Treatment of non respiratory sleep disorders

Details

Title

Treatment of non respiratory sleep disorders

Type

Stage Two

Module code

HPS175

Requirement

Compulsory

Module objective

By the end of this module the Clinical Scientist in HSST will be able to analyse, synthesise, evaluate and apply their knowledge to be competent in the management, delivery, interpretation and reporting of a multi-disciplinary sleep disorders service 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 with respect to the : 

• effects of pharmaceutical agents on neurological control of sleep, wakefulness and circadian rhythms.
• effects of pharmacological agents on electroencephalogram (EEG) recordings, in particular with reference to the relationship between EEG and sleep stage.
• the different types of drugs for use in common non-respiratory sleep disorders such as:
  • Narcolepsy, with or without cataplexy.
  • Idiopathic Hypersomnia.
  • Circadian sleep disorders.
    • Delayed Sleep Phase Disorder.
    • Advanced Sleep Phase Disorder.
    • Irregular Sleep-Wake Rhythm.
    • Free-Running Circadian Rhythm Sleep Disorder.
    • Jet Lag Disorder.
    • Shift Worker Disorder.
    • Circadian Rhythm Sleep Disorder due to medical condition or due to drug or substance use.
• Parasomnias.
  • Confusional Arousals.
  • Sleep Walking.
  • Sleep Terrors
  • REM sleep behaviour disorder.
  • Nightmare Disorder.
  • Sleep Related Hallucinations.
  • Sleep Related Eating Disorder.
  • Sleep Paralysis.
  • Sleep Related Dissociative Disorders.
  • Sleep Enuresis.
  • Sleep Related Groaning.
  • Exploding Head Syndrome.
  • Parasomnias due to medical conditions.
  • Parasomnias due to drug or substance use.
• Sleep related movement disorders:
  • Restless legs syndrome (RLS)
  • Periodic Limb Movement Disorder (PLMD)
  • Excessive Fragmentary Myoclonus (EFM)

Technical and clinical skills

By the end of this module the Clinical Scientist in HSST, with respect to non-respiratory related sleep disorders, will be able to demonstrate a critical understanding of current research and its application to the performance and mastery of the following technical skills:

• appropriate treatment of choice.
• advise medical colleagues on the evidence base for recommended medication for each non-respiratory sleep disorder.
• liaise with medical colleagues regarding the treatment plan and monitoring of patients with no-respiratory sleep disorders.

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, relevant clinicians, patients and the public and other healthcare professionals and will:

• take a comprehensive history, understanding the predisposing factors and presenting features of non-respiratory sleep disorders, including snoring history, symptoms, co-morbidities.
• make a basic clinical examination of the patient and take a full history
• order, report and interpret a full polysomnography study and report it to other sleep colleagues in the MDT.
• perform analysis of all signals according to AASM / SIGN guidelines
• interpret sleep study results taking into account history and clinical examination.
• produce a clear and informative report with recommendations for further diagnostics and/or treatments.
• communicate with patients and families on diagnosis and implications of a range of non-respiratory-related sleep disorders and advise on the best course of treatment, including communication and liaison with neurophysiologists, neurologists, psychiatrists, or psychologists.
• reflect on the challenges of applying research to practice in relation to these areas of practice and suggest improvements, building on a critique of available evidence.

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:

• maintain patient confidentiality at all times.
• be enthusiastic in continuous improvement of therapeutic services, with particular reference to auditing practice, evidence based practice, new and improved technologies.
• appreciate the complex history patients with sleep disorders may have and make a holistic approach to treatment.