SleepCoreSlides_Proposal

©2014 Davis Phinney Foundation
The Victory Summit®
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Sleep Disorder and Parkinson’sSleep Disorder and Parkinson’s
DiseaseDisease

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Presentation tipsPresentation tips
Short phrases that introduce the informationShort phrases that introduce the information
Underline key information within the slide bodyUnderline key information within the slide body
Include tips for care partnersInclude tips for care partners
Keep font size 26 and aboveKeep font size 26 and above
UseUse yellowyellow or white font coloror white font color
Update the information frequentlyUpdate the information frequently
Discouraged:Discouraged: pictures of with detailed notations, wallpictures of with detailed notations, wall
of words, complicated phrasesof words, complicated phrases
Encouraged:Encouraged: humor, bullet point/lists, stock photos,humor, bullet point/lists, stock photos,
simple cartoonssimple cartoons

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Presentation outlinePresentation outline

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Background informationBackground information
Should be included:Should be included:
•The role of dopamine in sleepThe role of dopamine in sleep
•Sleep-wake cycleSleep-wake cycle
•Phases of sleep cyclePhases of sleep cycle
•Sleep benefitSleep benefit
Optional:Optional:
•Parkinson’s DiseaseParkinson’s Disease
•PD drugs and sleep disordersPD drugs and sleep disorders
Be general, do not be too detailed in any topic that un-Be general, do not be too detailed in any topic that un-
related to further discussion of the presentationrelated to further discussion of the presentation

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Background infomation-
Sleep Cycle (example)
Sleep cycle states:
• Stages 1, 2
– Light sleep and slow rolling eyes movement
– Non perception of outside stimuli (e.g. sound)
• Stages 3, 4
– Breathing become more shallow and more rapid
– Limbs are paralyzed and the body is harder to wake up
• Stage 5
– REM (rapid eye movement) sleep
– Dreams occurs during this state

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Common Sleep DisorderCommon Sleep Disorder
• Sleep Apnea(s)Sleep Apnea(s)
• REM Behavioral Disorder (RBD)REM Behavioral Disorder (RBD)
• Restless Leg Syndrome (RLS)Restless Leg Syndrome (RLS)
• Periodic Leg MovementPeriodic Leg Movement
• InsomniaInsomnia
• Frequent Nocturnal UrinationFrequent Nocturnal Urination
• Sudden Sleep AttackSudden Sleep Attack
• Daytime SleepinessDaytime Sleepiness
• Sleep-related body painSleep-related body pain
Choose 4-5 disorders to focus on. You don’t want to makeChoose 4-5 disorders to focus on. You don’t want to make
you audience fall asleep now, do you?you audience fall asleep now, do you?

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Common Sleep Disorder -
Sleep Apean (example)
Symptoms:
• One or more pauses in breathing
or shallow breaths while sleeping
– each pause is 10+ seconds
– Repeated pauses throughout
multiple nights
– Often awaken to start
breathing again
• Often results in loud snoring
• 20% of PD patients experience
sleep apnea

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Risk factors:
• Gender: male
• Obesity and/or stroke
• Age: 45+
• Smoking
• Family history
• Alcohol use
• Neck circumference: 17 inches
(43 centimeters) and larger in
male and 15 inches (38
centimeters) or more in female

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Diagnosis:
• Clinical method
– Physical exam:
• enlarged uvula or soft palate
• extra or large tissues in mouth, nose, and throat.
– Sleep Study and polysomnogram (PSG): When you spend a
night in a sleep clinic, PSG will record brain activity, eye
movements, heart rate, oxygen level in blood and blood
pressure to diagnosis whether you have disorder or not

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Diagnosis:
• Self-diagnosis method
1. Do you experience any unintentionally falling asleep during the day?
2. Do you ever wake from sleep with a choking sound or gasping for
breath?
3. Has your bed partner noticed that you snore loudly or stop breathing
while you sleep?
4. Do you often wake up with a headache?
5. Do you have a neck size of 17 inches or more?
6. Do you have a body mass index (BMI) of 25 or higher?
7. Do you have high blood pressure?
8. Do you have a family member who has sleep apnea?

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Treatment:
Positive Airway Pressure Devices:
the pressurized air is supplied
through a flexible tube from
one of several types of
machines: CPAP, BiPAP,
VPAP, etc.

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Treatment:
Oral Appliances:
Push the
lower jaw
forward to
open the
airway

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For more information about sleep apean treatment:
• OSA Treatment by American Sleep Apean
Association
http://sleepapnea.org/treat/treatment-options.html

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REM Behavior Disorder
Symptoms:
• Movement
– kicking, punching, arm flailing or jumping from bed
in response to the content of action-filled or violent
dreams,
• Noises,
– talking, laughing, shouting, emotional outcries or
even profanity

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Risk factors:
• Age: 50+
• Gender: male
• Medical history: any sleep disorder with daytime
sleepiness
• Medication: antidepressants
• Alcohol use

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Diagnosis:
• Self-diagnosis
– Ask your bed partner about your sleep
behaviour
– Take note and ask your doctor about
possible side-effects of your medication
– Use digital application to record yourself
during sleep-time
Image: Sleepbot, an application to track your voice
and motion at night

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Diagnosis:
• Clinical method:
– Physical and neurological exam
– PSG
– Observation during overnight sleep at sleep clinic

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Treatment:
• Protecting yourself and your bed-partner
– Padding the floor near the bed
– Removing sharp items and breakable items
– Placing barriers on the side of the bed
– Moving furniture away from the bed
– Protecting windows

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Treatment:
• Medication:
– Melatonin: reduce or eliminate your symptoms
• Possible side effect: hard to wake up in the morning
– Clonazepam (Klonopin): to reduce symptoms
• Possible side effects: daytime sleepiness

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Action! Step-by-stepAction! Step-by-step

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Action! General tipsAction! General tips

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Q&A/FAQ/ Activities!Q&A/FAQ/ Activities!
• In case no-one has anyIn case no-one has any
other questions, bring upother questions, bring up
a few FAQ and discussa few FAQ and discuss
further with the audiencefurther with the audience
about it.about it.
• Prepare activities (e.g.Prepare activities (e.g.
trivia) about the topictrivia) about the topic
• Engage the audience!Engage the audience!

SleepCoreSlides_Proposal

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