Competencies in Sleep Medicine: An Assessment Guide by Kingman P. Strohl

By Kingman P. Strohl

Competencies in Sleep Medicine presents the information and curriculum wanted for a nap medication education application. The process is in keeping with the pursuits of the Accreditation Council for Graduate clinical schooling (ACGME), which asks courses to boost particular and particular ways to every application that covers the cloth provided within the education Program.

Authored via leaders within the box, every one bankruptcy specializes in a space of information and abilities in sleep drugs and provides acceptable examples of guide and overview. those ideas and protocols for education can be utilized by way of a software to handle weaknesses, verify trainees in a standardized type, and supply extra measurable benchmarks.

Those who pass judgement on trainee growth and success will locate Competencies in Sleep Medicine to be the traditional source for outlining and attaining scholar studying results, whereas encouraging self sustaining learning.

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One needs to determine patient intent in regard to taking the medication and properly refer when stable for psychiatric evaluation. One of the commonly prescribed benzodiazepines with a long half-life is clonazepam which has a half-life of 8 h. Therefore, 24 h of observation may be required. If high doses of benzodiazepines are being used, there should be a long taper of medications of approximately 10 weeks (Dennis et al. 2006). After evaluation for insomnia, if deemed appropriate, cognitive behavioral therapy targeted towards insomnia (CBT-I) would be the therapy of choice.

2 Neurophysiology of Sleep 21 Evaluate Neurophysiology of Sleep and Diagnosis of Insomnia for Facilitator Goal: Understand the instrument available for the examination and assessment of sleep quality and how to interpret them. Objectives (Revealed at the End of the Session) A. Describe the different sleep states and their neurophysiologic basis. B. Interpret polysomnography (EEG, EOG, EMG, and cardiorespiratory) patterns. C. Discuss the neurophysiologic basis of common sleep disorders. D. Describe the impact of disturbed sleep on patient’s quality of life.

On examination, you find that she is diaphoretic and tachycardic (regular rhythm) and has hyperreflexia, some muscle rigidity, and pupillary dilation. Her temperature = 100°F, heart rate = 112 bpm, and blood pressure = 189/102 mmHg. 3 Pharmacology of Sleep Medicine 41 IQ Case for Facilitator Case Vignette 1 This 40-year-old woman presents with a 12-year history of insomnia. 8 years ago she was prescribed barbiturates which appeared to work, but she was concerned about addiction and so stopped the medications.

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