chassa-cinnamon_-week-two-sleepiness-and-osa-risk-assignment (1)

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Epworth Sleepiness Scale Name: Chassa Cinnamon Date: 07/07/23 Your sex: ☐ Male Your age: (years) 31 ☒ Female How likely are you to doze off or fall asleep in the situations described below, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you haven’t done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation: 0 = would never doze 1 = slight chance of dozing 2 = moderate chance of dozing 3 = high chance of dozing Situation Chance of Dozing Sitting and reading 1 Watching TV 0 Sitting, inactive in a public place (example: a theatre or a meeting) 2 As a passenger in a car for an hour without a break 3 Lying down to rest in the afternoon when circumstances permit 3 Sitting and talking to someone 0 Sitting quietly after a lunch without alcohol 1 In a car, while stopped for a few minutes in traffic 0 Total 10 Reference John, M. W. (n.d.). About the ESS . The Epworth Sleepiness Scale. https://epworthsleepinessscale.com/about-the-ess/ 1 Week Two – Sleepiness and OSA Risk Assignment

STOP-BANG Questionnaire Yes No Yes = 1 point S NORING? Do you snore loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)? 0 T IRED? Do you often feel tired, fatigue, or sleepiness during the day (such as falling asleep during driving or talking to someone)? 0 O BSERVED? Has anyone witnessed you stop breathing during sleep? 0 BLOOD P RESSURE? Do you have or are you being treated for high blood pressure? 0 B MI? Are you obese/very overweight – BMI > 35 kg/m2? 1 A GE? Are you over 50 years old? 0 N ECK THICKNESS? Is your neck circumference greater than 17 inches/43 cm for males, or 16 inches/41 cm for females? 0 G ENDER? Are you male? 0 Total 1 Scoring 0 - 2 Low risk of sleep apnea 3 - 4 Intermediate risk for sleep apnea 5 - 8 High risk of having sleep apnea Reference Chung, F., Abdullah, H.R., & Liao, P. (2016). STOP-Bang Questionnaire: A practical approach to screen for obstructive sleep apnea. Chest, 3( 149) 631-638. https://doi.org/10.1378/chest.15-0903 2 Week Two – Sleepiness and OSA Risk Assignment

Week Two – Sleepiness and OSA Risk Analysis Sleep Analysis I would like to think my sleep schedule is very normal for people that work 12hr night shifts. Trying to get as much sleep as possible before our shift so we can function in our profession. I have always had an “off” sleep schedule. I guess I would classify myself as a night owl. When I was in high school my doctor prescribed Ambien to sleep to regulate my sleep. As I got older, I didn’t like the side effects of the medication and learned to work with my personal sleep schedule. So ever since I have been working the night shift. Getting on a night shift schedule for any job has helped me tremendously. After I started listening to my body and stop filling it will be sleeping medicine, I started to feel more rested. My segmented sleep schedule works for me. Three hours here 4 hours there in a 24-Hour period during the days I work. The days I don’t work my body knows how much sleep need for the activities I just did. I was diagnosed with serve Anemia where twice a year I do receive iron transfusions and that helped with the daytime tiredness I use to feel after doing a task that most would not think is strenuous but for me, it would fatigue where I would lay day for 30 minutes before I can start a task again. 1. Comparing to Dr. Murray Johns' website, how do you rank on the Epworth Sleepiness Scale? Is the result normal or abnormal and what does it tell you? So, what’s classified as normal is a score of 0-10. I am right at the 10 mark. I believe the reason I do score high is due to the fact that I do have an odd sleep schedule and work 12-hour night shifts 3+ days a week. 2. How many hours do you sleep each night compared to the average sleep required for an adult? What is the amount of sleep needed for an adult of your age? Is your sleep disrupted? If so, tell me what is causing these disruptions. An average night, I usually get a good 4 to 5 hours of sleep and maybe 7 hours in a 24-hour period. 3. Are there any barriers that you see that interfere with you getting enough sleep? If there are barriers, are these within your control and can you avoid or resolve these barriers? I do not have any barrier that interferes with me getting enough sleep. 4. Do you see any relationships between caffeine intake and your sleep quality? If so, are there adjustments that can be made to improve quantity and quality of sleep? (I don’t drink coffee but I do drink soda) 5. How did you score on the STOP-BANG Questionnaire? Do you feel these results accurately reflect your risk of OSA? Tell me why or why not. I scored 1 on STOP-BANG, which shows I have a low risk of sleep apnea. The results accurately reflect my risk of OSA. Apart from being obese, I have never experienced other risk factors. 6. Should you seek help from a sleep physician or have a sleep study? With either answer, explain your 3 Week Two – Sleepiness and OSA Risk Assignment

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reasoning. I will seek help from a sleep physician. Even if I have a lower score, indicating that I have a low risk for OSA, the questionnaire is just a screening tool and does not offer a definitive diagnosis. Therefore, diagnosis can only be made through a sleep study. 4 Week Two – Sleepiness and OSA Risk Assignment

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