Patient-management strategies

Michael J. Thorpy, Joseph A. Lieberman, Thomas Roth, Glenda S. Owens

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

An active cortex is necessary for intact cognitive function. In a sleepy individual, the cerebral cortex is to some extent deactivated; a sleep-deprived person will experience reduced physical and mental activity and productivity, more errors on the job, more risk for motor vehicle accidents, and psychosocial problems. Hormone levels can become imbalanced from excessive daytime sleepiness (EDS), and treatments for conditions unrelated to EDS can be hampered. Whether sleep restriction is voluntary or not, those who experience it habitually are at greater risk of obesity and type 2 diabetes. While an accurate history is necessary to diagnose sleep disorders, all too often a patient's chronic daytime sleepiness is never mentioned. EDS will not show up in most blood chemistries either. It is important that primary care providers ask patients about their sleep and its quality. Other screening tools include questionnaires, which are easily administered and can be sensitive. To determine the basis of EDS, formal sleep studies may be necessary.

Original languageEnglish (US)
JournalAmerican Journal of Managed Care
Volume13
Issue number11 SUPPL. 6
StatePublished - Nov 2007

Fingerprint

sleep
Sleep
management
Motor Vehicles
Cerebral Cortex
Type 2 Diabetes Mellitus
Cognition
Accidents
Primary Health Care
Obesity
History
chronic illness
motor vehicle
Hormones
Exercise
experience
accident
chemistry
productivity
human being

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Thorpy, M. J., Lieberman, J. A., Roth, T., & Owens, G. S. (2007). Patient-management strategies. American Journal of Managed Care, 13(11 SUPPL. 6).

Patient-management strategies. / Thorpy, Michael J.; Lieberman, Joseph A.; Roth, Thomas; Owens, Glenda S.

In: American Journal of Managed Care, Vol. 13, No. 11 SUPPL. 6, 11.2007.

Research output: Contribution to journalArticle

Thorpy, MJ, Lieberman, JA, Roth, T & Owens, GS 2007, 'Patient-management strategies', American Journal of Managed Care, vol. 13, no. 11 SUPPL. 6.
Thorpy MJ, Lieberman JA, Roth T, Owens GS. Patient-management strategies. American Journal of Managed Care. 2007 Nov;13(11 SUPPL. 6).
Thorpy, Michael J. ; Lieberman, Joseph A. ; Roth, Thomas ; Owens, Glenda S. / Patient-management strategies. In: American Journal of Managed Care. 2007 ; Vol. 13, No. 11 SUPPL. 6.
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