : 3030541460
Total Pages : 646 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Management of Obstructive Sleep Apnea by : Ki Beom Kim

Download or read book Management of Obstructive Sleep Apnea written by Ki Beom Kim and published by Springer Nature. This book was released on 2021-01-04 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.

Advanced PAP Therapies and Non-invasive Ventilation, An Issue of Sleep Medicine Clinics, E-Book

Author : Lee K. Brown
Publisher : Elsevier Health Sciences
ISBN 13 : 0323552994
Total Pages : pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Advanced PAP Therapies and Non-invasive Ventilation, An Issue of Sleep Medicine Clinics, E-Book by : Lee K. Brown

Download or read book Advanced PAP Therapies and Non-invasive Ventilation, An Issue of Sleep Medicine Clinics, E-Book written by Lee K. Brown and published by Elsevier Health Sciences. This book was released on 2017-11-13 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Sleep Medicine Clinics is edited by Drs. Brown and Shahrokh Javaheri and focuses on Advanced PAP Therapies and Non-invasive Ventilation. Article topics include: Current Positive Airway Pressure Device Technology: What’s in the “black box? ; Testing the Performance of Positive Airway Pressure Generators: From Bench to Bedside; Treatment of Obstructive Sleep Apnea: Choosing the Best PAP Device; Treatment of Obstructive Sleep Apnea: Choosing the Best Interface; Treatment of Obstructive Sleep Apnea: Achieving Adherence and Dealing with Complications; Treatment of Hyperventilatory Central Sleep Apnea: Idiopathic, CHF, Cerebrovascular Disease, and High Altitude; Disordered Breathing Due to Chronic Opioid Use: Diverse Manifestations and Their Management; Obesity Hypoventilation Syndrome: Choosing the Appropriate Treatment for a Heterogeneous Disorder; Positive Airway Pressure Treatment in the Patient with Ventilatory Failure due to Neuromuscular Disease; Non-invasive Ventilation in Acute Ventilatory Failure; Domiciliary Non-invasive Ventilation for Chronic Ventilatory Failure; The Future of Positive Airway Pressure Technology.

A Case a Week: Sleep Disorders from the Cleveland Clinic

Author : Nancy Foldvary-Schaefer
Publisher : OUP USA
ISBN 13 : 0195377729
Total Pages : 439 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis A Case a Week: Sleep Disorders from the Cleveland Clinic by : Nancy Foldvary-Schaefer

Download or read book A Case a Week: Sleep Disorders from the Cleveland Clinic written by Nancy Foldvary-Schaefer and published by OUP USA. This book was released on 2010-10-28 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book uses a novel approach to clinical sleep medicine by examining real patient stories, workups and outcomes to illustrate common and not-so-common sleep-wake disorders. These case studies are complemented by high quality figures, photography and video clips.

Effectiveness of Long-term Compliance with Continuous Positive Airway Pressure in Treating Obstructive Sleep Apnea

Author : Martin N. Bomalaski
Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis Effectiveness of Long-term Compliance with Continuous Positive Airway Pressure in Treating Obstructive Sleep Apnea by : Martin N. Bomalaski

Download or read book Effectiveness of Long-term Compliance with Continuous Positive Airway Pressure in Treating Obstructive Sleep Apnea written by Martin N. Bomalaski and published by . This book was released on 2007 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Effects of a Short Course of Eszopiclone on Continuous Positive Airway Pressure Adherence

Author :
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (574 download)

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Book Synopsis Effects of a Short Course of Eszopiclone on Continuous Positive Airway Pressure Adherence by :

Download or read book Effects of a Short Course of Eszopiclone on Continuous Positive Airway Pressure Adherence written by and published by . This book was released on 2009 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Untreated obstructive sleep apnea (OSA) is associated with adverse effects on both health and quality of life (1, 2). Continuous positive airway pressure (CPAP) is recommended as first-line therapy for most patients to improve sleep quality, reduce daytime sleepiness, and enhance quality of life. It may also mitigate the increased risk for cardiovascular events (3-6). However, adherence to CPAP is often poor, which limits its efficacy. Of patients who initiate CPAP, approximately 50% discontinue use within the first year, most within the first month. The initial experience with CPAP influences who accepts and continues treatment (7). Patients who experience initial discomfort, intolerance, or lack of perceived benefit are more likely to discontinue therapy (8). Some studies suggest that psychosocial factors may also affect short- and intermediate-term adherence (9, 10). The only consistently reliable predictor of long-term adherence has been the use of CPAP during the initial treatment period (11). The average nightly CPAP use during the first 3 months of therapy can predict use at 6 and 12 months (12). Furthermore, longterm adherence patterns may be determined within the first few days of therapy (13). Therefore, strategies aimed at improving adherence with therapy should focus on the initial experience with CPAP.

Chalk Talks in Internal Medicine

Author : Somnath Mookherjee
Publisher : Springer Nature
ISBN 13 : 3030348148
Total Pages : 347 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Chalk Talks in Internal Medicine by : Somnath Mookherjee

Download or read book Chalk Talks in Internal Medicine written by Somnath Mookherjee and published by Springer Nature. This book was released on 2020-09-30 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.

STOP, THAT and One Hundred Other Sleep Scales

Author : Azmeh Shahid
Publisher : Springer Science & Business Media
ISBN 13 : 1441998926
Total Pages : 403 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis STOP, THAT and One Hundred Other Sleep Scales by : Azmeh Shahid

Download or read book STOP, THAT and One Hundred Other Sleep Scales written by Azmeh Shahid and published by Springer Science & Business Media. This book was released on 2012-01-06 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient’s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician’s ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument’s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders.