Screening & treating patients with sleep/wake disorders
Sleep/wake disorders are common, underdiagnosed, and associated with serious consequences. Patients tend not to mention sleep problems and clinicians often do not ask about them. Using a few simple screening questions and tools can uncover sleep/wake disorders that will respond to treatment. Conside...
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| container_title | JAAPA (Montvale, N.J.) |
| container_volume | Suppl Sleep |
| creator | Blythe, Julianne Doghramji, Paul P Jungquist, Carla R Landau, Marc B Valerio, Teresa D Ancoli-Israel, Sonia Auerbach, Sanford H |
| description | Sleep/wake disorders are common, underdiagnosed, and associated with serious consequences. Patients tend not to mention sleep problems and clinicians often do not ask about them. Using a few simple screening questions and tools can uncover sleep/wake disorders that will respond to treatment. Consider asking about sleep during annual physicals and regular visits for chronic conditions. This is especially relevant when following patients with conditions linked to sleep/wake disorders. Educating patients about normal sleep and good sleep hygiene may improve sleep and prompt mention of unhealthy sleep/wake patterns.The use of CPAP leads to beneficial outcomes in OSA. Psychological and behavioral measures offer the best choice for patients with chronic insomnia. Bright light can help retrain the circadian rhythm in patients with circadian rhythm sleep disorders. Dopamine agonists are approved for treatment of RLS. Through a greater awareness of sleep/wake disorders and taking a proactive approach to patient questioning, diagnosis, education, and management, clinicians can better detect and treat sleep/wake disorders and improve patient outcomes and quality of life. |
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Doghramji, Paul P ; Jungquist, Carla R ; Landau, Marc B ; Valerio, Teresa D ; Ancoli-Israel, Sonia ; Auerbach, Sanford H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p125t-6618a932183db2bb5023af93ee860b2ba89cd7bddea3943694553ec7624919783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Circadian Rhythm</topic><topic>Continuous Positive Airway Pressure - methods</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Dopamine Agonists - therapeutic use</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health technology assessment</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Obesity - diagnosis</topic><topic>Obesity - therapy</topic><topic>Polysomnography</topic><topic>Restless Legs Syndrome - complications</topic><topic>Restless Legs Syndrome - diagnosis</topic><topic>Restless Legs Syndrome - therapy</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep Disorders, Circadian Rhythm - complications</topic><topic>Sleep Disorders, Circadian Rhythm - diagnosis</topic><topic>Sleep Disorders, Circadian Rhythm - therapy</topic><topic>Treatment Outcome</topic><topic>Wakefulness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blythe, Julianne</creatorcontrib><creatorcontrib>Doghramji, Paul P</creatorcontrib><creatorcontrib>Jungquist, Carla R</creatorcontrib><creatorcontrib>Landau, Marc B</creatorcontrib><creatorcontrib>Valerio, Teresa D</creatorcontrib><creatorcontrib>Ancoli-Israel, Sonia</creatorcontrib><creatorcontrib>Auerbach, Sanford H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>JAAPA (Montvale, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blythe, Julianne</au><au>Doghramji, Paul P</au><au>Jungquist, Carla R</au><au>Landau, Marc B</au><au>Valerio, Teresa D</au><au>Ancoli-Israel, Sonia</au><au>Auerbach, Sanford H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening & treating patients with sleep/wake disorders</atitle><jtitle>JAAPA (Montvale, N.J.)</jtitle><addtitle>JAAPA</addtitle><date>2009-12</date><risdate>2009</risdate><volume>Suppl Sleep</volume><spage>1</spage><epage>17; quiz 19</epage><pages>1-17; quiz 19</pages><issn>1547-1896</issn><abstract>Sleep/wake disorders are common, underdiagnosed, and associated with serious consequences. Patients tend not to mention sleep problems and clinicians often do not ask about them. Using a few simple screening questions and tools can uncover sleep/wake disorders that will respond to treatment. Consider asking about sleep during annual physicals and regular visits for chronic conditions. This is especially relevant when following patients with conditions linked to sleep/wake disorders. Educating patients about normal sleep and good sleep hygiene may improve sleep and prompt mention of unhealthy sleep/wake patterns.The use of CPAP leads to beneficial outcomes in OSA. Psychological and behavioral measures offer the best choice for patients with chronic insomnia. Bright light can help retrain the circadian rhythm in patients with circadian rhythm sleep disorders. Dopamine agonists are approved for treatment of RLS. Through a greater awareness of sleep/wake disorders and taking a proactive approach to patient questioning, diagnosis, education, and management, clinicians can better detect and treat sleep/wake disorders and improve patient outcomes and quality of life.</abstract><cop>United States</cop><pmid>20397303</pmid></addata></record> |
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| ispartof | JAAPA (Montvale, N.J.), 2009-12, Vol.Suppl Sleep, p.1-17; quiz 19 |
| issn | 1547-1896 |
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| subjects | Circadian Rhythm Continuous Positive Airway Pressure - methods Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - therapy Dopamine Agonists - therapeutic use Health Knowledge, Attitudes, Practice Health technology assessment Humans Hypertension - complications Hypertension - diagnosis Hypertension - therapy Male Middle Aged Obesity - complications Obesity - diagnosis Obesity - therapy Polysomnography Restless Legs Syndrome - complications Restless Legs Syndrome - diagnosis Restless Legs Syndrome - therapy Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - therapy Sleep Disorders, Circadian Rhythm - complications Sleep Disorders, Circadian Rhythm - diagnosis Sleep Disorders, Circadian Rhythm - therapy Treatment Outcome Wakefulness |
| title | Screening & treating patients with sleep/wake disorders |
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