myhomehealth-admin, Author at My Home Health

Comprehensive Home Healthcare: Ensuring Comfort and Care for Seniors, Peace of Mind for Families Afar

Posted on September 10, 2024September 10, 2024 by myhomehealth-admin

My Home Health: Comprehensive Home Healthcare Services

In today’s fast-paced world, home healthcare for seniors has emerged as a crucial service for ensuring well-being, who require ongoing care. My Home Health, based in Kolkata, offers a wide range of home healthcare solutions tailored to the needs of elderly patients and those with chronic conditions.

Convenience: Elderly patients can receive professional medical care, nursing, and therapeutic services in the comfort of their own home, reducing the need for frequent hospital visits.

Personalized Care: With services delivered at home, care plans can be customized to meet the specific health needs of each patient.

Safety and Monitoring: Home healthcare provides continuous monitoring, ensuring early detection of any health issues and reducing the risk of hospital readmissions.

Utilities of Home Healthcare in Modern Times:

Facilities for Senior Citizens:

– Home Nursing: Professional nursing staff available for medical support, post-surgical care, or chronic condition management.
– Elder Care Services: Assistance with daily living activities, companionship, and overall wellness.
– Medical Equipment Rental: Access to essential medical equipment like oxygen concentrators, wheelchairs, and hospital beds, without needing to purchase.
– Home Doctor Visits: Regular visits by doctors, reducing the need for elderly patients to travel to clinics or hospitals.
– Eldercare Staffing: Dedicated caregivers for personal care and routine medical monitoring, offering peace of mind to both seniors and their families.

Peace of Mind for Distant Children:

For children living miles away from their elderly parents, My Home Health offers the assurance of reliable care. Families can expect:

– 24/7 Emergency Support: Quick response teams for medical emergencies.
– Regular Updates: Detailed reports on health progress and care provided, helping family members stay informed remotely.
– Professional Oversight: Skilled healthcare professionals ensuring the highest level of care, reducing the need for frequent visits.

Components of Eldercare at Home:

Dedicated Care Manager for regular follow up
Periodic Home visit by Care team
Periodic vital monitoring
Periodic Nurse & Doctor home visit
Home delivery of Medicine & other medical items
Home Physiotherapy
Home Vaccination
Sleep Study & Management
Home Diagnostics
Mental Support Activities
Assisted travel to OPDs
Assisted travel for local city day tour
Emergency response team
Critical Care Nursing

Let us help you to clear any doubts ! Please leave your details below:

Embracing the Healing Power of Music: The Benefits of Music Therapy

Posted on June 20, 2024June 20, 2024 by myhomehealth-admin

Embracing the Healing Power of Music: The Benefits of Music Therapy

Introduction

In our fast-paced world, finding solace and comfort can be a challenge. Yet, the universal language of music holds a unique power to heal, inspire, and rejuvenate. As we celebrate World Music Day, we delve into the fascinating realm of music therapy and its profound impact on post-hospitalization patients and the elderly. Join us on this melodious journey as we explore how music can be a therapeutic ally in the healing process.

The Science Behind Music Therapy

Music therapy is a clinical and evidence-based practice that uses music to address physical, emotional, cognitive, and social needs of individuals. Certified music therapists employ various techniques such as listening to music, singing, playing instruments, and composing music to facilitate healing and improve the quality of life.

Physical Benefits: Music can help reduce pain and discomfort. Rhythmic music can synchronize with the body’s movements, improving motor skills and coordination. For post-surgery patients, gentle music can aid in relaxation, leading to lower blood pressure and heart rates.
Emotional Benefits: Music has the power to evoke emotions and memories, providing a therapeutic outlet for expressing feelings. It can alleviate symptoms of depression and anxiety, which are common among post-hospitalization patients and the elderly.
Cognitive Benefits: Engaging with music can enhance cognitive function, improve memory recall, and provide mental stimulation. This is particularly beneficial for elderly patients dealing with conditions like dementia or Alzheimer’s.
Social Benefits: Group music therapy sessions can foster social interaction and create a sense of community, which is vital for mental and emotional well-being.

Music Therapy in Practice

For post-hospitalization patients, music therapy can be integrated into the recovery plan to accelerate healing. Here are some practical ways:

Listening to Soothing Music: Creating playlists of favorite songs can provide comfort and reduce stress.
Playing Instruments: Even simple instruments like drums or tambourines can improve coordination and provide a sense of accomplishment.
Singing: Encouraging patients to sing along to their favorite tunes can enhance lung function and uplift their spirits.

For the elderly, especially those dealing with chronic illnesses or cognitive decline, music therapy can be a source of joy and engagement:

Memory Lane Music: Playing songs from their youth can trigger positive memories and enhance mood.
Interactive Sessions: Group sessions where seniors can sing, dance, or play instruments together promote social interaction and reduce feelings of isolation.
Relaxation Techniques: Guided music relaxation sessions can help manage pain and improve sleep quality.

Success Stories

Let’s take a look at a couple of success stories:

John’s Recovery Journey: After undergoing major surgery, John struggled with pain and anxiety. Incorporating music therapy into his recovery plan, he found solace in listening to classical music, which helped him relax and reduce his reliance on pain medication. Over time, he began playing the piano again, which significantly boosted his morale and physical recovery.

Mary’s Battle with Dementia: Mary, an 80-year-old woman diagnosed with dementia, was often agitated and uncommunicative. Through personalized music therapy sessions, she began responding to familiar songs from her past. These sessions not only calmed her but also improved her interaction with family and caregivers.

Conclusion

On this World Music Day, we celebrate the transformative power of music. Whether it’s aiding in physical recovery, providing emotional relief, stimulating cognitive function, or fostering social connections, music therapy is a valuable tool in home healthcare. As we continue to support our clients, we encourage everyone to explore the healing potential of music.

Enhancing Quality of Life: The Importance of Homecare Medical Equipment

Posted on March 5, 2024March 5, 2024 by myhomehealth-admin

Introduction:

In recent years, there has been a significant shift in healthcare towards a more patient-centric approach, and one aspect that plays a crucial role in this evolution is homecare medical equipment. As technology continues to advance, an increasing number of individuals are opting for home-based healthcare solutions, allowing them to receive medical attention and assistance in the comfort of their own homes. This trend has spurred the development and utilization of a wide range of homecare medical equipment designed to enhance the quality of life for patients and facilitate better management of various health conditions.

The Rise of Homecare Medical Equipment:

Homecare medical equipment encompasses a diverse array of devices and tools designed to address the unique needs of patients who prefer or require care within their homes. This category includes items ranging from simple mobility aids to sophisticated monitoring devices and advanced therapeutic equipment. The growing popularity of home-based care can be attributed to several factors, including the desire for independence, improved patient outcomes, and cost-effectiveness.

Key Categories of Homecare Medical Equipment:

Mobility Aids:

Wheelchairs
Walkers
Canes
Mobility scooters

Monitoring Devices:

Blood pressure monitors
Glucose monitors
Pulse oximeters
Remote patient monitoring systems

Respiratory Care Equipment:

Nebulizers
CPAP machines
Oxygen concentrators

Assistive Devices:

Lift chairs
Adaptive utensils
Reacher grabbers
Hearing aids

Therapeutic Equipment:

Home ultrasound devices
TENS units (Transcutaneous Electrical Nerve Stimulation)
In-home physical therapy tools

Benefits of Homecare Medical Equipment:

Enhanced Comfort and Independence:

Individuals can receive necessary care without leaving the comfort of their homes.

Promotes a sense of independence and autonomy, particularly for elderly or disabled individuals.

Cost-Effective:

Reduces the need for prolonged hospital stays, leading to cost savings for both patients and healthcare providers.

Home-based care is often more affordable than institutional care.

Improved Patient Outcomes:

Continuous monitoring and management of health conditions can lead to better health outcomes.

Patients may experience reduced stress and anxiety associated with hospital environments.

Convenience and Flexibility:

Homecare medical equipment allows for flexible scheduling and convenient access to care.

Patients can receive treatment and assistance at times that suit their individual needs.

Challenges and Considerations:

While homecare medical equipment offers numerous benefits, some challenges and considerations need to be addressed:

Adequate training and education for patients and caregivers on the proper use of equipment.

Regular maintenance and updates to ensure the reliability and safety of the devices.

Coordination with healthcare professionals to provide timely and appropriate support.

Conclusion:

The integration of homecare medical equipment into healthcare practices represents a positive and transformative shift towards personalized and patient-centric care. As technology continues to advance, the development of innovative devices will further enhance the quality of life for individuals who choose home-based healthcare solutions. By embracing the potential of homecare medical equipment, we can create a more inclusive and accessible healthcare system that prioritizes the well-being and autonomy of patients.

Empathy at Home: The Invaluable Role of Homecare in Palliative Care

Posted on March 5, 2024March 5, 2024 by myhomehealth-admin

Introduction:

Palliative care is a specialized form of medical care that focuses on providing relief from the symptoms and stress of a serious illness, with the ultimate goal of improving the quality of life for both the patient and their family. While the traditional healthcare setting plays a crucial role in palliative care, the utility of homecare in this context cannot be overstated. In this blog post, we will explore the profound impact of homecare services on palliative care in India.

The Essence of Palliative Care:

Palliative care aims to address the physical, emotional, and spiritual needs of individuals facing serious illnesses, such as cancer, heart failure, or chronic obstructive pulmonary disease (COPD). It involves a holistic approach to managing symptoms, enhancing comfort, and supporting patients and their families throughout the illness journey.

Challenges in Traditional Healthcare Settings:

While hospitals and hospices are equipped to provide palliative care, they come with certain challenges. Hospitals can be overwhelming, and patients may experience heightened stress and discomfort in unfamiliar environments. Additionally, frequent hospital visits can be emotionally taxing for both patients and their families.

The Role of Homecare in Palliative Care:

Homecare services in the context of palliative care offer a compassionate alternative. By bringing care to the patient’s doorstep, homecare providers create an environment that is familiar and comforting, fostering a sense of security and peace for the patient. Here are some key aspects highlighting the utility of homecare in palliative care:

Comfort and Familiarity: Homecare enables patients to receive personalized care in the comfort of their own homes. This not only helps alleviate physical symptoms but also contributes to the emotional well-being of the patient, creating a conducive environment for healing.

Reduced Stress and Improved Quality of Life: The emotional toll of serious illnesses can be immense. Homecare allows patients to be surrounded by their loved ones, promoting emotional support and reducing the stress associated with hospital visits. This, in turn, enhances the overall quality of life for both the patient and their family.

Tailored Care Plans: Homecare providers work closely with patients and their families to develop personalized care plans. This individualized approach ensures that the specific needs and preferences of the patient are taken into account, leading to more effective symptom management and a higher level of satisfaction.

Empowerment and Independence: Homecare empowers patients by allowing them to actively participate in their care decisions. Patients maintain a sense of independence, and caregivers work collaboratively to ensure that the patient’s goals and wishes are respected.

Cost-Effective: Homecare can often be a more cost-effective option compared to prolonged hospital stays. It minimizes unnecessary medical interventions and provides targeted, efficient care in a familiar setting.

Conclusion:

In the realm of palliative care, homecare emerges as a beacon of empathy, offering a compassionate and personalized approach to patients facing serious illnesses. By bridging the gap between medical care and the comfort of home, homecare services in India play a pivotal role in enhancing the overall well-being of individuals navigating the complexities of palliative care. As we continue to evolve in our understanding of healthcare, integrating homecare into palliative care strategies is not just an option but a testament to our commitment to dignified, patient-centered care.

Transforming Lives: The Rise of Home Healthcare in India

Posted on March 5, 2024March 5, 2024 by myhomehealth-admin

Introduction:

In recent years, India has witnessed a paradigm shift in the healthcare landscape, with a growing emphasis on personalized and accessible services. One notable trend making waves in the healthcare sector is the rise of home healthcare. This innovative approach to medical care is gaining popularity for its convenience, cost-effectiveness, and ability to cater to the unique needs of patients in the comfort of their homes.

The Evolution of Home Healthcare in India:

Traditionally, healthcare in India has been synonymous with hospitals and clinics. However, the increasing burden on these facilities, coupled with the evolving needs of an aging population and the rise of chronic diseases, has paved the way for home healthcare services. This shift aligns with global trends, where home-based care is becoming a preferred option for many individuals.

Convenience and Comfort: Home healthcare brings medical services to the doorstep of patients, eliminating the need for travel and long waiting times in crowded healthcare facilities. This is particularly beneficial for elderly individuals or those with mobility issues who may find it challenging to commute.

Personalized Care: Home healthcare allows for a more personalized and patient-centric approach. Care providers can tailor their services to meet the specific needs of each individual, fostering a more holistic and comprehensive healing process.

Cost-Effectiveness: While traditional healthcare settings often come with high overhead costs, home healthcare can be a more cost-effective option. Patients can avoid unnecessary hospitalization expenses, and the overall cost of care tends to be lower.

Technology Integration: The integration of technology has played a crucial role in the advancement of home healthcare services. Telemedicine, remote monitoring devices, and mobile apps empower healthcare professionals to monitor and manage patients’ health conditions efficiently.

Key Services Offered in Home Healthcare:

Nursing Care: Trained and qualified nurses provide a range of services, including wound care, medication administration, and post-operative care.

Physiotherapy: Home-based physiotherapy sessions help individuals regain mobility, strength, and flexibility after surgery or due to chronic conditions.

Medical Equipment Rental: Home healthcare services often include the rental of medical equipment such as oxygen concentrators, wheelchairs, and hospital beds, making it more convenient for patients.

Diagnostic Services: Some home healthcare providers offer diagnostic services at home, including blood tests, X-rays, and ECGs, reducing the need for patients to visit diagnostic centers.

Challenges and Opportunities:

While the growth of home healthcare in India is promising, some challenges need to be addressed. Regulatory frameworks, standardization of services, and public awareness are crucial aspects that need attention. Additionally, the integration of home healthcare into the overall healthcare system requires collaboration between government bodies, healthcare providers, and technology companies.

The future of home healthcare in India holds tremendous potential. As the demand for personalized and convenient healthcare solutions continues to rise, home healthcare services are likely to become an integral part of the healthcare ecosystem, providing a holistic and patient-centered approach to medical care. The journey towards a healthier India involves embracing innovative solutions, and home healthcare is undoubtedly a transformative force in achieving this goal.

Unlocking the Benefits: The Advantages of Homecare Services

Posted on January 9, 2024March 5, 2024 by myhomehealth-admin

Introduction:

In the evolving landscape of healthcare, homecare services have emerged as a transformative and patient-centric approach to delivering medical assistance. The shift towards home-based care is driven by a recognition of the numerous advantages and benefits it offers to individuals in need of healthcare. In this blog post, we will explore the multitude of advantages that homecare services bring to the forefront.

Comfort and Familiarity:

Home is where the heart is, and for many individuals facing health challenges, the comfort of familiar surroundings can be a crucial aspect of their well-being. Homecare services allow patients to receive medical attention in the place they feel most at ease, promoting a sense of comfort that can positively impact their overall health.

Personalized and Individualized Care:

Homecare services are tailored to the specific needs of each patient. Caregivers work closely with individuals and their families to create personalized care plans that address unique health requirements and preferences. This individualized approach fosters a deeper connection between the caregiver and the patient, leading to more effective and targeted care.

Enhanced Quality of Life:

By receiving care in the comfort of their homes, patients often experience an improved quality of life. Homecare services help individuals maintain a level of independence and autonomy, contributing to their overall well-being. This is particularly relevant for elderly individuals or those with chronic conditions who may find solace in the familiarity of their own homes.

Reduced Hospital Readmissions:

Homecare services have been associated with a decrease in hospital readmissions. Patients recovering from surgeries or managing chronic illnesses can benefit from ongoing support at home, reducing the likelihood of complications and the need for frequent hospital visits. This not only saves healthcare costs but also promotes a more sustainable healthcare system.

Cost-Effective Healthcare:

Homecare services can often be a cost-effective alternative to prolonged hospital stays. By minimizing the need for extensive medical facilities and overhead costs associated with hospital care, homecare provides a more economical solution without compromising the quality of care.

Family Involvement and Support:

Homecare encourages the active involvement of family members in the caregiving process. This collaborative approach not only strengthens familial bonds but also ensures a robust support system for the patient. Families become an integral part of the care team, contributing to a holistic and comprehensive healthcare experience.

Promotes Independence:

Homecare services empower individuals to maintain their independence. Patients are actively involved in decision-making processes related to their care, fostering a sense of control over their health. This empowerment contributes to a positive mindset and can have a profound impact on the overall recovery process.

Conclusion:

The advantages and benefits of homecare services extend beyond mere convenience; they are a testament to a healthcare system that prioritizes patient well-being and individual needs. As we continue to recognize the value of personalized, home-based care, the transformative impact of homecare services on the overall health and happiness of individuals cannot be overstated. Embracing these advantages not only improves the efficiency of healthcare delivery but also enhances the overall patient experience, marking a paradigm shift towards a more patient-centered approach.

Continuous Blood Monitoring with Free Style Libre Pro Sensor in GDM

Posted on March 25, 2022March 13, 2024 by myhomehealth-admin

Free Style Libre Pro is ideal for continuous glucose monitoring during pregnancy. Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don't already have diabetes. Every year, 2% to 10% of pregnancies in the United States are affected by gestational diabetes. Managing gestational diabetes will make sure you have a healthy pregnancy and a healthy baby.

What is Gestational Diabetes ?

Gestational diabetes occurs when your body can’t make enough insulin during your pregnancy. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy.

During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your body’s cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your body’s need for insulin.

All pregnant women have some insulin resistance during late pregnancy. However, some women have insulin resistance even before they get pregnant. They start pregnancy with an increased need for insulin and are more likely to have gestational diabetes.

Why this can be a potential threat for both baby & mother ?

High blood sugar can cause problem all over the body. It can damage blood vessels and nerves. It can harm the eyes, kidneys, and heart. In early pregnancy, high blood sugar can lead to birth defects in a growing baby.

Having gestational diabetes can increase your risk of high blood pressure during pregnancy. It can also increase your risk of having a large baby that needs to be delivered by cesarean section (C-section).

Risk:

Being very large (9 pounds or more), which can make delivery more difficult
Being born early, which can cause breathing and other problems
Having low blood sugar
Developing type 2 diabetes later in life

Who are at risk ?

The risk factors for diabetes in pregnancy depend on the type of diabetes:

Type 1 diabetes often occurs in children or young adults, but it can start at any age.
Overweight women are more likely to have Type 2 diabetes.
Overweight women are more likely to have gestational diabetes. It’s also more common in women who have had gestational diabetes before. And it’s more common in women who have a family member with Type 2 diabetes. Women with twins or other multiples are also more likely to have it.

Is this curable ?

Gestational diabetes goes away after you give birth. But it can affect your baby’s health, and it raises your risk of getting type 2 diabetes later in life. You can take steps so you and your baby stay healthy.

What are the long term complication of developing GDM ?

Risk of gestational diabetes — One-third to two-thirds of women who have gestational diabetes in one pregnancy will have it again in a later pregnancy. If you are overweight or obese, weight reduction through diet and exercise can reduce this risk.

Risk of type 2 diabetes — Women with gestational diabetes have an increased risk of developing type 2 diabetes later in life, especially if the woman has other risk factors (eg, obesity, family history of type 2 diabetes).

The risk of developing type 2 diabetes is greatly affected by body weight. Women who are obese have a 50 to 75 percent risk of type 2 diabetes, while women who are a normal weight have a less-than-25 percent risk. If you are overweight or obese, you can reduce your risk of type 2 diabetes by losing weight and exercising regularly.

The American Diabetes Association (ADA) recommends that all women with a history of gestational diabetes have testing for type 2 diabetes every one to three years after their initial post-pregnancy test for diabetes. If you have elevations in your blood sugars in the pre-diabetes range at the time of your postpartum screening, the ADA recommends testing yearly testing. It is also recommended that you work with your primary care provider to eat healthfully, lose any excess weight, and exercise regularly to help decrease your risk of developing type 2 diabetes.

What I need to do ?

Check your Blood Sugar level frequently, as suggested by your doctor, to track your glycaemic control. Libre Pro Sensor is ideal for continuous glucose monitoring.

It’s important to be tested for gestational diabetes so you can begin treatment to protect your health and your baby’s health.

Gestational diabetes usually develops around the 24^th week of pregnancy, so you’ll probably be tested between 24 and 28 weeks. If you’re at higher risk for gestational diabetes, your doctor may test you earlier. Blood sugar that’s higher than normal early in your pregnancy may indicate you have type 1 or type 2 diabetes rather than gestational diabetes.

Conclusion: Current updated evidence suggests that CGM (Continuous Glucose Monitoring) is superior to SMBG (Standard Glucometer) among GDM pregnancies in terms of detecting hypoglycemic and hyperglycemic episodes, which might result in an improvement of maternal and fetal outcomes. In addition, CGM detects a wider glycemic variability in GDM mothers than non-GDM controls. Further research with larger sample sizes and complete pregnancy coverage is needed to explore the clinical utility such as screening and predictive values of CGM for GDM

What is Continuous Glucose Monitor or CGM ?

Continuous glucose monitoring (CGM) devices help you manage Type 1 or Type 2 diabetes with fewer finger stick tests. A sensor just under your skin measures your glucose levels 24 hours a day. A transmitter sends results to a wearable device or cell phone. It takes time to learn how to use CGM, but it can help you more easily manage your health. Libre Pro sensor is the most convenient way to do Continuous Glucose Monitoring.

How does a CGM machine works ?

You can choose among a handful of CGM devices available today. Each works pretty much the same way. The main differences are in a device’s look, feel and features.

In general, here’s how CGM works:

1. You place a small sensor just under your skin, usually on your belly or arm. An applicator makes this part quick and easy to do. Adhesive tape holds the sensor in place.

2. The sensor measures glucose levels in the fluid under your skin. Most CGM devices take readings every five minutes, all day and night. You’ll need to change the sensor regularly based on the device. For most devices, you change sensors at home every 7 to 14 days. For some long-term implantable CGM devices, your healthcare provider will change the sensor in a procedure in their office a handful of times (or less) each year.

3. All CGM systems use a transmitter to wirelessly send the glucose data from the sensor to a device where you can view it. For some CGM systems, the transmitter is reusable and attaches to each new sensor. For other CGM systems, the transmitter is part of the disposable sensor.

4. Depending on the CGM system, glucose data from the sensor is sent to either a handheld device called a receiver (similar to a cell phone), an app on your smartphone or an insulin pump.

5. You can download CGM data (real-time glucose levels, trends and history) to a computer anytime. Some CGM systems will send data continuously. You can also share the information with your provider.

What is Free style Libre Pro Sensor?

Free Style Libre Pro Sensor is a revolutionary product that helps you track your glucose levels without finger-pricks. FreeStyle Libre is a sensor-based glucose monitoring system that comes with a reader and a sensor. The sensor is applied on to the back of your upper arm and can be worn for up to 14 days. Simply swipe the reader over the sensor to get a complete picture of your glucose levels.

Instead of taking glucose readings from your blood, Libre Pro Sensor glucose readings are taken from the interstitial fluid (ISF), a thin layer of fluid that surrounds the cells of the tissues below your skin. Blood glucose readings tend to be about 5 to 10 minutes ahead of interstitial glucose readings.

Freestyle Libre Pro Sensor shows you where your glucose levels were, where they are in the moment, and where they’re headed. It also helps you see the impact of food, medicine, physical activity on your glucose levels. When you can see trends and patterns, you can make more informed insulin dosing decisions. CGM uses a small sensor paired with your smartphone or a reader, instead of fingersticks.

CALL US @ 83348 40005 for home delivery & demonstration

CPAP therapy in Sleep Apnea treatment

Posted on February 26, 2022March 13, 2024 by myhomehealth-admin

Does your snoring keep your partner awake at night? Do you wake up feeling tired and even more irritable than before you went to bed? If so, you might have sleep apnea, which makes it difficult to breath while you’re asleep, keeping your from getting the rest that your body needs. There are several different treatments available for sleep apnea, including wearing a continuous positive airway pressure (CPAP) machine. This guide will tell you everything you need to know about sleep apnea and how CPAP treatment can help.

Sleep Apnea

A Good Night’s Sleep, sound sleep can be defined as that which occurs when the body is totally relaxed [and] vital functions like breathing and heart rate are slow. The overall quality of one’s life depends largely on their ability to get quality sleep. The most common symptom of bad sleep is a feeling of unrest or being constantly fatigued during waking hours—something that affects nearly everyone at some point in their lives. This fact makes it easy to see why consistently receiving high-quality restorative sleep is extremely important not only for you but for those around you as well.

Sleep Apnea is one of the most common sleep disorder across the globe. One out of every five Americans are suffering from some degree of Sleep Apnea. Causes of Sleep Apnea are Obstructive Sleep Apnea (OSA) & Central Sleep Apnea (CSA). OSA occurs when throat muscles relax too much or airway becomes blocked. CSA is caused due to failure of respiratory centers in brain. In both case there is a drop in oxygen level that disturbs sleeping causing snoring which is a symptom of sleep apnoea.

Sleep Apnea diagnosis: Sleep Test / Sleep Study / Polysomnograpgy

If you’re experiencing difficulty breathing while sleeping, a sleep test can tell you if you have sleep apnea. A sleep test is usually performed in a Sleep Lab during one of two different ways: polysomnography or respiratory polygraphy. During polysomnography (or sleep study), sensors are attached to your head, chest and legs as well as an oxygen sensor that clips onto your finger. The sensors measure many physical functions such as blood pressure, pulse rate, brain activity, heart rhythm and breathing patterns while asleep. Respiratory polygraphy measures breathing patterns through a mask worn over your nose throughout sleep.

This test is used to diagnose sleep apnea in patients who have never had a sleep study. A sleep study takes place at a special facility equipped for overnight recording of your brain waves (electroencephalogram or EEG), blood oxygen levels (oximetry), breathing patterns (polysomnogram) and other biological data while you sleep. The results of an overnight stay will help your doctor determine if you need treatment for obstructive sleep apnea or another form of sleeping disorder. It is generally recommended that you have a sleep study if you snore heavily, wake up several times per night choking or gasping for air, or are excessively tired during the day despite getting enough rest at night.

CPAP therapy is the most common and effective option for treating Sleep Apnea

Sleeping with a continuous positive airway pressure (CPAP) machine is a great way to stop sleep apnea. Basically, it works by pushing pressurized air into your throat so that you’re able to breathe easier while sleeping. A lot of people think they don’t need one because they feel fine during their waking hours—but if you’re someone who snores or feels excessively tired during waking hours, it could be a sign that you have sleep apnea and should speak to your doctor about using CPAP machine during sleep.

How CPAP works

In a continuous positive airway pressure (CPAP) machine, compressed air is breathed in through a mask that covers your nose. This air then passes through a tube and is blown into your mouth. The compressed air helps keep your upper airways open so you can breathe normally throughout the night. If you have sleep apnea or are at risk for it, wearing a CPAP mask every night can improve how well you sleep and may even save your life by preventing cardiovascular events like heart attacks.

Different types of CPAP mask

The success of a CPAP therapy largely depends on the mask you choose. Mask of different size & shape are available and they don’t fit with every patients. If you’re trying to decide on a new sleep apnea mask, or if you’re just not sure what kind of mask is right for you, here are some of your options. There are two main kinds of masks: nasal masks and full face masks. Nasal masks cover only your nose; they tend to be more compact than full face models and usually provide less overall support. However, people who get more movement in their jawline tend to prefer nasal masks because these aren’t as wide. Full face masks cover both your mouth and nose; these typically make it easier to breathe through your mouth when wearing a mask during sleep.

Nasal Pillow Mask

Pillow masks are among the most popular mask choices for CPAP users because of their minimal design. These are the smallest of the CPAP masks and rest on the user’s upper lip as it blows pressurized air through two soft nasal tubes that insert into the nostrils, and is secured by straps that go around the head.

Benefits of Nasal Pillow Mask:

The lightweight and minimal design are ideal for patients suffering from claustrophobia or those that simply feel uncomfortable with too much material touching their face.
Optimal for wearers who like to read or watch TV before bedtime, as it offers a better field of vision than many of the other mask types.
Allows the user to wear their glasses as there’s no material covering the bridge of the nose.
The direct airflow into the nasal passages reduces air leakage.
Good for active sleepers who toss and turn a lot.
Works best for users who have a lot of facial hair that may cause leakage in other mask types.

Drawbacks of Nasal Pillow Mask:

Often not ideal for patients with higher-pressure needs, as the airflow is very direct and may cause discomfort at higher pressure settings.
Some users find the direct air pressure leads to higher incidences of nasal dryness, and in some cases, even nose bleeds.
Not ideal for mouth-breathers. If you’re not accustomed to breathing through your nose, using a nasal pillow may feel unnatural or uncomfortable. Although, if you’re a mouth-breather and really want to wear a nasal pillow, try using it in conjunction with a chin strap.

Nasal Mask

Nasal masks are triangular in shape and fit over the nose, covering the areas from the bridge of the nose down to the upper lip. They are popular among CPAP wearers because of the wide range of sizes and fits, making finding a perfect mask for any user very likely.

Benefits of Nasal Masks:

More natural airflow than nasal pillows as the delivered pressure isn’t as direct.
Better for higher-pressure settings than nasal pillows.
Many different styles cater to a wide range of facial structures and features.
If you move around a lot in your sleep or sleep on your side, the suction of the nasal mask helps keep it securely in place.

Drawbacks of Nasal Masks:

Much like nasal pillows, nasal masks are not ideal for mouth-breathers unless accompanied by a chin strap to keep the jaw closed.
Some CPAP wearers complain about irritation caused by the pressure of the mask resting on the bridge of the nose or the forehead supports of some models.
Not ideal for patients who frequently experience allergies or colds that cause blockage of the sinuses.
Not recommended for patients who have difficulty breathing through the nose from medical conditions such as a deviated septum, enlarged turbinates, or a collapsed or narrowed nasal valve.

Full Face Mask

CPAP full face masks cover the nose and mouth and all, or part, of the face with side straps that keep the mask in place. Some hybrid face masks cover the mouth but also have nasal prongs that fit into the nostrils like a nasal pillow.

Benefits of CPAP Full Face Masks:

Face masks are ideal for mouth-breathers and those that haven’t worked well with the nasal mask/chinstrap combination.
Ideal for patients who have nasal obstructions or frequent congestion due to allergies or cold symptoms.
Oddly enough, some claustrophobic patients have preferred the full face mask that covers the entire facial area, as the mask only touches the outsides of the face. Whereas the nasal pillows and nasal masks touch the upper lip and/or the bridge of the nose.
Works well for very high CPAP pressure settings because the wide surface area of the mask makes it feel as if the pressure is more tolerable and less direct than with other masks.
Works well for those that sleep on their back as the supine position is best for an optimal air seal. However, the added straps and support help keep the mask in place for restless sleepers.

Drawbacks of CPAP Full Face Masks:

Because of the larger surface area, there is a higher chance of air leakage.
Some users complain of air leakage near the top of the mask, causing dry, irritated eyes.
Most claustrophobic patients can’t tolerate the extra material and weight of the full face mask, although there are some exceptions.
Full face masks make it difficult to read or watch TV in bed or wear glasses.
If you’re a stomach sleeper, the bulk of the mask will make it difficult to sleep comfortably on your abdomen.

Things to consider during choosing a CPAP mask

Size, fit, and comfort are the most important considerations when choosing a CPAP mask. If the mask doesn’t fit, isn’t comfortable, or doesn’t meet your breathing needs, it’s not likely that you will be compliant with CPAP therapy. Take the time to go over the best mask for you with your vendor/technician, and don’t be afraid if you change your mind later and want to try a different mask.
Make sure to tell your vendor/technician if you are an active sleeper so that you get the most secure mask possible.
Tell your vendor/technician if you are claustrophobic or if there are areas of your face that are easily irritated.
If you have facial hair, it’s important to find a mask type that won’t leak due to the uneven surface area.
To watch TV, or wear glasses in bed, find a mask that allows you the best field of vision so as not to disrupt your nightly routine.
For mouth breather, you may need a full face mask or a nasal pillow/mask in conjunction with chinstraps.
As there are many different cushion types (gel, silicone, foam, cloth, etc), find which is most comfortable for you.

Starting a CPAP therapy for the first time

Many people have questions when they first start using CPAP. Talk with your sleep specialist about how to handle follow-up questions. He or she can answer some questions, but your home equipment provider may need to address others.

Ask your sleep specialist to recommend a home equipment provider that has a lot of experience with CPAP. Continue working with your sleep specialist as you adjust to CPAP.

We at My Home Health have been in business for over a decade now. In Kolkata, there are many sleep clinics but very few can claim to provide round-the-clock support like us. Our dedicated support team is here to help you anytime of day or night through telephone or email or physical support. We also have an easy payment plan & Rental options which means you don’t have to shell out a lot of money upfront for treatment.

Talk to us for any sorts of queries regarding a home CPAP therapy.

Frequently Asked Questions on CPAP therapy

Does Sleep Apnea Cause Diabetes, or Vice Versa?

Sleep apnea and diabetes are related because it makes it more difficult for you to manage your diabetes. It tends to incite a state of severe insulin resistance. As a result, this can lead to compensatory hyper-insulinemia, and increase the requirement for higher doses of exogenous insulin. Prevalence of this condition can worsen or even lead to the development of type-2 diabetes in sleep apnea patients.

Can Sleep Apnea Cause Hypertension or Vice Versa?

Hypertension occurs in close correlation to Obstructive Sleep Apnea (OSA). Studies find that almost 50% of patients with hypertension also suffer from OSA. This correlation is greater in cases of people with resistant hypertension – people who have tried a variety of treatments to control their blood pressure but have been unsuccessful.

Can a Sleep Study be Done at Home?

Sleep apnea diagnosis can be done at home. This simplifies the testing procedure so don’t have to visit a hospital, but can rather take the test from the comfort of your home. You receive a pre-assembled test device at your doorstep that you can put on at night and sleep, while the test is carried out. The device measures breathing, airflow, heart rate and the level of oxygen in your blood.

What are the Complications or Side Effects of CPAP?

Complications that may occur with CPAP therapy use include:
Excessive dreaming, especially during the first days of treatment
Dry nose and sore throat
Congested or runny nose, and sneezing
Eyes and facial skin irritation
Abdominal bloating

Other problems with CPAP machines that have been reported by patients include anxious and claustrophobic feelings, nosebleeds, and difficulty falling asleep.

Most importantly, these complications don’t lasts forever and patient gets accustomed with all these within couple of days. Always talk to your doctor and take his help to ease the therapy.

How soon will you feel the effects of CPAP therapy?

As per our experience of providing services to a good number of patients, most patients feel CPAP therapy’s effects as soon as they start the treatment. However, things are not always so simple for everybody. For some, the effects are cumulative, meaning that improvements only come with regular use of the machine for several weeks or even months.

Will I need to use my CPAP equipment for the rest of my life?

This is like using your reading glasses. Most people continue to sleep using their CPAP devices for the duration of their lives, even though their pressure setting may need to be adjusted downward due to improvements in the severity of their sleep apnea. However, some patients no longer need treatment because they lose weight; experience changes in their muscle tone; undergo oral surgery; or have their airway structures “trimmed” down by a physician. One should not stop using the machine without a doctor’s consultation.

I’ve been diagnosed with obstructive sleep apnea (OSA) I don’t have trouble sleeping; in fact, I can sleep anywhere, anytime! Why do I need CPAP treatment?

Having OSA doesn’t mean you have trouble falling asleep. Having OSA means you have trouble breathing while you are asleep.

Can I take my CPAP off after a couple of hours of use? Or should I use it throughout the whole night?

Ideally, we recommend that you wear your device whenever you sleep, your airway can become obstructed anytime you relax enough to fall asleep, such as after meals or watching TV.

If I go out of town for 1-2 days or less than a week, is it ok to leave my CPAP at home?

No. Every time you sleep your airway is obstructed and your oxygen drops your heart, brain, lungs, and other bodily systems are strained. That’s why it’s vitally important that you use continue your therapy whenever – and wherever – you sleep.

How often should I re-titrate my CPAP machine ? In other words, how often should I have another sleep study to determine if my equipment pressures are set appropriately for me?

The American Academy of Sleep Medicine (AASM) recommends that patients be “re-titrated” once a year or when lifestyle changes occur, to ensure that optimum therapeutic levels are maintained. This is especially important if you – Especially if/when you lose or gain weight; no longer feel you are getting optimal sleep; and/or if you are taking new medications (which can make apnea worse). Talk to your service provider for any assistance.

Should I buy CPAP with humidifier? What does the term, “humidification” mean in reference to CPAP therapy?

A: Humidification, refers to the process of adding humidity, or moisture, to the CPAP air, which reduces nasal passage irritation – and sometimes, bleeding – due to dryness. Additionally, adding moisture also reduces possible swelling, excess mucous, congestion, and sneezing, and makes patients’ sinuses less susceptible to bacterial infections. Humidification is therefore, a critical part of CPAP therapy. Ideally, you should buy a CPAP with a provision of adding a humidifier later, if needed. Talk to us for any sorts of clarification.

What type of power does my CPAP need?

Most CPAP and Bi-level (BiPAP) machines today are designed to operate on both AC and DC battery currents. The AC current from wall outlets is around 220 volts and most batteries produce 12 volts of DC current.

What maintenance is required on machines?

The only care you are required to do for machines is to clean or change the filters at the air intake of the machine to keep the internal parts from accumulating dust. Here are some more tips on caring for your machine:
Keep the area around your machine clean and be sure to remove all dust. This will ensure that you continue to receive optimum air quality.
Keep the air intake of the machine unblocked. Curtains, bedding, and papers can easily block the air intake and reduce the airflow to your machine.
With most machines, it is easy to spill water from the humidifier into the machine and cause damage. Therefore, if you have a humidifier, avoid picking up your machine when the humidifier is attached. Instead, empty the water from the chamber every morning.
We highly recommend that you take your machine to the service station every 12 months at least to have it re-calibrated and cleaned by one of our certified CPAP clinicians.

How often should I clean the humidifier?

Daily: pour out last night’s water, rinse and air-dry.

Weekly: Disinfect with 1 part white vinegar, 2 parts water (approximately 1/3 cup of white vinegar to 2/3 cup water); shake until the entire inside surface is coated and let it sit 15-20 minutes. Rinse clear and smell to be sure all vinegar is gone.

Should I use special water in my humidifier?

You should always use distilled water in your humidifier to prevent the build-up of mineral deposits on your water chamber. This will significantly prolong its life. Otherwise, normal filtered water also can be used.

How often should I change my CPAP filters?

At a minimum you should change your filters once in every three months. Do it more frequently, if your ambient air quality is poor. You should definitely change your filters, however, if you notice any discolouring. Additionally, you should wash and dry your filters as and when needed or weekly.

I feel like my therapy may not be working because my machine is making loud noises and there’s a lot of air blowing from my mask? What should I do?

Either your mask is fitted incorrectly or your seal is wearing out, and needs to be replaced. Bring the machine to our service station for overall health check-up. You may consider to change your mask as well.

What kind of mask do I need?

Using the right mask is essential to the success of your treatment. You will need a mask this is comfortable and fits properly. It should form a good seal on your face so that air doesn’t leak (this would be uncomfortable and make your therapy less effective). A nasal mask which covers the nose is the most common. However, some people breathe through their mouth when they sleep. In this case, a full face mask that covers both the nose and mouth is the best option.  Another option would be a nasal mask and chinstrap. This will prevent the jaw from opening during sleep and still provide for effective therapy.

My mask seems to be leaking. What does that mean?

Unfortunately, our faces are designed differently, and no mask will seal 100% of the time, because air will look to escape via every nook and cranny. However, you’ll want to get the best fitting mask and adjust your headgear properly to have the best seal. Also, before using your equipment make sure your face is clean and free from moisturizers, make up, or creams.

I often wake up with water in my mask/tubing – what can I do? Why does this happen?

Your humidifier is on too high. Start at the 1st setting and gradually increase as necessary each night.

I am experiencing a cut on the bridge of the nose. What should I do?

If so, your mask is probably too tight so we suggest that you loosen it a bit. Also, put some zinc oxide, a band-aid, or skin tape on the affected area, but do not discontinue your CPAP therapy. However, if your sore continues to worsen, contact your physician. You may need to return to your CPAP clinic for another mask- one with a more comfortable, and better-fitting style.

Sleep Apnea – things I should know

Posted on February 20, 2022March 13, 2024 by myhomehealth-admin

Snoring can make a bad and uncomfortable sleep experience for you and your bed mate. But if it happens because you have obstructive sleep apnea (OSA), it’s a sign of a bigger problem that you should worry about.

The condition raises your risk for other health issues like high blood pressure and diabetes. Moreover, it can even make you more dangerous on the road. But when you treat this, you can ease or even cure some of these issues.

How common is Sleep Apnea ?

The American Sleep Apnea Association estimates that 38,000 people in the United States die each year from heart disease with sleep apnea as a complicating factor.

People with this complication have difficulty breathing or stop breathing for short periods while sleeping. This treatable sleep disorder often goes undiagnosed.

According to the American Heart Association, 1 in 5 adults have sleep apnea Trusted Source to some degree. It is more common in men than in women. Children can also have sleep apnea.

What may happen if I develop Sleep Apnea ?

Without treatment, sleep apnea can lead to serious complications.

1. High blood pressure. If you already have it, sleep apnea can make it worse. When you wake up often during the night, your body gets stressed. Which boosts your blood pressure levels.

2. Heart disease. People with OSA are more likely to have heart attacks. The cause may be low oxygen, Stroke & atrial fibrillation.

3. Type 2 diabetes. Sleep apnea is common among people with this Type 2 diabetes. 80% or more of them may have OSA. Moreover, obesity raises a person’s risk for both disorders.

4. Weight gain. Extra pounds raise your chances of getting sleep apnea, and the condition also makes it harder to slim down.

5. Metabolic syndrome. Metabolic syndrome means you have at least three of these conditions:

High blood sugar
Low levels of “good” HDL cholesterol
High levels of triglycerides
Too much fat around waist
High blood pressure

Metabolic syndrome can make you more likely to get heart disease, diabetes, or stroke, so it’s important for healthy lifestyle changes.

6. Daytime sleepiness. The sun’s up, yet you feel tired. That’s a common symptom of OSA. And, it can take a toll on everything from your mood to how clearly you think.

7. Car accidents. When you feel groggy, you raise your risk of falling asleep at the wheel. Incidentally, People with sleep apnea are up to five times more likely than normal sleepers to have traffic accidents.

8. Memory loss. Research suggests that memory slips show up when someone has a “sleep-disordered breathing” condition like OSA.

9. Depression. Poor sleep might make you more likely to get depressed. And depression may raise your chances of getting worse shut-eye

What exactly Sleep Apnea is ?

Sleep apnea is a sleep disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing, during sleep.

Each pause in breathing, called an apnea, can last from a few seconds to minutes, and may occur 5 to 30 times or more an hour. Similarly, each abnormally low breathing event is called a hypopnea.

What are the different types of Sleep Apnea ?

1. Central type (CSA), 0.4% of total case are CSA

2. Obstructive Type ( OSA ), 84 % of the total case are OSA

3. Mixed Type ( This is the co-existence of CSA & OSA ), 15% of the total case are MSA

What is Central Sleep Apnea ?

Breathing is interrupted by a lack of respiratory effort. Additionally, brain’s respiratory control centers are imbalanced during sleep. There is no effort made to breathe during the pause in breathing. Therefore, there are no chest movements and no struggling. After the episode of apnea, breathing may be faster (hyperpnea) for a period of time, a compensatory mechanism to blow off retained waste gases and absorb more oxygen. Any sudden drop in oxygen or excess of carbon dioxide (even if tiny) strongly stimulates the brain’s respiratory centers to breathe.

In central sleep apnea, the basic neurological controls for breathing rate malfunction and fail to give the signal to inhale, causing the individual to miss one or more cycles of breathing. If the pause in breathing is long enough, the percentage of oxygen in the circulation will drop to a lower than normal level (hypoxaemia) and the concentration of carbon dioxide will build to a higher than normal level (hypercapnia).

Brain cells need constant oxygen to live, and if the level of blood oxygen goes low enough for long enough, the consequences of brain damage and even death will occur.

What is Obstructive Sleep Apnea / OSA ( The most common of all )

Breathing is interrupted by a physical block to airflow despite respiratory effort, and snoring is common.

The muscle tone of the body ordinarily relaxes during sleep, and at the level of the throat the human airway is composed of collapsible walls of soft tissue which can obstruct breathing during sleep.

Individuals with low muscle tone and soft tissue around the airway (e.g., because of obesity) and structural features that give rise to a narrowed airway are at high risk for OSA.

How do I understand that I am having Sleep Apnea ?

An individual with sleep apnea, is rarely aware of having difficulty breathing, even upon awakening. Hence, this is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body.

Symptoms may be present for years (or even decades) without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.

Initially this may be only a few apneas per night. As the number of apneic events increases, both physical and mental symptoms develop. But, these are usually not noted until there are at least 50 or more events per night. Moreover, in more severe cases, it is possible for a person to experience 500 to 600 episodes of sleep apnea each night.

What are the potential sign & symptoms of having Sleep Apnea ?

The most common symptoms are as
follows:

Daytime
sleepiness, no matter how much time you spend in bed
Tired/fatigue appearance
Frequent urination at night
Loud and chronic
snoring
Choking, snorting,
or gasping during sleep
Long pauses in
breathing
Insomnia
Weight gain

May also associated with these cognitive
(mental) dysfunctions: Poor concentration

Inappropriate asleep
Poor memory
Increased irritability
Chronic fatigue
Decreased libido
Some depression
Claustrophobia
Rapid sleep onset
Avoidance of social events
Awakening with a headache
Sweating in sleep

Always consult with your doctor before deriving any
conclusion by your own just by seeing some sign & symptoms. As because of, these might be
due to some different health complication as well.

How likely I may develop Sleep Apnea ?

Below are some risk factors for developing Sleep Apnea:

One is overweight or obesity. Obesity is considered by the American Lung Association (ALA) to be the most important risk factor. According to Johns Hopkins Medicine, it affects over 20 percent of people with obesity compared to about 3 percent of people of moderate weight.
You’re male. According to the ALA, men are 2 to 3 times more likely to have OSA than premenopausal women.
Having a family history. If OSA has been diagnosed in other family members, according to the Mayo Clinic, you may be at higher risk.
If you’re older. According to the ALA, obstructive sleep apnea becomes increasingly frequent as you age, levelling off once you reach your 60s and 70s.
Smoking. Obstructive sleep apnea is more common in people who smoke.
If you have certain medical conditions. Your risk of developing OSA may increase if you have high blood pressure, diabetes, or asthma.
Having chronic nasal congestion. OSA occurs twice as often in people with chronic nasal congestion at night.
Crowded pharynx. Anything that makes the pharynx, or upper airway smaller — such as large tonsils or glands — can result in a greater chance for obstructive sleep apnea.

Self evaluation of Sleep Apnea ?

Is it just snoring or is it sleep apnea?

Not everyone who snores has sleep apnea, and not everyone who has sleep apnea snores. The biggest sign is how you feel during the day. Normal snoring doesn’t interfere with the quality of your sleep as much as sleep apnea does.

What’s Your Snore Score?

Your answers to this quiz will help you decide whether you may suffer from sleep apnea:

Are you a loud and/or regular snorer?
Have you ever been observed to gasp or stop breathing during sleep?
Do you feel tired or groggy upon awakening, or do you awaken with a headache?
Are you often tired or fatigued during the wake time hours?
Do you fall asleep sitting, reading, watching TV or driving?
Do you often have problems with memory or concentration?

If you have one or more of these symptoms you are at higher risk for having obstructive sleep apnea.

Source: American Sleep Apnea Association

The STOP-BANG survey below is a self-evaluation you can take to assess the chances of having sleep apnea.
However, to get a proper diagnosis, you must see a healthcare practitioner

These four yes-or-no “STOP” questions can help you determine your risk for sleep apnea:

S: Do you snore loudly?

T: Do you often feel tired, fatigue, or sleepy during the day?

O: Has anyone observed you not breathing during sleep?

P: Do you have or have you been treated for high blood pressure?

You have a high risk of sleep apnea if your answer is “yes” to two or more of these questions. Hence, you are strongly encouraged to discuss these results with your medical provider.

The questionnaire has an even higher predictive value when you answer four more questions:

B: Is your Body Mass Index more than 35 kg/m²?

A: Is your age more than 50 years old?

N: Is your neck circumference greater than 40 cm?

G: Is your gender male?

What are the clinical diagnosis test for Sleep Apnea ?

1. Evaluation of clinical symptoms (e.g. excessive daytime sleepiness and fatigue)

2. The results of a formal sleep study (polysomnography, or small channels home based test).

What is a Polysomnography test ?

Polysomnography, also popular as a sleep study or Sleep Test, is a comprehensive test used to diagnose sleep disorders. Therefore, Sleep Study records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.

This test may be done at a sleep disorders unit within a hospital or at a sleep center. While it’s typically performed at night, polysomnography is occasionally done during the day to accommodate shift workers who habitually sleep during the day.

In addition to helping diagnose sleep disorders, polysomnography may be useful to help initiate or adjust your treatment plan if you already have some types of sleep disorder.

Sometimes you may be able to do the sleep study at home. Home sleep apnea testing uses a limited number of sensors to focus primarily on diagnosing OSA.

What are the parameters for Polysomnography / Sleep Test

A PSG is a diagnostic tool used to determine if your patient has a sleep disorder. This test is conducted overnight at the sleep center or hospital.

This test monitors your patient’s sleep cycles and stages to identify any disturbances caused by their sleep disorder. Your patient will be connected to a variety of equipment to help monitor things like their:

Brain activity ( Sleep stages etc. )
Breathing activity ( Snoring, Oxygen Saturation etc. )
Muscle activity ( Leg movement, Chest efforts etc )

Critical Parameters of Sleep Study / Polysomnography Report

1. AHI: What was the overall Apnea/Hypopnea Index (AHI)? The AHI is the measure of how bad the patient’s sleep apnea is. The scale of AHI is:

a. < 5 = normal in an adult.

b. 5-15 = mild

c. 15-30 = moderate

d. >30= severe

2. Sleep Position: In conjunction with the AHI you will also usually find information about sleep position and the AHI when the patient is sleeping supine versus on their side.

3. O2 Saturation: What is the O2 saturation nadir (lowest point), and how much time did the patient spend with an O2 saturation below 90%?

4. Sleep Stages: How much time the patient spent in the different levels of sleep during the study.

Home Study vs Lab Test : Which one to select ?

What are the treatment options for Sleep Apnea

Some treatments involve lifestyle changes, such as avoiding alcohol or muscle relaxants, losing weight, and quitting smoking.

Many people benefit from sleeping at a 30-degree elevation of the upper body or higher, as if in a recliner. Doing so helps prevent the gravitational collapse of the airway. Lateral positions (sleeping on a side), not to supine positions (sleeping on the back), are also recommended as a treatment for sleep apnea, largely because the gravitational component is smaller in the lateral position. Moreover, some people benefit from various kinds of oral appliances to keep the airway open during sleep.

Continuous positive airway pressure
(CPAP) is the most effective treatment for obstructive sleep apnea. Therefore, talk to your physician regarding the benefits of CPAP machine to ease your problems.

There are also surgical procedures to remove and tighten tissue and widen the airway.

Oxygen Concentrator ON RENT in Kolkata

Posted on February 17, 2022March 13, 2024 by myhomehealth-admin

Oxygen Concentrator is a medical device that assists people who have a low level of oxygen in their blood. They run on electrical outlet or by using a battery. For battery, it needs charges by plugging it into an electrical outlet. Most concentrators also come with an adapter so you can use the device while you drive.

An oxygen concentrator receives air, purifies it, and then yields fresh Oxygen. Before it goes into the concentrator, air is comprises of 80 percent nitrogen and 20 percent oxygen. An oxygen concentrator uses that air then it comes out as 90 to 95 percent pure oxygen and 5 to 10 percent nitrogen. The machine separates Nitrogen to give the patient the highest dose of oxygen possible, as it is difficult to get that percentage of oxygen without the help of a medical device.

How does an Oxygen Concentrator work ?

An oxygen concentrator works by filtering and concentrating oxygen molecules from the ambient air to provide patients with 90% to 95% pure oxygen. The compressor of the oxygen concentrator sucks ambient air and adjusts the pressure at which it is provided. The sieve bed made of a crystalline material called Zeolite separates the nitrogen from the air. A concentrator has two sieve beds that work to both release oxygen into a cylinder as well as discharge the separated nitrogen back into the air. This forms a continuous loop that keeps producing pure oxygen. The pressure valve helps regulate oxygen supply ranging from 5 to 10 liters per minute. The compressed oxygen is then goes to the patient through a nasal cannula (or oxygen mask).

Advantage of Portable Oxygen Concentrator

Both portable and home oxygen concentrators have numerous advantages for those patients need oxygen therapy. They are much less dangerous than traditional oxygen cylinders, which can, if ruptures or leaking, cause or increase the combustion rate of a fire. Oxygen concentrators, on the other hand, pose no such danger.

Home and portable oxygen concentrators that can “make” their own oxygen have become more popular and widely used than old-fashion oxygen tanks. The other main benefit is the ease and higher ability to be mobile with oxygen. Portable Oxygen Concentrator are light weight ( Around 2kg ) and one can carry it anywhere. It comes with optional battery, provides additional battery backup for hours. The machine also can run on Car Charger.

Will my body get dependent on Oxygen, if I use it continuously ?

No, Oxygen is not addictive at all. A large number of patients express their concern regarding this and try to decrease the time they are on Oxygen or totally avoid it.

Supplemental Oxygen is prescribed because the lungs have become weak due to condition like COPD and the 21% Oxygen of air is now not sufficient for lungs which results in low level of O₂ in blood.

In order to make lungs feel like as if they are exactly in a normal healthy environment, they need some extra Oxygen so that the Oxygen exchange with blood is exactly same as it would have been with normal healthy lungs.

Can I use more Oxygen than Doctor's recomandation ?

No, using more than prescribed oxygen can cause Oxygen toxicity/Oxygen poisoning in the body which has many harmful effects like damage to eyes, acute respiratory distress syndrome (ARDS), alveolar damage, destruction of neurons , etc.

Is it alright if I use less Oxygen than Doctor's recomandation?

No, you should use Oxygen exactly as per physician’s guideline. Consuming less Oxygen can cause low levels of Oxygen in blood which can further cause poor memory, irritable mood, poor cognition, shortness of breath, headaches and much more.

Using lesser oxygen for longer periods of time also deteriorates lung’s health and causes the disease to grow.

How much Oxygen is ideal for me ?

Your physician decides the ideal amount of Oxygen for you; he does it by carefully analyzing your ABGs. In most cases, the goal is to keep your Oxygen levels above 88% which after prescription is monitored using Oximetry. In healthy individuals, ideal saturation of Oxygen in blood is 95-99%.

Do I also need to keep an Oxygen cylinder at home, if I use Oxygen Concentrator ?

It is wise to keep an Oxygen cylinder as a backup source.

After all, concentrator is a machine and any machine can fail anytime.

Oxygen Concentrator runs on electricity. So, if power supply stops, the machine won’t run.

Though Oxygen Concentrators can run on domestic inverters. Consult with your vendor for specifications.

Which is the best Oxygen Concentrator brand for me ?

All brands are good; the most important thing is that the Oxygen Concentrator you are planning to buy should carry some international approvals like FDA, CE & ISO.

The second most important thing is that the specifications should suit your requirement. The parameters you can consider to compare different models of different brands can be flow rate, battery backup, alarms (especially low purity of Oxygen), weight, power consumption and portability.

Can I use portable Oxygen Concentrator while sleeping ?

Yes, Portable Oxygen Concentrators (POC) can be used while sleeping. Note that POCs have 2 modes: Pulse mode and Continuous mode.

In Pulse mode, POCs will work as long as you breathe through nose and that too with sufficient pressure to trigger a breath in the machine. It is recommended to use POC with high sensitivity as during sleep the triggering pressure of each breath drops.

For sleep, continuous mode of Oxygen is ideal because while sleeping, there are chances that patient may not breathe through nose all the time which means if patient is breathing through open mouth then there are less chances of activating a pulse mode concentrator.

I feel, the Oxygen coming out of Oxygen Concentrator is less potent/effective than that of Oxygen Cylinder. Why it is so ?

There are two parameters to consider. One is called Flow Rate, measures in LPM (Litre Per Minute) and other one is Outlet Pressure, measures in PSI (pound per square inch) Both these parameters are crucial for a patient’s wellbeing & perception. The typical air pressure of a B Type domestic Oxygen Cylinder is much higher than that of a standard Oxygen Concentrator of 5LPM capacity (around 7 PSI outlet pressure). Few patients with specific ailment needs higher delivery pressure. Such patient complains about discomfort with standard 5LPM/7PSI Oxygen Concentrator. For them, 8LPM or 10LPM Oxygen Concentrator with higher Outlet pressure (around 20 PSI) is beneficial.

Remember, high pressure is not always good for every patient. And, most of the patients are comfortable with standard machine only. Consult with physician for the exact requirement of the patient.

When do I need to use Humidifier bottle ?

The purpose of humidification is to provide moisture which makes Oxygen therapy comfortable; Without a humidifier raw oxygen can cause dryness in airways of nose and throat. To avoid this discomfort, usually, use of humidifier makes the oxygen therapy comfortable in a continuous flow of more than 3 LPM.

Portable Oxygen Concentrator provides pulse flow only . In Pulse Flow, Oxygen releases outs only when patient inhales which doesn’t cause dryness unlike continuous flow of Oxygen, therefore, humidification is not necessary.

However, if your Portable Oxygen Concentrator has continuous flow option then you need to talk to your equipment provider.

What is the difference between Continuous Flow & Pulse Flow in Oxygen Concentrator ?

Oxygen concentrators are generally are of two categories: PULSE flow concentrators and CONTINEOUS flow concentrators. Continuous flow is similar to what you’d expect from an oxygen tank or liquid oxygen tank. These devices will put out oxygen in a constant stream and are usually measured in liters per minute (LPM). Pulse flow machines are more advanced and actually have the ability to measure your breathing rate. When you inhale, a pulse dose machine will put out a small dose of oxygen called a “bolus.”

One of the biggest benefits of pulse flow concentrators is that they are almost always smaller and lighter than their continuous flow counterparts. Portable oxygen concentrators are light enough to carry over your shoulder.

What kind of water should I use in Humidifier & how often should I clean it ?

It is recommended to use clean drinking water for humidifier as after all you are going to breathe through it. There is no hard and fast rule for cleaning but there is no harm in having good daily cleaning practices just by rinsing through fresh water and replacing the water in the bottle.

Should I use Nasal Canula or Oxygen Mask ?

Most people prefer nasal cannula as it doesn’t look medical but most cannulas have a limitation that they are effective for flows up to 6 Litres Per Minute (LPM). There are special cannulas for higher flow (High Flow Nasal Canula).

However, if you get rashes in your nostrils by use of cannula or if your flow requirement is above 6 LPM then a simple face mask is used by most people.

Can I use Oxygen Concentrator with CPAP or BiPAP machine ?

All the concentrators with continuous flow can work with PAP devices. All stationary/home concentrators have continuous flow but some portable models have just pulse flow mode. Pulse flow is not suited for use with PAP devices.

What kind of maintenance is required for Oxygen Concentrator ?

The device is as simple to manage as it looks. All that is required is that the coarse filter has to be washed each day and replace the other filters as per instructions of the company, which is usually at 6 months or 1500 hours of use. The filters may also need to be changed according to local conditions (dust, humidity) and the amount of use of the concentrator. Skilled mechanical maintenance is needed only yearly. There is a fourth filter, the bacterial filter, located before the oxygen outlet of the concentrator. Typically this must be changed every year, or more frequently, depending on the amount of use of the concentrator. The concentrator may work 24 hours a day, every day, as long as daily maintenance procedures are carried out.

Can I fly with Oxygen Concentrator in India ?

In US, the Federal Aviation Administration (FAA) oversees all safety regulations pertaining to medical oxygen machines and in-flight use. In India, Oxygen Concentrators, which are approved & certified by FAA, are allowed to carry along with the patient during fly.

Your vendor should provide you this certificate related to their product. Be sure to contact your airline at least 48 hours before your flight to let them know you will be carrying a concentrator. You need to apply to your carrier aviation company in a prescribed format to allow your patient to fly in their fleet with Oxygen Concentrator. You need to submit the FAA certificate of the machine that you would like to carry with. Based on the latest guideline and submitted documents, the carrier will issue an approval via EMAIL. You need to carry this during your travel.