Name of the Procedure:

Patient (or caregiver) queried about sleep disturbances (Prkns)

Summary

This procedure involves a comprehensive evaluation and consultation to address sleep disturbances in patients with Parkinson's disease (Prkns), providing tailored recommendations to improve sleep quality.

Purpose

This consultation aims to identify and understand the specific sleep-related issues affecting a patient with Parkinson's disease. The goal is to improve sleep quality and overall well-being through personalized intervention plans.

Indications

• Difficulty falling asleep or staying asleep
• Excessive daytime sleepiness
• Frequent awakenings during the night
• Restless legs or periodic limb movements during sleep
• Noisy sleep due to vocalizations or movements

Preparation

• Keep a sleep diary for at least one week prior to the appointment
• List all medications and supplements currently being taken
• Complete any provided questionnaires related to sleep patterns and quality

Procedure Description

1. Comprehensive patient history and sleep habits review
2. Physical examination, focusing on neurological and respiratory function
3. Discussion of current sleep environment and routines
4. Possible overnight sleep study (polysomnography) or home sleep monitoring
5. Review of any other contributing factors such as medication side effects
6. Development of an individualized sleep management plan, which may include lifestyle changes, medication adjustments, and sleep hygiene recommendations

Duration

The initial consultation typically takes 30-60 minutes. Sleep studies or follow-up visits may require additional time.

Setting

This procedure is usually conducted in a neurology clinic, outpatient clinic, or sleep center.

Personnel

• Neurologist or sleep specialist
• Nurse or medical assistant
• Sleep technician (if a sleep study is conducted)

Risks and Complications

• Minimal risks associated with the consultation itself
• Any associated sleep studies may involve discomfort from sensors and wires but generally have low risk

Benefits

• Improved sleep quality and duration
• Enhanced daytime functioning and reduced fatigue
• Better management of Parkinson's symptoms

Recovery

• Immediate post-consultation care may involve the implementation of new sleep strategies
• Follow-up appointments to monitor progress and make adjustments as necessary
• Adherence to prescribed changes to achieve best outcomes

Alternatives

• Behavioral therapy for insomnia (CBT-I)
• Pharmacological treatments targeting sleep disorders
• Lifestyle and dietary changes
• Consistent follow-up with primary care physician or neurologist

Patient Experience

During the consultation, the patient might feel relieved to discuss their sleep issues openly. If a sleep study is required, there may be some discomfort from the monitoring equipment, but it is generally well-tolerated. Pain management and comfort measures will be discussed to ensure minimal discomfort.