S.R is a 69-year old man who presents to the clinic because his “wife complains that his snoring is difficult to live with.”
1. As the clinic nurse, what routine information would you want to obtain from S.R.? * How long has this issue been occurring? * Do you take any medications? * How do you sleep at night? * Describe your normal daily routine and sleeping routine? (Time you go to sleep; how long you sleep average every night) * What is your diet consisting of? * Do you have any breathing difficulty throughout the daytime?
CASE STUDY PROGRESS
After interviewing S.R., you note the following: S.R. is under considerable stress. He owns his own business. The stress of overseeing his employees, meeting
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This results in the person having repetitive periods of insufficient ventilation and jeopardized gas exchange. This occurs when the inhibitory input to the brain exceeds excitatory output; or in simpler terms the brain fails to signal the muscles to breathe. * Obstructive Sleep Apnea is when the pharyngeal airway collapses or narrows respectively during sleep. It is accompanied by excessive daytime sleepiness and risk for cardiovascular disease. Risk factors for OSA include obesity, large soft palate/tongue, the male sex, and aging.
3. Identify at least five signs or symptoms of obstructive sleep apnea (OSA), and star those symptoms that S.R. is having. * Depression & Irritability* * Loud snoring* * Morning headache* * Difficulty staying asleep* * Difficulty concentrating during the day* * Observed episodes of breathing cessation during sleep* * Having high blood pressure*
4. What tests help the provider diagnose OSA? * Electrocenphalogram- Detects electrical activity in the brain while awake or asleep. The brain cells communicate 24/7 via electrical impulses. * Electromyogram- Measures electrical activity of muscles at rest and during contraction. These studies measure how well and fast the nerves can send electrical signals. * Electro-oculogram- Measures the corneo-retinal standing potential that exists between the front and back of the human eye. * Nasal airflow sensor-
1) Days cash on hand was 66.87 in 2012 and it dropped in 2013. This is better because they are potentially paying off debt and there is no need to just keep money sitting.
Side Effects: Frequent urge to urinate, headache (continuing), loss of appetite (continuing), mood or mental changes, muscle pain or twitching, nausea or vomiting, nervousness or restlessness, slow breathing, swelling of feet or lower legs, unpleasant taste, unusual tiredness or weakness
The population who are diagnosed with obstructive sleep apnea (OSA) often experience daytime drowsiness and are at risk for ischemic heart disease, arrhythmias, hypertension, and other vascular related problems (Hsu et al., 2007). There are several treatment options for people with OSA, which are weight loss, continuous positive airway pressure (CPAP), dental appliances, and surgical procedure. This study evaluates patients who have
1. Identify and describe the specific issues DeMur encountered in the workplace. Do the actions of other workers at Treton represent discrimination and harassment? What elements of law are important for Treton to consider?
This type of research is very valuable. This type of research is the most accurate and best way to fully understand the virus. It may be time consuming but it is the best way to study the virus.
Obstructive sleep apnea is a common disorder whose prevalence is linked to an epidemic of obesity in our country. Sleep apnea is due to recurrent episodes of upper airway obstruction during sleep that are caused by elevations in upper airway collapsibility during sleep. OSA is characterized by recurrent episodes of partial or complete airway obstruction resulting in hypoxemia, hypercapnia, or a respiratory arousal.
This relaxation goes even further when the soft palate muscles and uvula (fleshy tissue) sag over the airway as well, creating the "labored and noisy" (Sleep Apnea) so readily associated with the condition. It is important for the student to know that there are times when this blockage causes breathing to stop entirely. Interestingly, those who suffer with sleep apnea do not realize it, inasmuch as another person typically hears the startling noises and suggests that there is a problem. The sufferer may display frequent episodes of falling asleep on the job, giving work associates the clue, as well. "People with sleep apnea usually aren't even aware they have a problem and may not believe it when told" (Sleep Apnea). Inasmuch as sleep apnea is potentially life threatening, it is imperative that the sufferer seeks immediate diagnosis and treatment. Early recognition and treatment of obstructive sleep apnea is a critical step not only in getting a more restful night's sleep, but also in avoiding the potential complications of irregular heartbeat, high blood pressure, heart attack and stroke. Sleep apnea is more prevalent in men and young African-Americans; however, it has been diagnosed during all life stages. It is important for the student to know that attaining proper diagnosis of obstructive sleep apnea includes consultation with a primary care physician, pulmonologist, neurologist
Do you get elbowed, and told to roll over in the middle of the night? Do you wake up in the morning exhausted? It’s possible that you could have a severe and potentially fatal disorder called Obstructive Sleep Apnea. OSA can affect anyone; from infants to adults, the healthy and physically fit, and the obese.
OSA is characterized by repeated episodes of either partial or complete obstruction of the upper airways during sleep due to excessive relaxation of airway musculature, which leads to cessation
Psychology is an immense, widely varied, and diverse field of study. Over the years, the field of psychology has grown, and so have the vast topics the field examines and studies. A few major perspectives of psychology are psychodynamic, behavioral, cognitive, and biological (Cherry, 2016). Of these areas, OSA can fit under the biological perspective. Obstructive Sleep Apnea suitably relates to this category since it is largely a result of our biological, or physical, makeup.
Apnea is defined as the cessation of respiratory airflow. Sleep Apnea is a growing disorder affecting children and adults without discrimination to age, gender, race or sex. There are three main categories of apnea: central, obstructive, and mixed. Although there are many forms of sleeping disorders Central Sleep Apnea(CSA) is classified to be a less common sleeping disorder characterized by life threating health conditions not limited to death if not diagnosed in a timely fashion and treated to prevent or reduce the symptoms that cause the apnea threshold Pac02 levels to increase or decrease with cessation of airflow during sleep. Central sleep apnea can increase the risk stroke, diabetes, obesity, and high blood pressure. Only ten to fifteen percent people with sleep- disordered breathing are classified as having Central Sleep Apnea. Common sign and symptoms of Central Sleep Apnea include trouble staying awake, shortness of breath, abnormal breathing patterns during sleep, and sudden awakenings coupled with shortness of breath. Central Sleep Apnea occurs when there is a decline in respiratory effort and as a result of inadequate medullary responsiveness or poor muscle coordination for breathing. Central sleep apnea can be split into more than one main category depending on the underlying conditions that contribute to the specific disorder. Depending on which type of central sleep apnea a person has, a doctor will recommend therapy, medications, or surgery to treat the
Obstructive sleep apnea remains the most common and occurs when the throat muscles relax when a person sleeps. These muscles support the structures of the mouth, such as the tonsils and soft palate. When they relax, the airway closes down, temporarily halting the passing of air. When the brain realizes this is occurring, it wakes the person up to allow the airway to reopen. Most individuals don't fully wake up when this happen, and the person may actually snort when the airway reopens. This can occur hundreds of times throughout the night.
Obstructive sleep apnea (OSA) is a sleep–breathing disorder characterized by momentary episodes of either complete breathing cessation for periods of ten seconds or more (apnea) or significant reductions in breathing amplitude (hypopnea) caused by a collapsed or obstructed airway; these two conditions can lead to hypoxemia (low levels of oxygen in blood) and hypercapnia (high levels of carbon dioxide in blood). Patients are categorized as having mild, moderate or severe OSA depending on the apnea/hypopnea index (AHI), which is defined as the total numbers of apnea/hypopnea episodes per hour of sleep. In normal individuals the index is usually 5 or lower, 5-15 in mild, 15-30 in moderate and 30 or more in severe OSA patients (1, 2). In patients with mild OSA the oxyhemoglobin saturation drops to 95% and can drop below 80% in severe cases. Obstruction of the airways results in greater breathing effort and fluctuations in intrathoracic pressure, resulting in arousal, sleep interruption and reopening of the airway (3).
The first and most researched sleep disorder is sleep apnea. Sleep apnea does not affect children as often as it effects adults, but it is still a rising concern. Sleep apnea occurs in about 2 per cent of children, mainly between the ages of one through eight. But it can also show up in older children and even infants. (Klein). Research says that young blacks are more at risk than young whites. (Fritz p 83). Children with sleep apnea briefly stop breathing many times during the night due to an obstruction in the respiratory tract. Most of the time it is related to enlarged tonsils and adenoids or to obesity. As the child will gasp for there breath during sleep, they awaken for a few moments to regain there normal breathing and then they immediately return back to sleep. Because the child will be awoken by this many times during the night, this cause sleep deprivation. (Common Sleep Problems AA). The physical symptoms of sleep apnea are excessive daytime sleepiness, snoring, restless sleep, heavy and irregular breathing, excessive perspiring during the night, bad dreams, sleeping with there mouth open, sleeps in strange positions, morning headaches, learning problems, excessive irritability, depression, changes in personality, difficulty
However, obstructive sleep apnea is just the opposite in which, it affects around two to four percent of kids’. The results of sleep