Handbook

• Consequences of Insomnia

  Short Term ConsequencesFatigue and tirednessUnpleasant body sx, e.g. heavy eyesHypersensitivity to noise and lightMood disturbance: irritability, increased emotional reactivityNegative personal interactions with children, partnersReduced self-esteem, optimism and confidencePoor quality of lifePts often feel alone and misunderstoodCognitive disturbance: reduced attention, concentration and performance Long Term Consequences:...

• Chronic Insomnia

  Def: difficulty falling or maintaining sleep for atleast 3 times a week for atleast 3 months. Provided other sleep disorders are ruled out.Prevelance; atleast 6-10% of adults, mostly women Subtypes of Chronic Insomnia1. Psychophysiological – racing thoughts, heightened arousals, anxiety 2. Paradoxical Insomnia – perception...

• Diagnostic Tests in Sleep Medicine

  Variety of tests exist to help diagnose sleep disorders, familarize yourself with them 1. Pulse OximetryOvernight pulse oximetry can help screen for potential Sleep breathing disordersOrganizations like Mayo Clinic use them for screening prior to sending for a consultI used them in the hospital prior...

• Sleep Basics

  Sleep is a state of psychomotor arrest with an increased arousal threshold and sensory disconnection from the environment.As humans we spend 1/3 of our lives sleeping, and sleep is not merely a passive state of rest. Normal sleep comprises 2 major states; NREM Sleep and...