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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Angina V: Nursing Management01:20

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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
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Updated: Apr 29, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Patient Insights on Integrating Sleep Apnea Testing into Routine Stroke and TIA Care.

Nicholas A Rattray1,2,3,4, K Maya Story1,2,4, Laura Burrone5

  • 1Department of Veterans Affairs Health Services Research and Development (HSR&D) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.

Journal of Patient Experience
|January 1, 2025
PubMed
Summary
This summary is machine-generated.

Patients with stroke or transient ischemic attack (TIA) view obstructive sleep apnea (OSA) testing as a routine part of care. Integrating OSA screening post-stroke/TIA can improve outcomes.

Keywords:
cerebrovascular diseaseischemic strokeobstructive sleep apneapatient experiencequalitativetransient ischemic attackveterans

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Public Health

Background:

  • Guidelines recommend obstructive sleep apnea (OSA) evaluation for ischemic stroke/TIA patients due to high prevalence and impact on cerebrovascular disease outcomes.
  • OSA testing is not consistently integrated into routine cerebrovascular patient management.
  • Implementation trials aim to improve timely OSA testing after stroke/TIA.

Purpose of the Study:

  • To explore patient experiences with OSA testing after acute stroke/TIA.
  • To identify barriers and facilitators to OSA testing in this population.
  • To understand patient preferences regarding OSA screening and education.

Main Methods:

  • Semi-structured interviews were conducted with 30 patients hospitalized for acute stroke/TIA across six Veterans Affairs facilities.
  • Thematic analysis was used to analyze qualitative data on patient experiences with care, sleep testing, and OSA education.
  • Participants were part of a stepped-wedge implementation trial for OSA testing.

Main Results:

  • Patients perceived OSA testing as an integrated part of stroke/TIA care with few reported barriers.
  • Recall of sleep testing details and OSA education was limited.
  • Patients expressed preferences for the timing, setting, and caregiver involvement in OSA testing.

Conclusions:

  • Patients demonstrate high acceptance of routine OSA testing post-stroke/TIA.
  • Findings support the implementation of guideline-concordant OSA screening in cerebrovascular care pathways.
  • Addressing patient preferences can enhance the integration and effectiveness of OSA testing.