Depending on your signs/symptoms and/or any medical conditions; in lab testing may determine what type of sleep disorder a patient may be experiencing. Other considerations are affordability based on your current insurance coverage.
Conditions warranting in lab sleep services include: Insomnia, sleep walking, neurological disorders, use of oxygen
Delaware Sleep Disorder Centers has facilities throughout Delaware for convenient In Lab overnight testing. There are several types of overnight tests that may be ordered ranging from Diagnostic Polysomnography (PSG) to several types of therapeutic studies including Split Night, CPAP Titration, Bi-Level PAP Titration and ASV Titration. Studies are performed by our nationally credentialed and state licensed Clinical Staff. All studies are read and interpreted by our Medical Staff who have trained extensively in all aspects of Sleep Medicine.
Portable Home Sleep Apnea Test
The home sleep testing equipment will collect information on your breathing patterns while you sleep. The equipment is designed to diagnose Obstructive Sleep Apnea.
Obstructive Sleep Apnea is the major condition diagnosed by the Home Sleep Apnea Testing Kit.
Although economical and convenient, home sleep apnea tests, in most cases, cannot diagnose any other sleep conditions. This home sleep testing service can be provided by Delaware Sleep Disorder Centers in our sleep clinic or can be delivered directly to your home.
You will take the sleep test in the comfort of your home, our experts are available if you have any questions.
Daytime Sleep Testing
Sleep Disorder testing does not occur only at night. There are circumstances and disorders that require some testing to happen during the day.
Multiple Sleep Latency Testing (MSLT) is a test that occurs immediately following an overnight test in the sleep center. This test measures and documents a patient’s daytime sleepiness and is often used to diagnose Hypersomnolence and Narcolepsy.
Maintenance of Wakefulness Testing (MWT) evaluates how well an individual can remain awake during the day. It can be used to gauge how successful treatment is for a patient, or to demonstrate ability to remain alert when this is vital for a person’s job performance (such as commercial driving, airline pilot or public safety worker).
Sometimes individuals who have been prescribed PAP have difficulty tolerating the face piece, air pressure or other aspects of PAP therapy. In these cases, a PAP Nap can be of enormous benefit. The patient works with a specialist in sleep and PAP therapy over an extended period of time to address issues, find appropriate and comfortable equipment and work on desensitization.
Delaware Sleep Disorder Centers Dream Clinic clinicians provide management from diagnosis to treatment. We can track patient’s compliance and ensure the provided therapy is suited for each patient’s needs.
Our Dream Clinic provides basic troubleshooting and education options for patients having difficulties with their therapy regardless if they have been seen at one of our facilities. We incorporate the latest therapies to ensure patients have alternative options to PAP therapy.
Finally, our clinic treats those suffering from insomnia. Insomnia is a common sleep disorder that includes trouble sleeping, difficulty staying asleep, or waking up too early and not being able fall back asleep. This may cause you to still feel tired when you wake up. Insomnia can affect your energy level and mood but also your health, work performance and quality of life.
With our team’s comprehensive approach, clinicians from several specialties collaborate on therapies regarding what can improve your sleep. Our sleep specialists, in turn, lend insight on how poor sleep can affect different aspects of health.
Cognitive Behavioral Therapy (CBT) is a common type of psychotherapy. You will work with our mental sleep psychotherapist in a structured way, attending a select number of sessions. This therapy will help you increase awareness of negative thought or misperceptions so you can view challenging situations more clearly and respond to them in a more effective way.
CBT can be a very helpful tool in treating mental health disorders, such as insomnia, depression, post-traumatic stress disorder (PTSD), pain, or an eating disorder. But not everyone who benefits from CBT has a mental health condition. It can be an effective tool to help anyone learn how to better manage stressful life situations.
Biofeedback is a technique you can use to learn to control your body’s functions, such as your breathing and heart rate. With these techniques, you’re connected to electrical sensors that help you receive information about your body. This feedback helps you focus on making subtle changes in your body, such as relaxing certain muscles to achieve the results you want, like reducing pain. In essence, biofeedback gives you the power to use your thoughts to control your body, often to improve a health condition or physical performance.
Types of biofeedback measurements:
Our sleep psychotherapist may use several different biofeedback methods. Determining the method that’s right for you depends on your health problems and goals. Biofeedback methods include:
Brainwave: Uses scalp sensors to monitor your brain waves using an electroencephalograph (EEG).
Breathing: Bands are placed around your abdomen and chest to monitor your breathing pattern and respiration rate.
Heart Rate: Uses finger or earlobe sensors with a device called a photoplethysmograph. Sensors are placed on your chest, lower torso or wrists using an electrocardiograph (ECG) to measure your heart rate and heart rate variability.
Muscle: Sensors are placed over your skeletal muscles with an electromyography (EMG) to monitor the electrical activity that causes muscle contraction.
Sweat Glands: Sensors are attached around your fingers or on your palm or wrist with an electrodermograph (EDG) to measure the activity of your sweat glands and the amount of perspiration on your skin, alerting you to anxiety.
Temperature: Sensors attached to your fingers or feet measure the blood flow to your skin. Because body temperature often drops when you’re under stress, a low reading can prompt you to begin relaxation techniques.
Coordination of Sleep Therapy
Delaware Sleep Disorder Centers can supply or coordinate ordering and deliveries of PAP machines and educate patients on the use and care of their machines. We also have a plethora of masks to ensure you can decide which type works best and is most comfortable to you.
Delaware Sleep Disorder Centers can also work with patients and medical equipment companies to assist patients in achieving compliance measures required by their insurance coverage.
If pap therapy is not comfortable or difficult for you to adhere to our sleep clinician can coordinate another type of therapy that will improve your sleep condition.
Alternative Therapies for Sleep Apnea
Obstructive Sleep Apnea is the major condition diagnosed by the Home Sleep Apnea Testing Kit. Although economical and convenient home sleep apnea tests in most cases cannot diagnose any other sleep conditions. This home sleep testing service can be provided by Delaware Sleep Disorder Centers in our sleep clinic or can be delivered directly to your home.
Although you will take the sleep test in the comfort of your home, our experts are available if you have any questions.
The home sleep testing equipment will collect information on your breathing patterns while you sleep. The equipment is designed to diagnose obstructive sleep apnea.
Positional Sleep Devices
A strategy to treat positional sleep apnea. Breathing returns to normal when they sleep on a particular side. Positional therapy may involve wearing a special device around your waist or back. It keeps you sleeping in the side position or back position. Delaware Sleep as several sleep devices that can assist you with choosing the most effective and comfortable device.
EPAP Nasal Options
Expiratory positive airway pressure (EPAP) nasal devices provides a therapeutic option for obstructive sleep apnea (OSA). Patients with mild AHI of (5-15) to moderate OSA AHI of (15-30) who do not tolerate CPAP could be appropriate candidates for EPAP.
Oral Appliance Therapy
Oral appliance therapy can be an effective treatment option for snoring and obstructive sleep apnea (OSA). A custom-fit oral sleep appliance can improve your sleep, restore your alertness and revitalize your health. Worn only during sleep, an oral appliance fits like a sports mouth guard or an orthodontic retainer.
It supports the jaw in a forward position to help maintain an open upper airway. This device is fitted for the mouth and many dentists are getting into providing this therapy. Please ensure the dentist you’re using has been certified and trained by the ASDM.
Inspire Upper Airway Stimulation therapy is an FDA-approved treatment for some people with moderate to severe OSA who are unable to tolerate or get relief from continuous positive airway pressure (CPAP). In contrast to CPAP, Inspire therapy is implanted inside the body and works with a patient’s natural breathing process.
Controlled by the patient sleep remote, the system includes a breathing sensor and a stimulation lead powered by a small battery. During sleep, the system senses breathing patterns and delivers mild stimulation to the tongue and other soft tissues of the throat to keep the airway open.
At Delaware Sleep our goal is to find a solution to assist you with issues that impair your ability to breath while sleeping or just sleeping in general. In most scenarios a referral is not needed. One of our clinicians can meet with you to discuss testing and treatment options that are affordable and convenient.
In many cases, you don’t need a referral from your physician to order a sleep study. We accept all major insurance plans. Give us a call, and we will examine your insurance to assess if a referral is necessary and if it does work with your PCP, and if it doesn’t, we have a team of practitioners available to consult and assess your sleep needs.
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