Sleep Disorders; Questions to Ask.Review the following 'Questions To Ask' about sleep disorders so you're prepared to discuss this important issue with your health care professional.Could my excessive sleepiness (ES) or insomnia be caused by an underlying physical, emotional or psychological condition? How are ES and insomnia treated? Could my excessive sleepiness or insomnia be caused by a medication I'm taking? Could my fatigue be caused by an underlying physical, emotional or psychological condition? How can it be treated? I don't sleep as well as I did when I was younger. Are sleep changes normal in older adults? How much sleep do I really need, under normal conditions? Should I take sleeping pills for my insomnia? What are their possible side effects? Am I at risk of becoming addicted to them? How can I improve my sleep habits to help relieve my insomnia? What should I do if I find myself tossing in bed, unable to sleep? What should I avoid eating or drinking if I want to improve my chances of getting a good night's sleep? Should I avoid napping during the day? If a polysomnogram, or sleep study, is recommended for me, how should I prepare for it? What is a sleep diary? How can it help you evaluate my problems with sleep? What details should I include in a sleep diary to help diagnose the causes and effects of my sleeping problem? Are there any tests that I can do at home to determine if I'm suffering from excessive sleepiness or fatigue? If so, what are they? References "What is Narcolepsy?" National Sleep Foundation. 2002. http://www.sleepfoundation.org. Accessed January 4, 2005. "Lunesta (Eszopiclone) Approved by FDA for Treatment of Insomnia." Medical News Today. December 18, 2004. http://www.medicalnewstoday.com. Accessed January 4, 2005. "NINDS NINDS Neurology A multicenter, double blinded, randomized trial–National Institute of Neurological Disorders and Stroke which evaluated the effects of tPA therapy in Pts with stroke. See Thrombolytic therapy, tPA. Narcolepsy Information Page." National Institute of Neurological Disorders and Stroke. National Institutes of Health. Updated December 3, 2004. http://www.ninds.nih.gov. Accessed January 4, 2005. "Narcolepsy: Frequently Asked Questions." Narcolepsy Network, Inc. http://www.narcolepsynetwork.org. Accessed January 4, 2005. Cataletto, Mary. E.; Hertz, Gila. Sleeplessness and Circadian Rythym Disorders. Emedicine. Updated November 16, 2004.http://www.emedicine.com. Accessed January 4, 2005. Nieves, Annette, V.; Lange, A.E. Treatment of Excessive Daytime Sleepiness excessive daytime sleepiness Sleep disorders A subjective difficulty in maintaining an awake state, and an increase ease of falling asleep when the person is sedentary; EDS may be quantified with subjective rating scales of sleepiness in Patients with Parkinson's Disease with Modanfinil. ClinNeuropharmacology. V25 (2), pp. 110-114. 2002 "Sonata." Center for Drug Evaluation and Research The Center for Drug Evaluation and Research is a division of the FDA that deals with the approval of drugs. CDER reviews New Drug Applications to ensure that the drugs are safe and effective. It is one of five Centers at the United States Food and Drug Administration. . U.S. Food and Drug Administration. http://www.fda.gov. Accessed January 4, 2005. "Ambien." Center for Drug Evaluation and Research. U.S. Food and Drug Administration. http://www.fda.gov. Accessed January 4, 2005. "Tossing and Turning No More: How to Get A Good Night's Sleep." U.S. Food & Drug Administration, Consumer Magazine. July -August 1998. http://www.fda.gov. Accessed January 4, 2005. Aaronson, L.S., Teel, C.S., Cassmeyer, V., et al. (1999). Defining and measuring fatigue. The Journal of Nursing Scholarship, 31, 45-50. "Center for Narcolepsy." Stanford School of Medicine. Copyright 2005. http://med.stanford.edu. Accessed January 4, 2005. "Facts About Problem Sleepiness." National Heart, Lung, and Blood Institute of the National Institute of Health. NIH Publication 97-4071. http://www.nhlbi.nih.gov. Accessed January 4, 2005. "Facts About Insomnia." National Heart, Lung, and Blood Institute of the National Institute of Health. http://www.nhlbi.nih.gov. Accessed January 4, 2005. "What Is Sleep Apnea?" National Heart, Lung, and Blood Institute of the National Institute of Health. http://www.nhlbi.nih.gov. Accessed January 4, 2005. "Facts About Narcolepsy." National Heart, Lung, and Blood Institute of the National Institute of Health. http://www.nhlbi.nih.gov. Accessed January 4, 2005. "Facts About Restless Legs Syndrome Restless Legs Syndrome Definition Restless legs syndrome (RLS) is characterized by unpleasant sensations in the limbs, usually the legs, that occur at rest or before sleep and are relieved by activity such as walking. (RLS Restless legs syndrome (RLS) A disorder in which the patient experiences crawling, aching, or other disagreeable sensations in the calves that can be relieved by movement. RLS is a frequent cause of difficulty falling asleep at night. )." National Heart, Lung, and Blood Institute of the National Institute of Health. http://www.nhlbi.nih.gov. Accessed January 4, 2005. "Being evaluated for sleep apnea." American Sleep Apnea Association. July 2003. http://www.sleepapnea.org. Accessed January 4, 2005. Karlsen, K., Larsen, J.P., Tandberg, E., and Jorgensen, K. (1999). Fatigue in patients with Parkinson's disease. Movement Disorders, 14(2):237-41. Krupp, L.B., LaRocca, N.G., Muir-Nash, J., et al. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus Systemic Lupus Erythematosus Definition Systemic lupus erythematosus (also called lupus or SLE) is a disease where a person's immune system attacks and injures the body's own organs and tissues. Almost every system of the body can be affected by SLE. . Archives of Neurology The Archives of Neurology is a monthly professional medical journal published by the American Medical Association. Archives of Neurology publishes original, peer-reviewed scientific research of the nervous system as well as the various mechanisms of disease. , 46(10): 1121-23. Littner, M, Johnson, S.F., McCall, WV, et al. Practice parameters for the treatment of narcolepsy: An update for 2000. Sleep, 24(4): 451-56. Mahowald, M.W. (2000). What is causing excessive daytime sleepiness? Postgraduate Medicine, 107(3): 108-23. Menza, M.A., Kaufman, K.R., and Castellanos, A.M. (2000). Modafinil augmentation of antidepressant treatment in depression. Journal of Clinical Psychiatry, 61(5): 378-81. Pepperell J., et al. Ambulatory blood pressure Ambulatory blood pressure monitoring (ABPM) measures blood pressure at regular intervals throughout the day and night. It is believed to be able to reduce the white coat hypertension effect. after therapeutic and subtherapeutic sub·ther·a·peu·tic adj. Below the dosage levels used to treat diseases: subtherapeutic feeding of penicillin to livestock. sub nasal continuous positive airway pressure continuous positive airway pressure n. Abbr. CPAP A technique of respiratory therapy for individuals breathing with or without mechanical assistance in which airway pressure is maintained above atmospheric pressure throughout the for obstructive sleep apnoea: a randomised Adj. 1. randomised - set up or distributed in a deliberately random way randomized irregular - contrary to rule or accepted order or general practice; "irregular hiring practices" parallel trial. The Lancet 2002;359:204-210. Rammohan, K.W., Rosenberg, J.H., Lynn, D.J., et al. (2002). Efficacy and safety of modafinil (Provigilr[R]) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study. Journal of Neurology, Neurosurgery & Psychiatry, 72: 189-183. "2002 Sleep in America Poll: Epidemic of Daytime Sleepiness Linked to Increased Feelings of Anger, Stress, and Pessimism." National Sleep Foundation. http://www.sleepfoundation.org. Accessed January 4, 2005. Restless Leg Syndrome restless leg syndrome Nocturnal myoclonus Sleep disorders A clinical complex characterized by nocturnal cramping of the anterior calf, restlessness, a feeling of heaviness, aching, painful paresthesia and tingling in legs with uncontrolled twitching, relieved by . Medline Plus Health Information. http://www.nlm.nih.gov. Updated August 1, 2004. Accessed January 4, 2005. Restless Legs Syndrome: Detection and Management in Primary Care. American Family Physician. July 1, 2000. http://www.aafp.org. Accessed January 2005. "Sleep Disorders." National Sleep Foundation. http://www.sleepfoundation.org. 1999. Accessed January 2005. Thomas Cathi A. "Fatigue and Parkinson's Disease." APDA Young Parkinson's Newsletter, Spring 1999. http://members.aol.com. Accessed January 4, 2005. Walsleben, Joyce, et al. "A Woman's Guide to Sleep: Guaranteed Solutions for a Good Night's Rest." Crown, 2000. "Fatigue: What You Should Know: A Guide for People with Multiple Sclerosis This is a list of people with multiple sclerosis, similar to the category "People with multiple sclerosis" but with sources and explanations. : Top - 0–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z B
"Depression: What every woman should know." The National Institute of Mental Health. February 2006. http://www.nimh.nih.gov. Accessed December 2006. "Insomnia basics." The National Sleep Foundation. 2005. http://www.sleepfoundation.org. Accessed December 2006. "Insomnia poll data." The National Sleep Foundation. 2005. http://www.sleepfoundation.org. Accessed December 2006. "Narcolepsy fact sheet." The National Institute of Neurological Disorders and Stroke. March 2006. http://www.ninds.nih.gov. Accessed December 2006. "Restless leg syndrome basics." The National Sleep Foundation. May 2005. http://www.sleepfoundation.org. Accessed December 2006. "Restless leg syndrome poll data." The National Sleep Foundation. 2005. http://www.sleepfoundation.org. Accessed December 2006. "Medications." The American Insomnia Association. 2006. http://www.americaninsomniaassociation.org. Accessed December 2006. "Parkinson's Disease Basics." The National Sleep Foundation. October 2006. http://www.sleepfoundation.org. Accessed December 2006. "Sleep Apnea." The National Sleep Foundation. http://www.sleepfoundation.org. Accessed December 2006. "Restless Leg Syndrome Fact Sheet." The National Institute of Neurological Disorders. July 2006. http://www.ninds.nih.gov. Accessed December 2006. "Fact sheet on periodic limb movements in sleep Periodic limb movements in sleep (PLMS) Random movements of the arms or legs that occur at regular intervals of time during sleep. Mentioned in: Restless Legs Syndrome ." The National Sleep Foundation. http://www.sleepfoundation.org. Accessed December 2006. "Circadian Rhythm Disorders." The Cleveland Clinic Information Center. http://www.clevelandclinic.org. Accessed December 2006. "Strategies for shift workers." The National Sleep Foundation. http://www.sleepfoundation.org. Accessed December 2006. "The National Sleep Foundation's 2005 Sleep in America Poll." The National Sleep Foundation. 2005. http://www.sleepfoundation.org. Accessed December 2006. Keywords: Claustrophobia,Infarction,Immunosuppressants,Morphea,Psychologist,Severe depression,Shave biopsy |
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