Shenandoah Memorial Hospital

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Sleep Studies
300 Pershing Avenue
Shenandoah, Iowa
(712) 246-7211

 

What is a Sleep Study?

A sleep study is a recording of the way you sleep.  Contrary to public perception, sleep is not a passive state.  Sleep can be categorized into different stages, including drowsiness, light sleep, deep sleep, and Rapid Eye Movement (dream) sleep.  By analyzing your sleep patterns as you cycle through each of the stages, we can determine whether a sleep disorder is present.

Commonly Asked Questions

Why do I need a sleep study?

What does the sleep study involve?

What do I need to bring for my sleep study?

Is there anything I should do before coming for my sleep study?

What happens when I arrive for sleep study?

Should I take my medication as usual?

What if I can't sleep in unfamiliar surroundings?

When will I get my results?

What can be diagnosed and treated?


Why do I need a sleep study?

A sleep study is required to fully understand your sleep difficulties.  By recording the activities of our brain and body system as well as their relationship throughout the night, a sleep specialist can review and interpret your data to determine whether a sleep disorder is present and recommend appropriate treatment if necessary.
 

What does the sleep study involve?

Your sleep study will involve:

  • The attachment of tiny sensors called electrodes to various parts of your body to monitor brain waves, muscle movements, eye movements, breathing through the mouth and nose, snoring, heart rate, and leg movements

  • An elastic band around your chest and abdomen to measure breathing

  • A clip on your finger to measure your heart rate and oxygen level in the blood

In certain cases, a camera is used to videotape sleep.  This is useful in the detection of any movement abnormalities occasioned during sleep.  You will be informed of these by your sleep technologist if required.
 

What do I need to bring for my sleep study?

We generally ask that you pack an overnight bag, as you would if you were planning to spend the night at a hotel or friend's house.  Please advise the sleep technologist of any special requirements you might have.

Other items to bring include:

  • The long questionnaire

  • Your own toiletries, pajamas, or very simple sleepwear (cotton--not silk or slick fabric)

  • If you take any maintenance medicine, you must bring your own medication with you.  This is an outpatient test, so you will have to administer your medication yourself (including insulin)

  • Reading material--a television is available in your private room so you may watch TV

  • Please bring your own pillow

 

Is there anything I should do before coming for my sleep study?

  1. Do not drink alcohol on the day of the test.

  2. Do not drink caffeine.  If you must drink caffeine, please have only one beverage with caffeine before 11:00am.

  3. Do not take any naps.

  4. Try to maintain your regular daytime routine.

  5. Have a shower, and remember not to apply hair sprays, oils, or gels.

  6. Remove all makeup.

  7. Ensure all fingernails are free of nail polish and artificial nails.

  8. Try to limit your liquids on the day of the test.


What happens when I arrive for sleep study?

Please park in the Emergency Room parking lot and enter the hospital at the Emergency Room entrance.  Register at the Emergency Room main desk. 

A sleep technologist will show you to your room.  You will be given the opportunity to ask questions.  You should also inform your sleep technologist of any changes in your sleep or specific difficulties you have not already discussed.  The sleep technologist will then leave the room to prepare your sleep study, giving you the opportunity to change into your nightclothes and prepare for bed. 

Remember to inform your sleep technologist prior to your study if you have any commitments in the morning, so that a wake-up call can be arranged. 

All that is required next is for you to simply sleep. Your sleep technologist will monitor and measure your body functions and measurements from a nearby room.  If at any stage you require assistance, an intercom will be available for you to speak with the technologist.


Should I take my medication as usual?

It is essential that you inform your physician of any prescribed or over-the-counter medication you are taking, as certain medications can affect sleep and sleep study results.  In some cases, certain medications need to be discontinued gradually prior to a sleep study so that the results can be interpreted correctly.  Remember, do not discontinue any prescription medication without first talking to your physician.


What if I can't sleep in unfamiliar surroundings?

This is the most common question asked by patients.  While we recognize that your sleep at our center may not be exactly like your sleep at home, we have gone to great lengths to ensure that our sleep study rooms are homey and comfortable.

As strange as it may seem to have electrodes attached to your body, most people do not find them uncomfortable or an obstacle to falling asleep.  Even though you may not have the same quality or quantity of sleep you would get if at home, this usually does not interfere with obtaining the necessary information from your study.


When will I get my results?

The analysis and interpretation of a sleep study is a complex process involving a variety of specially-trained professionals.  Apart from our dedicated sleep specialist who reviews and interprets the final results, we also have specially trained sleep technologists that process or "score" the copious amounts of data recorded during the study.  On the average, this involves sifting through more than 1,000 pages of data.


What can be diagnosed and treated?

The number of sleep disorders identified by sleep experts runs into the hundreds.  Below is the list of the most common ones.

OBSTRUCTIVE SLEEP APNEA (OSA) - a condition characterized by choking and a cessation of breathing for as long as two minutes.  Common symptoms include loud snoring and excessive daytime sleepiness.

SNORING
- though usually nothing more than any annoyance, repetitive or loud snoring can be a sign of obstructive sleep apnea.

CHRONIC INSOMNIA
- an inability to fall asleep or stay asleep for a period of two weeks or more.  This is often caused by a psychiatric problem or an underlying medical condition such as sleep apnea, periodic limb movements or the misuse of sleeping pills.

NARCOLEPSY
- a serious disorder that causes a person to fall asleep without warning, at inappropriate times many times a day.  It can often come as a result of becoming angry or surprised.

RESTLESS LEG SYNDROME
- a condition characterized by voluntary leg movements in response to uncomfortable "tingling" sensations in one or both legs.  The symptoms are felt mostly at night, making sleep more difficult.  Relief is found by moving the legs.

SHIFT WORK SLEEP DISORDER
- irregular work shift hours often lead to sleep deprivation and insomnia, negatively affecting a person's ability to concentrate and perform.

SLEEPWALKING
- behavior that causes a person to subconsciously get out of bed and walk around.

NOCTURNAL SEIZURES
- abnormal movements during sleep that can often be due to treatable epileptic seizures.