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Why Do I Need a Sleep Study
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Sleep is not a simple process. It is an active state
essential for physical and mental restoration.
Some 84 disorders of sleeping and waking harm personal
health and quality of life and endanger public safety by contributing
to traffic and industrial accidents. These disorders include problems
falling or staying asleep, problems staying awake or adhering
to a consistent sleep/wake schedule, sleepwalking, bedwetting,
nightmares and other problems that interfere with sleep. Some
sleep disorders are potentially fatal.
What is a Sleep Study?
A sleep study, or polysomnogram, is a recording
that contains several types of measurements used to identify different
sleep stages and classify various sleep problems. This study will
probably be a new experience and we urge you to learn more about
it before you arrive at the sleep clinic.
Many parts of the brain control sleep and influence
its different stages. These levels or stages of sleep include
drowsiness, light sleep, deep sleep, and dream sleep. We can tell
which stage of sleep a person is in by measuring different activities
of the brain and body. These activities include brain waves, eye
movements, muscle tone, heart rate, and respiration.
The above mentioned activities that occur during
sleep are monitored by applying small metal discs called electrodes
to the head and skin. These electrodes are attached with an adhesive
hypoallergenic tape. Flexible elastic belts are placed around
your chest and abdomen to measure your breathing. The level of
oxygen in your blood and your heart rate are monitored by a clip
that fits on your index finger . None of these devices hurt and
all are designed to be as comfortable as possible.
The sleep study and its analysis and interpretation
involve a complex process. Many hours of work are required by
specially trained people, including sleep technologists who process
or score large amount of data from the night.
The information is then interpreted by a sleep specialist
with special knowledge of and training in sleep and its disorders.
A typical sleep study involves more than 800 pages of different
types of data (e.g., brain waves, muscle movements, eye movements).
Due to this time-consuming and labor-intensive process, sleep
studies are usually not evaluated immediately and it may take
some time to receive the results of your study.. Treatment recommendations
will be made if evidence of a sleep disorder is found.
How Will I Be Able to Sleep In Such a Different
Environment With All Those Wires On Me?
This is the question most frequently asked by patients
prior to their sleep studies. Many people think the sleep center
will be cold, bright, technical, and impersonal-looking. At our
sleep clinic, however, an attempt has been made to make the surroundings,
particularly the bedroom, very homey and comfortable, something
like a hotel room.
The technical equipment and technologists will be
in a room separate from your sleeping room, and the electrode
wires are gathered together in a kind of ponytail behind your
head so that you will be able to roll over and change position
almost as easily as you would at home.
The day of your sleep study, avoid caffeine (coffee,
tea, cola, chocolate) after 2 p.m. and try not to nap. Before
coming to the sleep center, wash and dry your hair and do not
apply hair sprays, oils, or gels.
You may feel strange at first with the electrodes
on your skin, however, most people do not find them uncomfortable
or an obstacle to falling asleep. The sleep specialist recognizes
that you may not sleep in the center exactly as you do at home,
but in most cases this does not cause a problem in obtaining the
necessary information from your study. Before coming to the center
you should pack an overnight bag with anything you will need,
as you would for an overnight stay at a hotel or a friend's house.
What Will Happen When I Arrive
at the Sleep Center?
When you arrive at the center the sleep technologist
will greet you and show you to your bedroom. The technologist
will then show you the equipment and answer any questions you
may have about it and the electrode application. You should inform
the technologist of any changes in your sleep or specific difficulties
that you might not have already have discussed with your doctor.
You will have time to change and get ready for bed,
as you do at home. There may be a waiting period before the technologist
applies your electrodes and you should feel free to read or relax.
If you have a commitment in the morning (if, for example you have
to be at work at a certain time), be sure to inform the sleep
technologist prior to your study, so that a wake-up time can be
arranged. You also should confirm your desired wake-up time upon
arrival at the sleep center.
While you are sleeping, various important body functions
and measurements are recorded. The technologist will monitor your
sleep from a nearby room throughout the night.
Should I Take My Medication
As I Usually Do?
It is important for your sleep professional to know
if you are taking any regularly prescribed or over-the-counter
medications since certain medications can affect sleep and
the interpretation of your sleep study. Sometimes specific
medications are gradually discontinued during the weeks prior
to the sleep study in order for the results of your study to be
interpreted correctly. It is important that you discuss your medication
use with your doctor before your sleep study. Do not discontinue
any prescription medication without first talking with your doctor.
You should avoid coffee and alcohol on the day/evening of your
study.
What Happens After My Sleep
Study?
After you have completed your sleep study, you will
have a follow-up visit with the doctor to discuss the results
and recommendations for treatment. Be sure to inquire at your
doctor's office about scheduling a follow-up visit. Some doctors'
offices prefer that you wait until the sleep study results have
been received.
We hope that your experience
at the sleep clinic will be positive and helpful. By informing
you of the specifics involved in evaluating sleep and its disorders
we hope that you will understand more about sleep and take an
active role in your own care.
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