Insomnia, Sleep Apnea, Narcolepsy

Learning Objectives
Upon completing the course you'll be able to:
Chapter 1. Test Your Sleep I.Q.
  1. Answer questions of your patient and dispel misconceptions about sleep.
Chapter 2. Brain Basics: Understanding Sleep
  1. Describe various phases of sleep and our body's reaction during each phase.
  2. Explain the role played by circadian rhythms in our sleep.
  3. Make the connection between sleep and many diseases.

Chapter 3. Insomnia: Assessment and Management in Primary Care
  1. Define insomnia and classify insomnia associated with various causes.
  2. Provide a differential diagnosis of primary insomnia.
  3. Frame and ask questions to assess insomnia.
  4. List 8 general sleep hygiene measures.
  5. Describe the behavioral and pharmaceutical interventions in the treatment of insomnia.
  6. Explain various therapeutic approaches in the treatment of insomnia, specifically relaxation therapy, sleep restriction therapy, stimuli control therapy and cognitive therapy.
  7. Compare the efficacy and side effects of various medications in the treatment of insomnia.
  8. Describe the effects of light, level of melatonin in the body and sleep problems.
  9. Explain the correlation between the nighttime drop in temperature and sleep.
  10. Explain how your bedroom environment can affect your sleep.
Chapter 4. Problem Sleepiness
  1. Define sleepiness, distinguish it from fatigue and describe the magnitude of problem sleepiness.
  2. Describe the magnitude and causes of problem sleepiness among shift workers, adolescents and young adults.
  3. Identify strategies that may help counter problem sleepiness in adolescents and young adults.
Chapter 5. Narcolepsy
  1. Define narcolepsy and list four classic symptoms of the disorder.

  2. Provide a diagnosis of narcolepsy and suggest effective courses of treatment.

Chapter 6. Restless Legs Syndrome
  1. Describe restless legs syndrome and list some common symptoms.

  2. Identify five causes of restless legs syndrome.

  3. List three categories of drugs that are most commonly used to treat RLS.

Chapter 7. Sleep Apnea
  1. Define sleep apnea, list several common symptoms, differentiate among the three types of sleep apnea and explain basic facts about sleep apnea to a patient.

  2. Instruct clients concerning their children's obstructive sleep apnea, evaluation and possible treatment.

  3. Advise a patient about choosing a continuous positive airway pressure (CPAP) device with the desired features and applications.
     

  4. Help the patient with sleep apnea choose an appropriate mask and headgear.


Evaluation of Individual Objectives

To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.
Course Outline

Chapter 1: Test Your Sleep IQM

Sleep IQ

Answers to the Sleep IQ  

Chapter 2: Brain Basics: Understanding Sleep

Sleep: A Dynamic Activity 
How Much Sleep Do We Need? 
What Does Sleep Do For Us? 
Dreaming and REM Sleep 
Sleep and Circadian Rhythms 
Sleep and Disease  
Sleep Disorders 


Insomnia 
Sleep Apnea 
Restless Legs Syndrome 
Narcolepsy 

Night Owls & Morning Larks 
Dementia-Related Sleep Disorders 

The Future 
Tips for a Good Nightís Sleep  

Chapter 3 Insomnia:  Assessment and Management in Primary Care 

Introduction 
Definition and Prevalence 
Types of Insomnia 

Acute Insomnia 
Chronic Insomnia 

Consequences 
Recognition and Assessment   
Sleep/Wake Profile 

Suggested Questions Following a Complaint of Insomnia 
Signs of Sleepiness 
Management 

Introduction 

General Sleep Hygiene Measures 

Behavioral Treatment 
Pharmacological Treatment  

Conclusion 

References 
Members of the National Heart, Lung, and Blood Institute
Working Group on Insomnia 
National Institutes of Health Staff 
Support Staff 

How Do I Cure Insomnia? 
Trouble Sleeping?  Chill Out  

A Drop in Temperature May Help You Fall Asleep  

Using Light Therapy to Treat Insomnia  
Natural Treatments For Insomnia 

Bedroom Inventory  
Creating a Peaceful Place  
Whatís Worrying You?  

Melatonin 

What is Melatonin?
Why Isnít Melatonin Considered a Drug? 
What Does This Mean to You? 
Why Do People Take Melatonin?  
Understanding Insomnia 
For More Information 

Stanford Group Therapy Program Aims to Put Insomniacs to Sleep 

Chapter 4:  Problem  Sleepiness

Introduction
Daytime Sleepiness Test 

The Epworth Sleepiness Scale Results 

Overview of Sleepiness 

Defining Sleepiness
Magnitude of Problem Sleepiness 
Sleepiness Caused by Sleep Need
Sleepiness Caused by the Biological Clock
Effects of Problem Sleepiness
Reversing Sleepiness 
Medications for Sleep and Sleepiness 

Shift Workers

Introduction
Magnitude of Problem Sleepiness Among Shift Workers
Causes of Problem Sleepiness in Shift Workers
Consequences of Problem Sleepiness for Shift Workers 
Countermeasures for Shift Worker Sleepiness 

Adolescents and Young Adults  

Introduction 
Magnitude of Problem Sleepiness Among Adolescents and ; Young Adults 
Causes of Problem Sleepiness in Adolescents and Young Adults  
Consequences of Problem Sleepiness for Adolescents and Young Adults 
Countermeasures for Problem Sleepiness in Adolescents and Young Adults 

Conclusion 

References 
Acknowledgments  

Chapter 5 Narcolepsy  
 
What Is Narcolepsy?
  

When Should You Suspect Narcolepsy? 
How Common Is Narcolepsy? 
Who Gets Narcolepsy?
What Happens in Narcolepsy? 
How Is Narcolepsy Diagnosed? 
How Is Narcolepsy Treated? 
What Is Being Done To Better Understand Narcolepsy?
How Can Individuals and Their Families and Friends Cope With Narcolepsy? 
References 
Resources 
Organizations 

Chapter 6:  Restless Legs Syndrome  

Common Characteristics of Restless Legs Syndrome 
What Causes It?   
Who Gets RLS? 
How Is It Diagnosed? 
How Is It Treated? 
Where Can I Get More Information? 

Chapter 7: Sleep Apnea  

Sleep Apnea Defined
Sleep Apnea Fact Sheet 
Symptoms of Sleep Apnea  
Risk Factors for Sleep Apnea 
Treatments for Sleep Apnea 

Personal Experiences  
Sleep Apnea and Driving  
Having Your Child Evaluated for Obstructive Sleep Apnea 
Choosing a CPAP 
Choosing a Mask and Headgear 
Considering Surgery for OSA?  
Sleep Apnea and Same-Day Surgery  
Considering Surgery for Snoring? 

Chapter 8:  Women and Sleep

Womenís Unique Sleep Experiences
Understanding Your Monthly Cycle

Tips That May Help Sleep
Pregnancy:  Sleeping for Two

Snoring and Severe Daytime Sleepiness
Restless Legs and Poor Sleep
Sleep Tips for Pregnant Women

Understanding Menopause Most Common Sleep Problems In Women

Insomnia
Sleep Apnea
Narcolepsy

Nocturnal Sleep-Related Eating Disorder

Pain and Sleep
Shift Work
Travel and Sleep
When to See a Doctor

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