Healthy Sleep Patterns
Dr. Anthony Wallace, ND
P.C.D.I Healthcare and Consultants of
• This presentation will educate the community
regarding the importance of a restful sleep.
• This presentation will address issues such as stressful
sleep, common sleep disorders, and the alternative
approach to treatment.
• We will discuss the terms used in sleep medicine and
the techniques used to diagnose sleep disorders.
• In this presentation I will give you some resources on
how to get a sleep study recommendation from your
• This is also a good resource in researching a new
career as a sleep technologist.
• This presentation is used to educate or reinforce
education that your primary care practitioner may
have already given you.
• This information is used educate those that are
seeking relief for sleep deprivation.
• It is important that when using herbal sleep aids or
any other alternative methods please consult your
primary care practitioner or licensed naturopath.
• Some supplements or teas may interfere with other
prescriptions. This may cause adverse reactions,
unwanted side effects, and even death.
• Sleep - The body processes of healing (cells, getting
rid of waste products, and healing the organs)
• Sleep Tech – This certified professional conducts sleep
test using a EEG waves. This person records all the
events that are displayed through out the night and
gives the data to the doctor.
• Sleep Doctor – This is an MD (Medical Doctor) that
specialized in sleep medicine.
• PSG – Polysomnogram
• Titrate – Term used in sleep study to measure how
much air is needed to stop the events.
• Events – Activities that occur during the night (kicking,
snoring, and fighting.
• RLS – Restless Leg Syndrome
• Apnea – The patient has stop breathing
• Neurons – Brain cells
• CPAP – Continuous Positive Air Pressure
• BIPAP – Bi-level Positive Air Pressure.
• REM – Rapid eye movement
• Scoring - the amount of events that occurs on the
• Sa02 – Oxygen Saturation level (90 and above is a
The Importance of Sleep
• The human body needs at least 8
hours of rest to heal and
• In today’s society, most of the
American population may get 6
hours of rest due to our fast pace
• Most people may not get the
required rest because of their
mate sleeping habits, work
related stress, or sickness that
may cause chronic pain.
• The body will go through all four
stages of sleep with in an 8 hours
time period. Most patients may
will get to REM much faster than
other because of the activities of
• In the figure to the right is a
display of stages of sleep. This is
an example of how your brain
reacts to sleep.
• Delta waves show that the
patient is relaxed are
Stages of Sleep
• Stages 1 and 2 are waves that
• Stages 3 and 4 are waves that
display the patients brain waves
of deeper sleep patterns
• Stage REM is the deepest sleep
patterns. This is the stage when
you are dreaming and the body
has paralyzed itself so that you
will not sleep walk. Most are able
to remember their dreams in this
stage. This is the stage also
where most events may occur.
• CPAP is defined as continuous
positive air pressure.
• CPAP is used with several devises to
titrate the patient to a healthy SAo2
level in the blood.
• To much air during the titration
phase of the test can cause heart
• Most patient need a CPAP machine
to ensure that the saturations will
not fall below 90% of 100.
• The CPAP machine is room forced air
that is mixed with water (humidifier
• The misconception is that all patients
that use a CPAP are obese and this is
not true. Patient that snore will
decrease their episodes with a CPAP.
• BIPAP is defined as Bi-level
positive air pressure.
• This is a form of treatment that
mixes room air and Oxygen
together to ensure the patients
O2 level will not fall during REM
• Most BIPAP machine are used in
the hospitals such as the picture
• The BIPAP machine will display
the rate of breathing, Oxygen and
room air mixture.
• BIPAPA can also be conducted at
Chain of Command
• Sleep Doctor – This is a Medical Doctor that has a
specialty in sleep medicine. The Doctor will read the
score information and based on the scoring the
patient will either be prescribed CPAP or BIPAP
• Sleep Director – This is a professional that has passed
on e of the major board of sleep therapist. This
position oversees the quality and accuracy of the test.
This position may require scoring experience.
• Sleep Technologist - This is a professional that may
be a certified technologist or a student. This
professional may perform test under the direction of
the sleep director.
• When going for a sleep test it is important not to take
any sleep medication before going in. If you have
taken sleep medication please let you technologist
• Most sleep studies will take 6 -8 hours to complete to
get a true value of the test.
• When the technologist is doing the test it is important
to know that the technologist will be coming into your
room to adjust the leads and the CPAP machine.
• There are several tools that are used to conduct the
test. Most of the patient wake up to a very loud
sound that is continuous air from the CPAP. This is
• The conductive gel that is used in the patients hair,
forehead, and in the face may be washed out by
conditioner first then household shampoo to follow.
• Jasmine - This herb (plant) will aid in sleep by relaxing
the body. (mild) and aids in promoting liver health.
• Chamomile – This herb will aid in relaxing the body. It
is good for migraine headaches and nocturnal (night)
• Kava Kava - This root works like valium but can be
toxic if taken in high dosages. (strong)
• Skull Cap – This herb is used to relax the body from
head to toe. It is used for extreme migraine
• The medicines that are described above can cause
side effects of drowsiness, rashes, nausea, vomiting,
hallucinations, these medicines can not be combined
with other relaxants unless authorized by your license
Mater Herbist or Naturopath.
• American Academy of Sleep
• American Association of Sleep
• Richard O’ Boyle, Maintaining
Proper Sleep Hygiene, 2002