CIRCADIAN RHYTHM DISORDERS – CRDs are prevalent, underrecognized, and inadequately treated. Patients with CRDs have a varied symptomatology, the complexity of which provides a challenge for many PCPs. The major feature of CRDs—such as SWD, jet lag disorder, and advanced and delayed sleep phase disorders—is a misalignment between the patient’s actual and desired sleep/wake pattern, often causing insomnia or excessive sleepiness (ES). These two cardinal symptoms, as well as the misalignment itself, can adversely affect patients across medical and psychosocial domains. For example, circadian misalignment often contributes to many gastrointestinal, cardiometabolic, and mood/affective disorders commonly encountered in primary care. Cognitive and behavioral processes, such as memory and alertness, are also impaired. A study of patients with SWD indicated higher rates of ulcers, absenteeism, depression, and missed family obligations and social activities. Similar studies among healthcare shift workers highlight greater prevalence of motor vehicle accidents and medical errors, demonstrating potential public safety issues. PCPs must recognize, assess, and manage CRDs in their patients to alleviate unfavorable effects on overall health, well-being, and function. Guided by the American Academy of Sleep Medicine’s Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders and expert guidance on the management of patients with CRDs, PCPs can help reduce the serious and often long-term consequences of circadian misalignment.
Describe the pathophysiologic basis of circadian dyssynchrony and its relationship to light/dark and sleep/wake cycles, metabolism, affect, activities of daily living, and overall health
Chapter 1 – Circadian Rhythms:Physiologic Mechanisms and Pathologic Consequences of Misalignment.
Chapter 2 – Symptoms of Circadian Misalignment:Sleepiness, Impaired Cognition, and Poor Mood.
Chapter 3 – Circadian Misalignment:Cardiovascular Abnormalities and Other Medical Symptoms.
Chapter 4 – Elements of a Sleep History.
Chapter 5 – Circadian Rhythm Disorders—Shift Work Disorder as a Paradigm.
Chapter 6 – Aligning Circadian Rhythms.
Chapter 7 – Symptomatic Management of Circadian Rhythm Disorders.
Chapter 8 – Ongoing Management and Referral Pathways for Circadian Rhythm Disorders
4 Free CEUs for Sleep Techs/0.5 Each- Take one or all 8
This course also offers Free CEUs for Physicians