Sleep Disorders The Effect on our Lives Every Day
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1 Sleep Disorders The Effect on our Lives Every Day Julie Hatleli, RN Sheri Krenz, RN Regional Sleep Disorders Center-Mankato, MN 2016 MFMER slide-1
2 Agenda Sleep Stages Sleep Apnea Sleep Disorders DOT requirements Drowsy Driving Improving Sleep Habits 2016 MFMER slide-2
3 What is Healthy Sleep? Sleep is vital to our physical and mental health. Like all animals we need sleep, food, water and oxygen to survive. People spend 1/3 of their lives sleeping. Adults need 7-9 hours of sleep each 24 hours. Sleep needs varies across ages of our lives MFMER slide-3
4 Sleep Stages N1- Light sleep stage, when you are falling asleep. N2- Intermediate sleep stage, this is where you will spend most of the sleep cycle. N3- Deep sleep stage, body repairing stage. REM- Rapid Eye Movement, or dreaming sleep stage. Most brain activity, body function speeds up. Continue to move from one stage to another MFMER slide-4
5 NREM versus REM Sleep Physiologic Variable NREM REM=Dream Sleep Heart Rate Regular Irregular Respiratory Rate Regular Irregular Blood Pressure Regular Variable Skeletal muscle tone Preserved Absent Brain O2 consumption Reduced Increased 2016 MFMER slide-5
6 Sleep Apnea Prevalence 3-7 % of men 2-5 % of women Underdiagnosed Higher in people who are obese and elderly 2/08/15 American Thoracic Society 2016 MFMER slide-6
7 Sleep Apnea-Obstructive & Central Effects on the body when this occurs: Autonomic Nervous system Heart Rate increases Blood vessels constrict Glucose is released=demand for insulin increases Lack of oxygen causes inflammatory affect on the blood vessels Increased heart attacks, strokes, blood pressure Speeds dementia Heart Rhythm disturbances Sudden death 2016 MFMER slide-7
8 Treatment for Sleep Apnea Surgery or oral devices Inspire Sleep CPAP-Continuous positive airway pressure ASV-Adaptive Servo Ventilation Adapts to the breathing needs-usually for people that develop central sleep apnea on CPAP or Bi-Pap Bi-Pap-different pressure for inspiration and expiration. Can be set to trigger a breath 2016 MFMER slide-8
9 Other Sleep Disorders Circadian Rhythm Disorder Insomnia Restless Leg Syndrome REM behavior disorder Narcolepsy Idiopathic Hypersomnolence Shift work disorder Not getting enough sleep 2016 MFMER slide-9
10 Department of Transportation License Exams Medical providers now need to be certified to perform DOT exams. If the DOT medical provider suspects sleep apnea (neck circumference, crowded throat, reports symptoms of Sleep Apnea) then Sleep Consult is required. If Sleep Apnea is diagnosed Driver must have documentation that he/she uses the PAP device at least 4 hours for 70% of the time. DOT medical exam each year 2016 MFMER slide-10
11 Sleepy Driver Video 2016 MFMER slide-11
12 Sleepy Driver Video 2016 MFMER slide-12
13 Drowsy Driving Facts and Stats Four percent approximately eleven million drivers admit they have had an accident or near accident because they dozed off or were too tired to drive. The National Highway Traffic Safety Administration conservatively estimates that 100,000 police-reported crashes are the direct result of driver fatigue each year. This results in an estimated 1,550 deaths, 71,000 injuries, and $12.5 billion in monetary losses MFMER slide-13
14 Facts and Stats Continued According to data from Australia and European nations, drowsy driving represents 10 to 30 percent of all crashes. A study by researchers in Australia showed that being awake for 18 hours produced an impairment equal to a blood alcohol concentration (BAC) of.05, and.10 after 24 hours. Probably underestimated 2016 MFMER slide-14
15 More Facts and Stats State reporting practices are inconsistent. Law enforcement training doesn t focus on identifying drowsiness as a crash factor. Every state currently addresses fatigue and/or sleepiness in some way in their crash report forms. The codes used for the data are inconsistent. Missouri and Wisconsin do not have specific codes for fatigue and/or fell asleep. Retrieved from website: MFMER slide-15
16 2016 MFMER slide-16
17 Questions & Discussion 2016 MFMER slide-17
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