SHIFT WORK DISORDER - myCME.com

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ICD-9 Diagnostic Codes / ReimbursementIssues Related to Shift Work Disordero 327.36: Circadian rhythm shift workdisordero 307.45: Sleep/wake schedule disorder,frequently changingo 780.55: Mismatch of sleep/wake schedulewith lifestyle needso 780.79: Fatigueo 780.52: Insomniao 307.42: Persistent insomniao 292.85 / 291.82: Other circadian rhythmsleep disorder due to drugor substance abuseICD9Data.<strong>com</strong>. http://www.icd9data.<strong>com</strong>/2007/Volume1/320-389/320-327/327/327.36.htm.
Patient QuestionnaireDo you often feel tired or sleepyduring your awake hours?Epworth Sleepiness Scale 1Rate Your Chance of Dozing Off: 0 = None, 1 = Slight, 2 = Moderate, 3 = HighSituationSitting and readingWatching TVSitting inactive in a public place (eg, in a theater or at a meeting)As a passenger in a car for an hour without a breakLying down to rest in the afternoon when circumstances permitChance ofDozing OffSitting and talking to someoneSitting quietly after a lunch without alcoholIn a car while stopped for a few minutes in trafficTotal ESS* score*ESS score ≥10 indicates significant sleepiness. 2ESS = Epworth Sleepiness Scale.1. Johns MW. Sleep. 1991;14:540-545.2. Panossian LA, Avidan AY. Med Clin North Am. 2009;93:407-425.Spanish version on the reverse side
Page 1: Practice Management Tips ForSHIFT W
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Page 11 and 12: Take-Away PointsSHIFT WORK DISORDER
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Shift-work disorderare not function
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The characterization andpathology o
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Shift-work disorderFigure 2 Sleep/w
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Shift-work disorderFigure 3 Blood p
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Recognition of shift-workdisorder i
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Shift-work disorderThe timing of sh
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Shift-work disorderthe other potent
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Managing the patient withshift-work
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Shift-work disorderFigure 3 Optimal
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Shift-work disorderfor a motor vehi
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Shift-work disordermoderate caffein
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Supplement toAvailable at jfponline
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Armodafinil for Treatment of Excess
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The Epidemiology and Diagnosis of I
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CIRCADIAN RHYTHM SLEEP DISORDERSPra
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Table 2— AASM Levels of Recommend
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3.2.1.1 Both the Morningness-Evenin
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Five studies used one of the newer
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as an indicator of phase in sighted
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4.4 Advanced Sleep Phase DisorderBe
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45. Walsh, JK, Randazzo, AC, Stone,
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123. Van Someren, EJ, Kessler, A, M
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Table 1—Subject Demographicsn M:F
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Scale. 28 The simple reaction time
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Median RT (msec)1600A14001200100080
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10Mentally AExhaustedSharpScore8642
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Current Treatment Options in Neurol
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398 Sleep Disordersand sleep loss,
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400 Sleep DisordersTable 1. Treatme
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402 Sleep DisordersStandard dosageC
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404 Sleep DisordersStandard procedu
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406 Sleep DisordersCaffeineMelatoni
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408 Sleep DisordersWake-promoting a
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410 Sleep Disordersnight shift: ada
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