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Combating the Consequences of Excessive Sleepiness

neuroscienceCME TV

Premiere Date: Wednesday, December 5, 2007

This activity offers CE credit for:

1. Physicians (ACCME/AMA PRA Category 1)
2. Nurses (CNE)
3. Pharmacists (ACPE)
4. Psychologists (APA)
5. Social Workers (NASW)
6. Certified Case Managers (CCMC)

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Friday, December 5, 2008
Note: Credit Is No Longer Available

Faculty

Charles B. Nemeroff, MD, PhD  Professor and Chair Department of Psychiatry Mulva Clinic for the Neurosciences Director, Institute of Early Life Adversity Research Dell Medical School The University of Texas at Austin Austin, TX

David F. Dinges, PhD  Professor and Chief, Division of Sleep and Chronobiology Director, Unit for Experimental Psychiatry Department of Psychiatry University of Pennsylvania School of Medicine Philadelphia, PA

Thomas Roth, PhD  Chief, Division Head Sleep Disorders and Research Center Henry Ford Hospital Detroit, MI

Statement of Need

Excessive sleepiness is an intense compulsion to sleep during waking hours. This symptom can manifest while at rest, but also during times when a degree of activity and attention are needed, such as while driving. Excessive sleepiness can be a result of sleep deprivation or fragmentation, and its etiology is associated with disorders such as narcolepsy, obstructive sleep apnea, circadian rhythm sleep disorders, and depression.(1)

Clinical sleep deprivation/fragmentation studies highlight the cognitive, functional, and physiological impact of excessive sleepiness. Consequent deficits include decreased alertness, learning and memory problems, and psychomotor impairment.(2) These impairments can decrease productivity and increase the propensity for errors and accidents. The symptom of excessive sleepiness may exacerbate mood disorders, and is associated with increased insulin resistance, pain sensitivity, and weight gain.

Management of excessive sleepiness can encompass both non-pharmacologic and pharmacologic strategies. Non-pharmacologic measures include patient education on sleep/wake hygiene, the appropriate use of napping, and light management. Caffeine, psychostimulants, or novel wake-promoting agents can also be utilized to help overcome excessive sleepiness.(3) In this live, evidence-based, neuroscienceCME TV activity, the experts will explore the symptom of excessive sleepiness and how its consequences may impact patient outcomes.

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1. Schneider C, Fulda S, Schulz H. Daytime variation in performance and tiredness/sleepiness ratings in patients with insomnia, narcolepsy, sleep apnea and normal controls. J Sleep Res 2004;13:373-383.
2. Dinges DF, Pack F, Williams K et al. Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4-5 hours per night. Sleep 1997;20:267-277.
3. Banerjee D, Vitiello MV, Grunstein RR. Pharmacotherapy for excessive daytime sleepiness. Sleep Med Rev 2004;8:339-354.

Activity Goal

To explore the etiology and occurrence of excessive sleepiness, examine the resultant cognitive and medical consequences, and identify strategies for management of this symptom.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Describe the symptomatology and etiology of excessive sleepiness.
• Identify consequences of untreated excessive sleepiness including cognitive deficits, physical decrements, and increased propensity for errors and accidents.
• Formulate a treatment plan that can improve the outcome of patients who suffer from excessive sleepiness associated with a variety of disorders.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals interested in optimizing outcomes in patients with sleep/wake disorders.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0616. 1.0 contact hours will be awarded upon successful completion.
Note to Nurse Practitioners: The content of this CNE activity pertains to Pharmacology.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CCMC Credit (Certified Case Managers):
This program has been approved for 1 hour by the Commission for Case Manager Certification (CCMC).

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-999-07-018-L01 (live presentation) 376-999-07-018-H01 (recorded programs)

Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Resources tab - requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required). Otherwise, participants should fully complete and return both the credit request form and activity evaluation located within the course guide for this activity. A certificate or statement of credit will be mailed within 4-6 weeks to all who successfully complete these requirements.

Disclosure Declaration

All faculty participating in CME Outfitters continuing education activities are required to disclose any conflict(s) of interest related to the content of their presentation(s) as defined by the ACCME's Standards for Commercial Support, and other accrediting and regulatory bodies. Full disclosure of faculty relationships will be made on this website and within the activity course materials prior to the premiere date of this activity.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).