Description:

This course is designed to provide the basic information related to the disease processes and conditions which adversely effect sleep. The etiologies, clinical presentation, diagnosis and therapeutic interventions will be covered for each condition. 3 hrs. lecture and 48 clinical hrs./semester

Supplies: Refer to the instructor's course syllabus for details about any supplies that may be required.

Textbook(s): For information see - http://bookstore.jccc.net

Course Fees: NONE

Course Objectives:

Upon successful completion of this course the student should be able to:

1. Provide an overview of the pathophysiology and classifications of conditions associated with sleep disorders.
2. Provide the general indications, contraindications, limitations, and mechanisms of action associated with diagnostic and therapeutic interventions related to sleep medicine.
3. Describe the etiology, clinical presentation, diagnosis and therapeutic interventions associated with sleep related disorders or conditions.

Content Outline & Competencies:

Overview of the Pathophysiology and Nosology of Sleep Disorders
   A. Explain human anatomy and physiology as it relates to sleep
disorders, and how sleep disorders affect anatomy and physiology
   B. Demonstrate basic understanding of the pathology that may impact
data acquisition, therapeutic interventions, and/or patient safety during
polysomnographic procedures.
   C. Identify the major categories of sleep disorders according to the
International Classification of Sleep Disorders
   D. Describe the signs and symptoms associated with major categories of
sleep and arousal disorders
   E. Summarize the major categories of sleep and arousal disorders based
on age-specific criteria
   F. Describe the component parts of a complete polysomongram.

II. Overview of Diagnostic and Therapeutic Interventions Related to Sleep
Medicine
   A. Describe the types of surgical, non-surgical and behavioral
treatment modalities commonly used to treat disorders
   B. Describe the purpose, indications, contraindications and
complications associated with oxygen and PAP therapy. 
   C. Identify the commonly used pharmacological interventions used to
treat sleep disorders, including narcolepsy, restless leg syndrome, and
periodic leg movements
   D. State the general indications, contraindications, potential side
effects and mechanism of action for each of the drug classifications
related to sleep disorders
   E. Describe the ways in which medications can affect the sleep/wake
cycle or alter the recorded sleep/wake data
   F. Differentiate between the drugs used to treat sleep/wake disorders
and drugs that commonly alter the recorded sleep/wake data

III. Sleep Disorders and Associated Conditions
   A. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with insomnias, to include:
      1. Psychophysiologic insomnia
      2. Idiopathic insomnia
      3. Insomnia due to medical disorder/condition
      4. Inadequate sleep hygiene 
      5. Behavioral insomnia of childhood
   B. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with sleep related breathing
disorders, to include:
      1. Central Sleep Apnea Syndromes
      2. Obstructive Sleep Apnea Syndromes
      3. Sleep-Related Hypoventilation/Hypoxemic Syndromes
   C. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with hypersomnias of central origin,
to include:
      1. Narcolepsy
      2. Recurrent Hypersomnia
      3. Idiopathic Hypersomnias
      4. Behaviorally Induced Insufficient Sleep Syndrome
      5. Hypersomnia Due to Medical Condition, Drug or Substances
   D. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with circadian rhythm sleep
disorders, to include:
      1. Advanced/Delayed Sleep Phase Types
      2. Irregular Sleep-Wake Type
      3. Shift Work Type
      4. Associated with Medical Condition
   E. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with parasomnias, to include:
      1. Disorders of arousal
      2. Parasomnias usually associated with REM sleep
      3. Other Parasomnias
   F. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with sleep related movement
disorders, to include:
      1. Restless Legs Syndrome
      2. Periodic Limb Movement Disorder
      3. Sleep Related Leg Cramps
      4. Sleep Related Bruxism
      5. Sleep Related Rhythmic Movement Disorder
      6. Associated with Medical Condition, drugs or substances
   G. Describe the etiology, clinical presentation, diagnosis and
therapeutic interventions associated with other variant conditions
associated with sleep disorders, to include:
      1. Long/short sleeper
      2. Snoring
      3. Sleep Starts
      4. Sleep Talking--Phonation
      5. Hypnagogic foot tremor and alternating leg muscle activation
      6. Excessive fragmentary myoclonus
      7. Sleep Related Epilepsy
      8. Sleep Related Gastroesophageal Reflux Disease
      9. Fibromyalgia
     10. Mood, anxiety, and psychotic disorders
   H. Correlate etiology, clinical presentation, diagnosis, and
therapeutic interventions with observed sleep study activities.

Methods of Evaluation of Competencies:

Evaluation of student mastery of course competencies will be accomplished using the following methods:

Written examinations	70-90% of total grade
Assignments		10-30% of total grade
Lab Competencies 	Satisfactory on Satisfactory/ Needing Improvement
evaluation by the instructor

Grading Scale:

A  =   92-100%  	
B  =   83-91%  	
C  =   75-82%*	
D  =   67-74%	
F  =   0 - 66%

*minimum required to continue in program

Caveats:

1. Students are expected to comply with the JCCC Student Code of Conduct as detailed in the JCCC College Catalog. Failure to comply may result in a faculty decision regarding program promotion and constitute a reason to fail the course.
2. A grade of “C” or better is required for the course for program promotion to subsequent polysomnography course work.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.