PubMed · 11839972
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Jeanie Stoker. 2002. 2002 legislative update.. https://doi.org/10.1097/00004045-200202000-00004
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Polysomnography has been accepted by many as a "gold standard" for the diagnosis of the Obstructive Sleep Apnoea/Hypopnoea Syndrome (OSAHS). Although polysomnography is a good method for diagnosing OSAHS, there is no evidence that the results of polysomnography more accurately identify patients with the syndrome than more simple investigations which may be done at lower cost in the patient's home. This article examines the evidence for and against home sleep studies and concludes that home sleep studies have a role. Precisely what that role is will depend on financial and organisational aspects for each sleep centre.
Hospitalization of the morbidly obese patient is a challenging experience for both the patient and his or her caregivers. Risk of skin breakdown is increased due to immobility caused by underlying disease processes, sedation, improperly sized rooms and equipment, and inadequate staff numbers or staff who lack training in bariatrics. Many of the common and predictable complications related to obesity are more closely related to the nurse's inability to mobilize the patient because of improperly sized rooms and equipment. To complicate matters, wound healing may be impaired by obesity-related underlying disease, such as diminished tissue perfusion. These risks exist in all areas of patient care, including the operating room, emergency department, and nursing units. In this article the demographics, definition, and etiologies of obesity, along with skin breakdown, are described, and the prevention of skin breakdown in hospitalized morbidly obese patients is explored.