Obstructive Sleep Apnoea
Steps in Assessment & Management
Summary & Recommendations
Introduction
Definition
Prevalence
Pathophysiology
Comorbidities & Complications
Presentation & Risk Factors
Screening
Assessment - History
Assessment - Questionnaires
Assessment - Fitness to Drive
Physical Examination
Management of Risk Factors
Sleep Studies & Referral
Treatment Options - Weight Reduction
Treatment Options - Continuous Positive Airway Pressure (CPAP)
Treatment Options - Mandibular Advancement Splint (MAS)
Treatment Options - Positional Therapy (PT)
Treatment Options - Surgery
Treatment Options - Pharmacologic
Co-morbid Insomnia & OSA
Review, CPAP Adherence, & Follow-up
OSA Questionnaires
Epworth Sleepiness Scale (ESS)
OSA50
STOP-Bang
Insomnia
Insomnia - Steps in Assessment & Management
Summary
Acute Insomnia
Introduction
Definition
Prevalence
Pathogenesis, Risk Factors & Development
Co-morbid Insomnia
Clinical Presentation
Assessment – Sleep History
Assessment – Questionnaires
Management
Basic Sleep and Sleep Hygiene Education
Brief Behavioural Therapy for Insomnia (BBTi)
Bedtime Restriction Therapy
Stimulus Control Therapy
Relaxation Techniques
Cognitive Behavioural Therapy for Insomnia (CBTi)
Referral to Psychologist
Bright Light Therapy
Pharmacological Therapy
Insomnia Questionnaires
Sleep Condition Indicator (SCI)
Insomnia Severity Index (ISI)
Resources
OSA resources
Insomnia resources
About
CPAP
MAS
ESS
OSA50
STOP-Bang
Referral
Fitness to drive
Acute insomnia
CBTi
BBTi
Sleep hygiene
Sleep Health Primary Care Resources
Insomnia
Sleep Condition Indicator (SCI)
Sleep Condition Indicator (SCI)
Thinking about a typical night in the last month:
How long does it take you to fall asleep?
If you then wake up during the night ... how long are you awake for in total? (add up all the awakenings)
How many nights a week do you have a problem with your sleep?
How would you rate your sleep quality?
Thinking about the past month, to what extent has poor sleep:
Affected your mood, energy, or relationships?
Affected your concentration, productivity, or ability to stay awake?
Troubled you in general?
Finally:
How long have you had a problem with your sleep?
Insomnia Severity Index (ISI)
Espie C, et al. BMJ Open 2014b, 4:e004183
