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Sleepiness Handbook

Sleepiness Handbook

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Published by Tan Sittan

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Published by: Tan Sittan on Sep 22, 2011
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09/05/2013

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Sleepiness Handbook
 
A positive answer to any of these questionsmay indicate excessive sleepiness.
 
Areyouoftensleepywhenyoushouldbeawake?Areyourelyingoncoffeeandcaffeinatedsoftdrinkstogetthroughtheday?Areyouordoyouknowofateenagerwhohastroublefallingasleepatnightandstrugglestogetupinthemorning?Areyouordoyouknowofanolderadultwhogets
Excessive Sleepiness Is aSerious Problem
Peoplewithexcessivesleepinesshavetroublewithmemoryandconcentration.Studentswithexcessivesleepinessgetlowergradesandhavelowergraduationratesthanotherstudents.Excessivesleepinessaffectsjobperformance.Onesurveyreportedthat46%ofAmericanssaythattheyhavemissedworkormademistakesatworkatleastonceintheprevious3monthsbecauseofexcessivesleepiness.Excessivesleepinessisamajorcauseoftrafcaccidents.Peoplewithexcessivesleepinessdon’treactasquicklyandtheyhavemoreaccidents.TheNationalHighwayTrafcSafetyAdministration
Is Excessive Sleepiness Affecting You and Your Family?
sleepyearlyintheeveningandawakensbeforesunrise?Doyousnoreorhavetroublebreathingduringsleep?Doyouhaveuncomfortablefeelingsinyourlegsthatkeepyoufromsleeping?Doessomeoneinyourfamilyworkatnightandhavedifcultygettingtosleepduringtheday?Doyousleeplonghours,butyoujustdon’twakeupfeelingrefreshed?estimatesthatatleast100,000accidentsperyeararethedirectresultofdriverfatigue.Driverswhofallasleepatthewheelareparticularlydangerousbecausetheycrashhead-onatfullspeedwithouttryingtobrakeorturn.Excessivesleepinessaffectsfamilyrelationships.Peoplewithexcessivesleepinesscanbeirritableandhardtolivewith.Theymaybetootiredtoenjoytheirtimewithfamilyandfriends.Theymayhavesleepdisorderswithsnoringandmovementsduringsleepthatdisturbtheirbedpartner’ssleepaswell.Manymedicalandpsychiatricdisordersareassociatedwithpoorsleep,includinghighbloodpressure,heartdisease,obesity,diabetes,depression,andanxietydisorders.Excessivesleepinessiscommon.Inonesurvey,26%reportedgettingagoodnight’ssleeponlyafewdayspermonth,and24%saidthattheirsleepproblemshavesomeimpactontheirdailylives.Halfoftherespondentssaidthattheyweretiredorfatiguedatleastonedayperweek,and17%saidthishappenseverydayoralmosteveryday.
2
 
Clinical Pracce Tool
 
EPWORTH SLEEPINESS SCALE
Name:Date:Age:
How likely are you to doze off or fall asleep in the following situations, in contrast to justfeeling tired? This refers to your usual behavior in recent times. Even if you have not donesome of these things recently, consider how they would have affected you. Use the followingscale to choose the
most appropriate number 
for each situation:0 = would
never 
doze1 =
slight
chance of dozing2 =
moderate
chance of dozing3 =
high
chance of dozing
Chance of Situation Dozing
Sitting and reading __________ Watching television __________ Sitting inactive in a public place (eg, ata theater or meeting) __________  As a passenger in a car for an hour without a break __________ Lying down to rest in the afternoon when circumstances permit __________ Sitting and talking to someone __________ Sitting quietly after a lunch without alcohol consumption __________ In a car while stopped for a few minutes in traffic __________ 
TOTAL:
 __________ 
 
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale.
Sleep
. 1991;14:540-545.Johns MW, Hocking B. Daytime sleepiness and sleep habitsof Australian workers.
Sleep
. 1997;20:844-849.
Interpreting Results
0-10Average score; normal population11 and up Insufficient sleep; consider improving sleephygiene; consultation with a sleep specialistrecommended
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