Breathing Easy Part I: Conquering Obstructive Sleep Apnea for Better Health Pre - Assessment

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Which of the following best represents your profession?
What is your primary specialty?
What is your primary work setting?
What percent of adults with OSA go undiagnosed, despite receiving adequate access to health care?
What percent of people with OSA are also people with obesity?
A woman presents at your clinic with a BMI of 32, T2D, and reports she is experiencing snoring, restless leg syndrome, and daytime fatigue. You determine screening for OSA is an appropriate next step. You would prioritize all of the following factors in the patient's presentation EXCEPT for which below?
What is the strongest factor in the risk and severity of OSA?
Why would weight loss be an intervention of particular benefit for a person with OSA and comorbid cardiovascular disorder (CVD)?
You are preparing to refer a patient to a sleep specialist for diagnostic OSA testing. From a health disparities perspective in OSA patient outcomes, which factor below is most critical for you to keep in mind as you plan out your referral?
Betsy is a 62-year-old presenting to your clinic for an annual visit. She has a height of 69” and a weight of 240 lbs. She has a history of hypertension, diabetes, and complains of insomnia. She also reports from her partner that she gasps in her sleep. Which additional clinical factors would you assess if using the STOP-Bang questionnaire to gather a sleep history from Betsy?
A female with hypertension presents to your clinic complaining of depression, headache, anxiety, and fatigue. She does not report any experiences with insomnia-like symptoms or sleepiness. Based on her report, which of the following phenotypes of OSA might she have?
Which of the following statements about lifestyle modifications in OSA management is TRUE?
Andre is a male with obesity who comes for his annual physical at your clinic. Through previously diagnosed with OSA, his symptoms have not resolved with CPAP device treatment or with lifestyle modification of diet and exercise. Furthermore, he reports discomfort with CPAP use and would like to avoid devices. Andre is interested in exploring other treatment modalities for OSA. To facilitate shared decision making, which of the following points would you provide around additional treatment options in OSA?
Lin, who is Class 1 obesity, presents at your clinic with complaints of daytime fatigue and loud snoring. Lin has not been diagnosed or treated for OSA, but you identify her as at-risk after evaluation with the STOP-BANG questionnaire. Lin relies on her children for transportation and is underinsured. Lin also expresses anxiety around spending time in clinic settings. Which of the following steps are you likely to recommend to Lin?
Miranda is a patient who is using CPAP to manage her moderate OSA (AHI=18). Miranda has found her CPAP device to be uncomfortable due to a feeling of claustrophobia and inability to tolerate the mask, despite trying multiple masks and pressure settings, and despite spending 2 sessions with the PAP therapist in PAP clinic. A change to BiPAP has not helped. Her PAP machine is interrogated and reveals an average use of less than 1 hour per night over the prior month, with a residual AHI of 15. She is dissatisfied with its results. Miranda presents today with BMI of 37 (increase over her past visit of 24). Which of the following factors in Miranda’s case is TRUE?
JT, a 58-year-old male who presents with daytime fatigue, poor sleep quality, and loud snoring, does not have stable housing and spends many nights outdoors in a tent. After discussing with him CPAP, you learn that a priority for JT is a treatment option that can be utilized while camping. What would a person-centered approach to engaging JT in care collaboration look like?
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