We send our Sleep Technicians to your home to set you up on an overnight Home Sleep Study for your convenience. This is done to determine if you have Sleep Apnea and whether you will require treatment. We also conduct Hospital-Based Sleep Studies at the Sleep Lab in North Eastern Community Hospital and can investigate other Sleep Disorders that may be present and require treatment.
CPAP Therapy is the gold standard in Sleep Apnea treatment. It carries few side effects and is non-invasive. However it may not work for everyone. If you are found to require CPAP therapy for Sleep Apnea, we will first start you off on a Trial. This is to determine if CPAP therapy is suitable for your condition, and to find the best device and most fitting mask for you. If CPAP Therapy is not suitable for you, we can explore other treatment options with your referring physician.
CPAP Therapy is a lifelong treatment. Once you stop using it, the symptoms of Sleep Apnea will return very quickly. It is therefore important to persist with treatment in order to keep enjoying the benefits of being on treatment. We will continually monitor your progress over the course of your therapy to ensure you keep receiving optimum results. We will also support you and encourage you to persist with therapy.
Untreated Obstructive Sleep Apnea is shown to be associated with a 2 -7 fold increased risk of motor vehicle accidents as well as an impaired driving performance. To objectively assess your fitness to drive, we use a Driving Simulator which mimics various road and traffic scenarios, as well as environmental conditions. It measures the indices of driving performance such as steering deviation, speed control, number of crashes and reaction times to obstacles.
How can I get tested for Sleep Apnoea?
1. Speak to your GP about your symptoms regarding OSA.
2. Get your GP to fill out and sign off the referral form and send it to us.
3. Depending on your condition or doctor’s recommendation, we may set you up with a hospital sleep study or set you up in the comfort of your own home.
4. Return the device the following morning and we will analyse your sleep data. Your report will be sent off to your referring GP as well as the Sleep & Respiratory Physician.
5. We will follow up with treatment options for you depending on your results.
What is a Sleep Study?
A Sleep Study is done to diagnose Sleep Apnea. There are various diagnostic tools available in the industry, and they are rated by levels based on how comprehensive these tools are in capturing sleep data. The most comprehensive is Level 1, which is used in the hospital laboratory sleep studies at North Eastern Community Hospital.
A level 2 follows, which is a full PSG (polysomnograph) study close to the Level 1 study, but without overnight video monitoring that’s done in the hospital. We only conduct Level 1 and 2 studies because they are the most comprehensive diagnostic tools available. This is to ensure we pick up the required number of signals to be able to provide a quality sleep study report. Anything lower in levels can act as a screener to eliminate Sleep Apnoea, but will not offer enough information for us to pick up on the existence of other sleep disorders. Our Home-based sleep studies are Medicare-claimable for eligible patients. Speak with us to find out more.
What should I expect regarding the Sleep Study?
We will schedule an appointment for our Sleep Technician to visit you at your house for a set-up. This appointment will be in the evening, so you can still go to work on the day of your set-up.
- Shower and dress in loose, comfortable clothing which you can go to bed in
- Remove acrylic nails or dark coloured nail polish on your hands if applicable
- Shave or trim your facial beard (if it is potentially in the way of electrodes being adhered)
- Our Sleep Technician will go through a series of questions with you prior to setting you up
- Once details are confirmed, the Sleep Technician will begin to set up the device on you
- This should take no longer than 1 hour
- After the Sleep Technician completes the set-up, he/she will leave
- Follow the Sleep Technician’s instructions carefully to ensure the Sleep Study is conducted successfully
- You may walk around the house with the device, but please do not leave the house
- Go to bed as per your usual routine, and sleep overnight with the device
- Complete the form provided to you when you wake up, remove all associated parts from your body
- Return the device so we can extract the data for our Sleep Scientists and Sleep & Respiratory Physicians to investigate
We will schedule an appointment for you to report at the North Eastern Community Hospital for your Hospital Lab Sleep Study. This appointment time will be in the evening, so you can still go to work on the day of your set-up.
- Please have your dinner before reporting at the hospital
- Paperwork to be completed prior to check-in
- You will be shown to your private ensuite to refresh yourself and change into loose, comfortable sleepwear
- Settle in and wait for your set-up
- Our Sleep Technician will set you up with the device in your room
- This should take no longer than 1 hour
- Once the set-up is complete, you may get comfortable and ready for bed
- Our Sleep Technician will monitor your progress over the course of the night and troubleshoot if required
- When you wake up in the morning, you can remove the device and start freshening up for the day
- Have a light breakfast and you can go straight to work after
- Leave us to extract the sleep data for our Sleep Scientists and Sleep & Respiratory Physicians to investigate
- We will contact you once your report is ready for review with your Physician
How does a CPAP Trial work?
- If your doctor recommends CPAP therapy for you, please contact us to make an appointment
- On the day of your 1st appointment, bring along your script and report from the doctor
- During this session, we will tell you more about Sleep Apnoea and how CPAP therapy will help you
- Based on your script, we will place you on a device with the recommended pressure settings
- We will then work with you to find a mask you’re comfortable with
- Go home with the device and start using it right away
- Over the subsequent weeks, we will see you weekly to track your progress with therapy and whether CPAP therapy is proving to help you
- We will also use this trial period to determine if the mask and device suits you and your therapy best
- Based on the weekly data download, we can troubleshoot any issues you are facing and make recommendations on changes in device, mask or pressure settings as applicable
- By the end of the trial period, you should already have found a comfortable match in mask and device
- At this point, you can move on to purchase your preferred CPAP equipment
- We have interest-free finance options available, and we are also a DVA supplier to eligible patients
Ongoing therapy follow-ups are very important and are a part of our service model. We want to ensure each of our patients will continue to persist with therapy. If patients do not comply with therapy, all the symptoms that were present before will return.
- We will download the data from your device and check on your AHI, mask fit and clinical maintenance
- We will check your equipment and ensure you have been cleaning them effectively
- We will check on all other accessories and consumables that you are using and recommend replacements where necessary
- We will record your case notes and report back to your referring doctor as an update
Estimates from research studies suggest sleepiness is responsible for approximately 20% of motor vehicle accidents, and associated severe injuries and/or fatalities. While most sleepiness-related accidents occur in younger drivers with acute or chronic sleep deprivation combined with driving at vulnerable times of the day/night, Obstructive Sleep Apnea (OSA) is likely to play a more dominant role in the accident profile of middle-aged drivers. Untreated OSA is shown to be associated with a 2 – 7 fold increased risk of motor vehicle accidents as well as an impaired driving performance.
The diagnosis and CPAP treatment of OSA has continued to tackle the problem – Someone diagnosed with OSA and complies regularly with Continuous Positive Airway Pressure (CPAP) therapy will likely have a markedly reduced motor vehicle accident risk and be safe to drive. However, the tendency to fall asleep at the wheel is a subjective assessment and may not be reliable.
Which is where the Driving Simulator comes in. It mimics various road and traffic scenarios, as well as environmental conditions to measure the indices of driving performance such as steering deviation (the ability to maintain lane position), speed control (the ability to maintain speed with in-the-target range), number of crashes and reaction times to the appearance of obstacles on the road.
This service is conducted by Sleep SA.