Sleep Disorders

Question 1

Polysomnography

Answer 1

Sleep study

Question 2

Examples of what may be on a “sleep hygiene” list

Answer 2

Timing of stimulants
Exercise
Limiting screen time
Using medications as directed

Question 3

COGNITIVE BEHAVIORAL THERAPY INSOMNIA
(CBTI) addresses areas such as

Answer 3

Stimulus control
Sleep restriction
Cognitive therapy
Sleep hygiene
Relaxation training

Question 4

Psychoeducation FOR for sleep d/o targets

Answer 4

What’s going on and how

Question 5

Recovery FOR for sleep d/o targets

Answer 5

self-determination, responsibility, hope, dignity

Question 6

Behavioral FOR for sleep d/o targets

Answer 6

Performance patterns

Question 7

Sensory integration FOR for sleep d/o targets

Answer 7

Input

Question 8

OA FOR for sleep d/o targets

Answer 8

Environmental

Question 9

Biomechanical FOR for sleep d/o targets

Answer 9

Sleep position

Question 10

3 main SLEEP-WAKE DISORDERS IDENTIFIED IN THE DSM5

Answer 10

Insomnia
Nightmare
Narcolepsy

Question 11

WHY ARE SLEEP DISORDERS IN THE DSM?

Answer 11

often accompanied by depression, anxiety, and cognitive changes

can lead to mental illnesses and substance use disorders.

may be an early warning sign for an episode of mental illness, neurological conditions, medical conditions, and musculoskeletal conditions.

Medical and neurological conditions may be worsened during sleep

Question 12

Apnea?

Answer 12

Absence of air flow

Question 13

Obstruction apnea

Answer 13

Pharyngeal airway obstruction

Question 14

Central apnea?

Answer 14

Caused by variability in respiratory effort

Question 15

Insomnia

Answer 15

An individual perception

Question 16

The dx of insomnia is based on

Answer 16

Subjective perception of the quality and/or quantity of sleep
Caretaker report

Question 17

Types of insomnia

Answer 17

Initial
Maintainance
Late
Non-restorative sleep

Question 18

Initial insomnia

Answer 18

Hard time falling asleep

Question 19

Maintenance insomnia

Answer 19

Hard time staying asleep

Question 20

Late insomnia

Answer 20

Waking up earlier than desired

Question 21

Non-restorative sleep insomnia

Answer 21

Don’t go back to sleep

Question 22

Cause of insomnia

Answer 22

distress, impairment in social or cognitive function

Question 23

“Special people” when it comes to sleep

Answer 23

Trains, and planes and automobiles
Students
Those who live in places where they have months of darkness or months of light
Shift workers

Question 24

Types of costs of sleep

Answer 24

Direct
Indirect
Related
Intangible

Question 25

Direct costs of sleep

Answer 25

medical and non medical Office calls to health care professionals Diagnostic tests: Polysomnography as well as rule-outs for other potential medical conditions Hospital services Medications Prescription, OTC, ETOH (self medicate w/ substance) Equipment

Question 26

Indirect costs of sleep

Answer 26

Decreased productivity — Absenteeism or Presentism Accidents — Industrial or Transportation Co-morbid conditions

Question 27

Related costs of sleep

Answer 27

Property damage Travel cost to healthcare providers Overlapping illnesses

Question 28

Intangible costs of sleep

Answer 28

QOL — pain and suffering Schooling ADLs

Question 29

The cost of sleep can cause

Answer 29

Increased pain perception Increased depression Decreased cognition Increased anxiety Poor sleep

Question 30

The baggage of lack of sleep can bring on

Answer 30

Fear Anger Worry Emotional baggage

Question 31

Meds for sleep

Answer 31

Initial approach Poor result w/ behavioral intervention Bridge to behavioral therapy

Question 32

Behavioral therapy for sleep

Answer 32

Habit change

Question 33

OT intervention for sleep d/o

Answer 33

Grading activities — activity analysis Bladder training Pain management — positioning/ROM/ergonomics Pillow Schedule Environmental adaptation Exercise Sensory integration Time management Nutrition