By rray, 3 June, 2024 Use standardized assessments to evaluate and follow sx over time Epworth Sleepiness Scale ESS Stanford Sleepiness Scale PROMIS Sleep Sleep Scale Survey Insomnia Severity STOP BANG questionnaire for sleep apnea
By rray, 3 June, 2024 Med review EtOH antidepressants beta blockers caffeine chemotherapy drugs cold and allergy meds w pseudoephedrine diuretics illicit drugs cocaine other stimulants nicotine stimulant laxatives
By rray, 3 June, 2024 Contributing factors exercise polypharmacy 4 meds excessive caffeine use new supplement use increased EtOH use anxiety
By rray, 3 June, 2024 Assess for sleep disturbances nightmares suggestive of PTSD sleep apnea restless leg syndrome pain parasomnias e g sleep walking talking or drop attacks during day suggest autonomic immune disturbances
By rray, 3 June, 2024 Sx quality Pre and post COVID quantity and quality of sleep difficulty w sleep initiation maintenance or early wakening Presence of daytime naps and or drowsiness Impact on cognition attention concentration memory decision making Recommend sleep diary to
By rray, 3 June, 2024 Sleep problems are common Eliminate minimize contributing factors e g sleep apnea Most PASC pts are in chronic phase of insomnia CBT first line tx for most 1