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Recliner option?
Does anyone have a recliner in their lab as an option for sleep study guests? I have recently encountered two orthopneic guests whose PSGs were interrupted because while they for years have slept in recliners, in our lab they were in a bed & most uncomfortable. Does anyone have experience in this, &/or opinions?
Views: 250
Replies to This Discussion
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Permalink Reply by sleepycarol on
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I don't work in the sleep field, but it makes sense. I know a few that sleep in recliners due to various health problems and I could see them having problems you described if having to sleep in an awkard position they are not used to (awkard for them).
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Permalink Reply by RockRpsgt on
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We have 8 beds. Two of them have recliner options. That is the only way some people can sleep. In my experience the majority of these pts need PAP. Fix them in the chair, then work on getting them to bed.
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Permalink Reply by Banyon on
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RH, The way you worded that, you must be thinking about Ginger again. ;)
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According to my wife I am always thinking of Ginger.
Banyon said:RH, The way you worded that, you must be thinking about Ginger again. ;)
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Pts that rely on positional therapy to correct their SBDs present unique problems. Most do not believe that they can sleep in the supine position. Some are embarrased from years of being made fun of for snoring. Significant others can elivate these problems by not knowing. People that have taken drastic measures, such as a recliner, become psychologically attached to them. They believe that it is the only way to get good sleep. I have seen pts cry because they have not slept in the same bed as their partner for years. the best thing we can do for them is get them back to bed.
I have found that the best way to get my pts to do what I need is to wait until they are in stage 3. Stage 3 is the deepest sleep one can achieve. Upon arousing someone from this stage you can get them to do almost anything that you suggest. All they want to do is go back to sleep. If a pt sleeps in a recliner at home I will allow them to do the same in the lab. i can't fix a pt that won't sleep. Once i have them fixed I SUGGEST that upon receiving their unit they try to sleep in bed from that point on. Sometimes you have to re-learn to sleep.
j n k said:My opinion is that it would be good for them to try sleeping totally supine in a bed, if they can. Some people have fewer events and less-severe events in a recliner, so it could make all the difference in qualifying for PAP or in finding a pressure that would work for them in all situations (hotel room, hospital bed, etc.)
A cheap option might be keeping a bed wedge handy for patients that absolutely can't sleep totally supine.
jeff
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Permalink Reply by D. W. Conn on
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We have four reclineers for patients to use as needed. We have so many that have had back injuries, deformitites, severe weight gain 600 pound plus etc. The recliner is the first phase of getting them back to bed. Many however have lived a lifetime in a chair.
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Permalink Reply by Rock Conner RRT on
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Thanks everybody. Very helpful!
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Permalink Reply by Lee Longnecker on
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We have 1 recliner available here. It is used as last resort. As you know sleeping in a recliner would not do a lot of good to diagnose apnea. I am pretty much a recliner decliner. I tell the patients we need to have them in bed other wise the test will not be acurate and you will be wasting your time....There are instances I will make concessions, but for the most part, no recliner, no adjustable bed.
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Permalink Reply by Judy on
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600 lbs???? Oh, m' gawd!! Its a wonder their heart and lungs can function at all under all that blubber!!!!!
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Permalink Reply by lia deneau on
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yes we do... this is a must.. we also have one room with a hospital bed for those that need it...
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In many cases the super obese can not lay down and refuse a hospital bed that will elevate. Our patients have toppd out at 925lbs. To lay down is not an option. The weight would kill them.
Judy said:600 lbs???? Oh, m' gawd!! Its a wonder their heart and lungs can function at all under all that blubber!!!!!
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