Domain 1: Clinical Overview, Education, Patient Support Flashcards
Takes up 17.3% of RPSGT Exam. Cards will overview tasks A-C.
What is the importance of Reviewing a patient’s medical records prior to a sleep study?
It’s necessary to evaluate the appropriateness of ordered procedures and treat-ments, for patient identification and safety, as well as to anticipate precautions, interventions, and patient needs
during testing.
What are the two types of physician orders?
Written and Verbal
What is the purpose of reviewing physicians orders?
To provide clarification of procedures and to help understand a reason for referral.
What are examples of things you should look over during the patients history review.
Health/past med history, ROS , Indications for testing, Meds, Allergies, Differential diagnosis.
Describe a Sleep Diary
-Shows sleep habits over 2 weeks
-Usually 2 components: before sleep and after awakening.
-Mood scale/med lists/#of arousals
-Used to compare patients perception of sleep to PSG
Describe a Pre-Sleep Questionnaire
- Assess the last 24 hours
-Contains sleep prep, patterns, problems, aids, Medications, Daytime schedule
Describe the Stanford Sleepiness Scale
Brief assessment used to measure excessive daytime sleepiness at diff. times during the day.
-Seven descriptors that increase in levels of the day (1-fully alert, 7-Nearing onset of sleep & awake dreaming).
Describe the Epworth Sleepiness Scale
Evaluates how likely a person is to fall asleep during a number of activities.
- Rates each activity on a scale of 0 to 3, three being the highest chance of falling asleep.
Describe the Sleep -Wake Activity Inventory (SWAI)
Measures different aspects of sleep disorders (EDS, Relaxing ability, Social Desirability).
-9 Statements, scale of 1(always) to 9 (never present)
- Less than 40= EDS, greater than 50=Normal
Describe the Berlin Questionnaire
Screening for OSA/progress while on PAP
-14 questions & 3 categories (Category 1=Snoring, Category 2=Daytime fatigue, Category 3=Hypertension)
- High or low risk per findings/ positive in 2 or more is high risk
Describe the Fatigue Severity Scale
9 descriptions related to fatigue.
- Scale of 1(Strongly disagree) to 9(Strongly agree)
-9-35=Normal, Greater than 35= Fatigue
How do you properly confirm patients’ identification?
- Confirmed by Tech
- Follow company protocols
- 2 Patient identifiers on all Patient records
What are the American Medical Associations guidelines for Informed Consents?
-Explanation of diagnosis
- Reason for treatment
- Explanation of risks/benefits
- Alternative options and their risks/benefits
What does HIPPA stand for and what is the purpose?
-Health Insurance Portability and Accountability Act
-Protects the privacy of individually identifiable health info, and the confidentiality provisions of the patient safety rules and regulations. This is enforced by the Office for Civil Rights.
List Different Types of Body Positions
- Supine
- Prone
-Lateral
List Types of Body Movements and their meanings
- Gait: Mannor of walking or moving on foot
Extension: movement that increases the angle between two body parts
Flexion: movement that decreases the angle between two body parts
Plantarflexion: extension at the ankle
Dorsiflexion: flexion at the ankle
You should have a proper understanding of Anatomical Locations, please list 4 and describe.
Ex. Anterior
Posterior
Ventral
Dorsal
Posterior
Inferior
What is the importance of Patient Assessment and Orientation?
Patient assessment helps you monitor the safety and
status of your patient, and determine the patient’s ability
to tolerate and comply with ordered procedures and
treatments. Appropriate orientation and education puts
the patient at ease and allows you to gain the patient’s
support and confidence.
Please give examples of education and assessment techniques.
- Cardio-Respiratory Assessment
- Mental Status Evaluation
-Pain Assessment - Physical Needs and Accommodations
- Ability to comply with treatments
- Patient edu. in procedures, facility, potential therapy , post procedures.
How many classifications are their in the International Classification of Sleep Disorders.
- 8 Major classifications and each has a number of subcategories
List classifications of the ICSD
- Insomnia
- Sleep Related Breathing Disorders
- Hypersomnia’s of Central Origin
- Circadian Rhythm Sleep Disorder
- Parasomnias
- Sleep Related Movement Disorders ‘
- Isolated Symptoms, Apparently Normal Variants, and Unresolved Issues
- Other Sleep Disorders
Classification 1: Insomnia
Describe characteristics of disorders that produce a complaint of insomnia and how many disorders are identified?
- Persistent difficulty w/sleep initiation, duration, consolidation, or quality
-Occurs despite adequate time and opportunity for sleep - Results in some form of daytime impairment
- 11 disorders identified
Classification 2: Sleep Related Breathing Disorder
Describe characteristics of class 2 disorders and how many disorders are identified?
- Characterized by disordered respiration during sleep
- 4 sub categories with 14 disorders listed
Classification 3: Hypersomnia’s
Describe characteristics of class 3 disorders and how many disorders are identified?
- Primary complaint is daytime sleepiness, there’s no general diagnostic criteria listed
- 12 Disorders in this on category
