Sleep apnea syndrome is a common disorder estimated to affect 4-6% of population. If left untreated it can lead to Hypertension, accelerated atherosclerosis and CVA. It is reported to cause Diabetes.
MALES- The patient is typically obese, hypertensive, complains of day time sleepiness, and his spouse notices apneic episodes (. cessation of breathing) during sleep. His collar size is typically more than 16.
FEMALES- Whereas a prototypic male patient with sleep apnea tends to have excessive daytime sleepiness, an unrefreshing sleep and loud snoring, community-based studies of women (which include women with significant sleep apnea) suggest that women are less likely to have these classic symptoms of sleep apnea and more likely to report symptoms of daytime fatigue, morning headache, and mood disturbance.
ELDERLY PATIENTS- Elderly patients with sleep apnea usually do not sufffer from daytime sleepiness or obesity. Atrial fibrillation, nocturia (. excessive urination during the night), ischemic heart disease (. coronary heart disease), and heart failure are more common.
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Screening involves communicating the outcome to the patient so issues of diagnosis disclosure inevitably arise. The difficulties were perceived as closely connected with a clinician’s duration of contact with their patient, with particularly problematic implications around lack of prognosis, poor treatment options, a lack of transparent care pathways and the patient’s existing state of health [ 30 , 43 , 46 ]. Evidence suggests that clinicians believe interventions are “timely” when required in response to a patient’s functioning or cognition prompting them to present to medical attention, rather than an approach that encourages disclosure to all regardless of their existing needs [ 36 , 37 , 49 ]. Importantly, the identification of dementia was perceived as potentially harmful to some patients [ 37 ]. The following quotes illustrate the point: