Sleep

Polysomnography ; sleep study

Obstructive Sleep Apnea/ <5 episodes is normal amd healthy

5-15 episodes indicates mild osa

15-30 episodes indicates moderate OSA

>30 indicates severe OSA

PRIMARY SLEEP DISorders either dyssomnias or parasomnias

Dyssomnias; associated with trouble getting sleep, staying asleep, or being excessively sleepy during wake times

Parasomnias; associated with abnormal sleep behavior

Apnea ; stops breathing

Hypopnea; diminished breathing

PAIN ASSESSMENT

• subjective cues are called symptoms feelings ams perceptions

• Objective cues are called signs ; monitored by physical exam ,labs

Hyperglacemia occurs from ineffective use of glucose as a result of pain and stress