1. The document discusses sleep, sleep disorders like sleep apnea, and how sleep changes with age. It covers the definition of sleep, sleep stages, consequences of sleep deprivation, and prevalence of sleep disorders. 2. Treatment options for sleep apnea are discussed, including CPAP, oral appliances, and surgery. Diagnosis involves a sleep study. 3. Sleep changes as people age, with less deep sleep and more nighttime awakenings. Medical conditions can also affect older adults' sleep. Seeking help from a sleep specialist is recommended for persistent sleep issues.

1. The ABCs of Catching Zzzzzzs Presented by T. “Massey” Arrington, RPSGT, MBA Director, Covenant Sleep Centers

2. The Future is Bright Sleep Center

11. Prevalence of Sleep Apnea 80% 50% 35% 50% Diabetes Obesity All Hypertension Atrial Fibrillation Congestive Heart Failure Drug-Resistant Hypertension Sjostrom et al, Thorax, 2002 Logan et al, J. Hypertension, 2001 Javaheri et al, Circulation, 1999 O'Keeffe & Patterson, Obes Surgery, 2004 Einhorn et al. Endocrine Prac, 2007 50% Somers et al, Circulation, 2004 77% Coronary Artery Disease 30% 59% Pacemakers Garrigue et al. Circulation 2007 Schafer et al. Cardiology 1999

14. Normal Upper Airway

15. Snoring

16. Sleep Apnea

17. Normal

23. Lost of Productivity

24. Snoring Spouse Syndrome (SSS)

28. Baseline Arm Therapeutic Arm Effect of CPAP on Blood Pressure n = 60 patients Becker et al 2003 Circulation Ineffective therapy- no change in mean blood pressure Effective therapy corresponds to a 10 mm Hg drop in blood pressure

30. Oral Appliance: Mechanics

31. Oral Appliance

32. Uvulopalatopharyngoplasty (UPPP)

33. SRS Basics of Sleep Guide. Sleep Research Society. P. 96. 2005.

34. Genioglossus Advancement

35. Maxillomandibular Advancement

36. Clinical Consequences Sleep Apnea Excessive daytime sleepiness Sleep fragmentation, Hypoxia / Hypercapnia Cardiovascular Complications Morbidity Mortality

37. Diagnostic Process Evaluation/Consult Treatment Plan and Patient Follow-Up Clinician Referral to Sleep Lab Sleep Study Titration Night Therapy Dispensed by Homecare Company Clinician Identifies Sleep Apnea Symptoms in Patient Discuss Results/Treatment Option

38. Treatment

39. Darth Vader

57. Polysomnography