Essentials of Sleep Medicine for the Primary Care Provider, An Issue of Sleep Medicine Clinics
- 1st Edition, Volume 15-2 - May 22, 2020
- Editor: Teofilo Lee-Chiong
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 7 7 0 6 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 7 0 7 - 0
This issue of Sleep Medicine Clinics has been compiled by esteemed Consulting Editor, Teofilo Lee-Chiong, and brings together recent sleep medicine articles that will be useful for… Read more
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Request a sales quoteThis issue of Sleep Medicine Clinics has been compiled by esteemed Consulting Editor, Teofilo Lee-Chiong, and brings together recent sleep medicine articles that will be useful for Primary Care Providers. Topics include: Internet-Delivered Cognitive Behavioral Therapy for Insomnia Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia; Prescription Drugs Used in Insomnia; Hypnotic Discontinuation in Chronic Insomnia; Evaluation of the Sleepy Patient Differential Diagnosis; Subjective and Objective Assessment of Hypersomnolence; Pharmacologic Management of Excessive Daytime Sleepiness; Nonpharmacologic Management of Excessive Daytime Sleepiness; Treatment of Obstructive Sleep Apnea Choosing the Best Positive Airway Pressure Device; Treatment of Obstructive Sleep Apnea Choosing the Best Interface; Treatment of Obstructive Sleep Apnea Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications; Oral Appliances in the Management of Obstructive Sleep Apnea; Avoiding and Managing Oral Appliance Therapy Side Effects; Positional Therapy for Positional Obstructive Sleep Apnea; Pharmacologic and Nonpharmacologic Treatment of Restless Legs Syndrome; Drugs Used in Parasomnia; Drugs Used in Circadian Sleep-Wake Rhythm Disturbances; Sleep in the Aging Population; and Sleep, Health, and Society.
- Cover image
- Title page
- Table of Contents
- Copyright
- Sleep Medicine Clinics
- Contributors
- Internet-Delivered Cognitive Behavioral Therapy for Insomnia: Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia
- Key points
- Precision medicine for insomnia disorder
- Cognitive behavioral therapy for insomnia
- Efficacy of internet-delivered cognitive behavioral therapy for insomnia
- Guidance in online cognitive behavioral therapy for insomnia programs
- Effects of internet-delivered cognitive behavioral therapy for insomnia
- Factors influencing Internet-delivered cognitive behavioral therapy for insomnia effects
- Personalizing internet-delivered cognitive behavioral therapy for insomnia
- Cost-effectiveness
- Implementation
- Summary
- Research agenda
- Prescription Drugs Used in Insomnia
- Key points
- Introduction
- Benzodiazepines
- Nonbenzodiazepine receptor agonists
- Orexin receptor antagonists
- Melatonin and melatonin receptor agonists
- Sedating antidepressants
- Antipsychotics
- Summary
- Hypnotic Discontinuation in Chronic Insomnia
- Key points
- Introduction
- Hypnotic taper strategies
- Adjunct therapies
- Summary
- Evaluation of the Sleepy Patient: Differential Diagnosis
- Key points
- Introduction
- Sleep evaluation
- Summary
- Subjective and Objective Assessment of Hypersomnolence
- Key points
- Introduction
- Patient evaluation overview
- Subjective assessment
- Objective measures
- Future directions
- Summary
- Pharmacologic Management of Excessive Daytime Sleepiness
- Key points
- Introduction
- Types of hypersomnias
- Narcolepsy
- Future treatment options
- Summary
- Nonpharmacologic Management of Excessive Daytime Sleepiness
- Key points
- Introduction
- Excessive daytime sleepiness
- Optimal sleep (sleep need versus sleep duration versus sleep insufficiency)
- Sleep debt and banking sleep
- Behavioral treatment of sleepiness associated with narcolepsy
- A new behavioral approach to treat excessive daytime sleepiness (and determining subjective sleep need)
- Summary
- Treatment of Obstructive Sleep Apnea: Choosing the Best Positive Airway Pressure Device
- Key points
- Introduction
- Types of positive airway pressure devices
- Choosing the best device based on expected outcomes
- Positive airway pressure use and outcomes in specific patient populations
- Positive airway pressure outcomes summary
- Additional questions to address when choosing a positive airway pressure device
- Summary
- Treatment of Obstructive Sleep Apnea: Choosing the Best Interface
- Key points
- Overview
- Mask type
- General considerations
- Interventions for side effects
- Adjuncts to masks
- Treatment of Obstructive Sleep Apnea: Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications
- Key points
- Introduction
- Quantifying adherence with positive airway pressure treatment
- What factors affect adherence to positive airway pressure treatment?
- Common barriers to adherence to positive airway pressure treatment and how to overcome them
- Additional nonpharmacologic interventions to improve adherence to positive airway pressure treatment
- Pharmacologic interventions to improve adherence to positive airway pressure treatment
- Complications of positive airway pressure therapy and how to prevent or overcome them
- Summary
- Oral Appliances in the Management of Obstructive Sleep Apnea
- Key points
- Types of oral appliances
- Oral appliance effects on airway
- Oral appliance effects on obstructive sleep apnea compared with continuous positive airway pressure
- Oral appliance adverse effects
- Predicting and improving oral appliance treatment response
- Practice recommendations
- Avoiding and Managing Oral Appliance Therapy Side Effects
- Key points
- Introduction
- The side effects consensus conference: overview
- Consent
- Pretreatment records
- Recall and follow-up
- Common management considerations
- Side-effect recommendations
- Summary
- Positional Therapy for Positional Obstructive Sleep Apnea
- Key points
- Introduction
- Types of classification of positional obstructive sleep apnea
- Clinical characteristics
- Pathogenesis
- What is positional therapy?
- Efficacy of “tennis ball technique” positional therapy
- Positional therapy versus continuous positive airway pressure
- Other positional therapy techniques
- Compliance to traditional positional therapy
- Limitations of positional therapy trials
- New positional therapy devices
- Efficacy of the new positional therapy devices
- New positional therapies versus tennis ball technique
- New positional therapy devices versus continuous positive airway pressure
- New positional therapy devices versus oral appliance therapy
- New positional therapy devices as part of combination therapy
- Compliance with the new positional therapy devices
- Summary and future directions
- Pharmacologic and Nonpharmacologic Treatment of Restless Legs Syndrome
- Key points
- Introduction
- Methods
- Results
- Summary
- Drugs Used in Parasomnia
- Key points
- Introduction
- Non rapid eye movement parasomnias
- Sleep-related eating disorder
- Rapid eye movement parasomnias
- Recurrent isolated sleep paralysis
- Other parasomnias
- Drugs Used in Circadian Sleep-Wake Rhythm Disturbances
- Key points
- Introduction
- The circadian system and circadian rhythm sleep-wake disorders
- Melatonin and other melatonin receptor agonists
- Treatment safety considerations
- Using melatonin and other melatonin receptor agonists to shift circadian timing
- Using melatonin and other melatonin receptor agonists to improve sleep
- Practical aspects of melatonin and other melatonin agonist treatments
- Evaluation of outcome
- Summary
- Sleep in the Aging Population
- Key points
- Introduction
- Normal age-related changes to sleep–wake physiology
- Sleep complaints in older adults
- Pathologic and psychosocial factors affecting sleep in the aging population
- Sleep disorders in older adults
- Treatment of sleep disturbances in older adults
- Summary
- Sleep, Health, and Society
- Key points
- Conceptualizing sleep in a social context
- Population prevalence of sleep duration and sleep disturbances
- Sleep effects on health and longevity
- Beliefs and attitudes about sleep
- Gender and age impacts sleep in the population
- Race, ethnicity, and culture associated with sleep
- Employment, neighborhood, and socioeconomics
- Influences of home, family, and school environment
- Technology in and out of the bedroom
- Globalization and 24/7 society
- Public safety and public policy
- Important limitations of the existing literature
- Future research directions
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 15-2
- Published: May 22, 2020
- Imprint: Elsevier
- Hardback ISBN: 9780323777063
- eBook ISBN: 9780323777070
TL
Teofilo Lee-Chiong
Affiliations and expertise
National Jewish Health, Denver