Insomnia, Sleep Apnea, Narcolepsy

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 Night’s 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
  • What’s Worrying You?

Melatonin

  • What is Melatonin?
  • Why Isn’t 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

Women’s 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


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.