|Title||Presentation and Management of Sleep Disordered Breathing|
By the end of this module the Clinical Scientist in HSST with respect to patients with sleep disordered breathing, will be able to analyse, synthesise, evaluate and apply their knowledge, to undertake specialist assessment and management within scope of practice of Consultant Clinical Scientist.
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will analyse, synthesise, evaluate and critically apply their expert knowledge required with respect to the:
- causes of sleep disordered breathing.
- causes of excessive daytime sleepiness, in addition to sleep disordered breathing.
- differential diagnosis of sleep disordered breathing.
- investigation of sleep disordered breathing.
- assessment of disease severity, including sleepiness ratings and interpretation of sleep studies.
- treatment and management of patients with sleep disordered breathing, including “sleep hygiene,” mandibular advancement devices, surgery, CPAP, APAP, Bi- level CPAP, servo-ventilation and NIV.
- complications and co-morbidities of sleep disordered breathing.
- pharmacology of drugs used in sleep disordered breathing and be aware of changing licensing.
- role of the ENT surgeon in sleep disordered breathing.
- medico-legal aspects and patient confidentiality, particularly with respect to driving.
- principles and patterns of service organisation.
- relevant guidelines / NICE technology appraisals / DVLA guidelines.
Technical and clinical skills
By the end of this module the Clinical Scientist in HSST will be expected to critically reflect and apply in practice a range of clinical and communication skills to advise and communicate effectively with patients with sleep disordered breathing, relevant clinicians, patients and the public and other healthcare professionals and will:
- interpret appropriate Lung Function Tests.
- perform and interpret arterial blood gases for nocturnal respiratory failure.
- interpret screening sleep studies and of more advanced sleep studies.
- initiation, monitoring and long term follow up of the various forms of CPAP and be able to judge which is the most appropriate.
- initiation, monitoring and long-term follow-up of non-invasive ventilation.
Attitudes and behaviours
By the end of this module the Clinical Scientist in HSST will be expected to evaluate their own response to both normal and complex situations demonstrating the professional attributes and insights required of a Consultant Clinical Scientist working within the limits of professional competence referring as appropriate to senior staff and will:
- recognise role of lifestyle modifications.
- adopt a non-judgemental approach with respect to patient lifestyle.
- have a sensitive approach to discussion of medico-legal issues, particularly with respect to driving and occupation.