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We used the Insomnia Severity Index (ISI) to evaluate the prevalence and distribution of insomnia symptoms in 100 adult patients referred for laboratory evaluation of obstructive sleep apnea (OSA). Sixty-one percent met ISI criteria for a moderate to severe degree of insomnia symptoms. The distribution of insomnia symptoms did not differ by OSA severity.
A rationale for the use of nonvocal communication systems by anarthric and severe dysarthric patients is presented. Criteria for selecting nonvocal systems are discussed in relationship to: type of motor dysfunction, intellectual and cognitive capabilities, language abilities, emotional-motivational status and system variables.
Interest in and the quantity of publications on delirium in critically ill patients have grown increasingly over the last decade. Critically ill patients have traditionally been sedated to facilitate mechanical ventilation. This practice impeded the recognition of delirium in the critically ill patients, and consequently the disorder was underdiagnosed.… (More)
The stroke patient who has lost the ability to communicate has lost more than the ability to talk. To one degree or another, he has lost the ability to understand his environment, the ability to structure his thought process internally in a logical and meaningful order, and the ability to formulate language in a logical and meaningful order. The ability to… (More)