Tuesday, October 2, 2012

Sleep Apnea and the Continuous Positive Air Pressure (CPAP) Machine

Written by Kevin Hansen, CFILC's Information and Data Specialist

Have you ever slept for eight to ten hours during the night and then woke up feeling exhausted the next morning, as if you had not slept at all? Have you ever felt an overwhelming urge to take a nap after being awake for only a couple of hours because the eight to ten hours of sleep didn’t feel like enough?


This is the way that I felt each morning after what I considered a deep sleep. In fact I would take two naps a day for two hours a each day for three days a week and I was still tired.

During an annual physical, I told my doctor about my sleeping problems. After discussing other options we decided that I should be tested for sleep apnea. The first test was taking oxygen monitoring system home and attaching the sensor to my index finger as I slept that night. I received the instructions that every time I woke up I should write down the time that I awoke on a piece of paper. After the fourth wake up I finally realized that I was waking up a lot at night but never realized it. 



photo courtesy of http://sleepapneadisorder.info

photo courtesy of http://sleepdisorders.dolyan.com/
After this night of restless sleep I took the oxygen monitor back to my doctor where they read the results and gathered more information. I was then referred to a sleep clinic for a sleep study. This was essentially like being in a hospital bedroom that had microphones and an infrared video camera in the room to monitor sleeping habits. They hooked me up to multiple sensors that would also help monitor my heart rate, brain waves and oxygen. During the night they woke me up and asked me to put on an air mask that was hooked up to a CPAP (Continuous Positive Air Pressure) machine. I slept the rest of the night with this mask on my face and the CPAP machine running.
 
photo courtesy of http://www.drpaulo
The next morning I awoke and went home - and took another nap!  A couple of days later my doctor called me in to go over the results. He told me that I stopped breathing 7 to 10 times a night and my blood oxygen level went down to 81%. He said that he was prescribing a CPAP machine for me to use every night. When I heard this I realized that I actually was waking up multiple times every night. I still had thought it was just that I was uncomfortable and needed to find a new sleeping position in my bed or a new bed or pillow. However, this was not the case. The reality was that I  had stopped breathing and was gasping for air. This personal  revelation was very scary!

The doctor explained to me, that, at night when I sleep my throat closes shut and does not allow air to move freely. He told me to  imagine taking a straw and placing one end of the straw on my finger and sucking on the other end of it. The straw looses it shapes and becomes flat and no air can pass through it. This is what was happening to me every night I thought I was going to sleep. The CPAP machine helps you re-inflate the collapsed straw -or throat-  and thus keeps your blood oxygen levels higher.

It took me a couple of weeks to get used to sleeping with the CPAP machine. I have now slept with this machine for over thirteen years and I cannot imagine sleeping without it. I wake up feeling refreshed after 7 to 9 hours of sleep every night and no longer need to take two hour daily naps.

The CPAP machine is one of the best things that has happened to me – I am grateful for this life-saving AT device every night.


photo courtesy of http://dormiamattress.wordpress.com


Tuesday, September 25, 2012

Center for Applied Rehabilitation Technology (CART) Model Home



Written by Rosemarie Punzalan, Program Coordinator for the AT Network

The Center for Applied Rehabilitation Technology (CART), located at the Rancho Los Amigos National Rehabilitation Center in Downey, CA, is one of the largest medical rehabilitation centers in the United States.  CART staff - including physical, speech, occupational, and recreational therapists and engineers - offer evaluations as well as provide assistive technology solutions to individuals with physical disabilities.  Clients of any age who have a physical disability such as cerebral palsy, spinal cord injury, traumatic brain injury, progressive neuromuscular diseases, etc. are eligible for CART services. For more information about CART, please visit http://www.rancho.org/ServiceReint_CART.aspx.
 
CART received a grant from The Rancho Foundation and has built a model home to showcase a variety of real-life adaptations that people with disabilities can make in their own homes. This model home showcases a wide variety of assistive technology solutions for the home, ranging from simple to complex. Commercially available products paired with universal design principles were used to create an accessible living environment.  Below are some sample pictures from CART's Model Home website. 


Have you been to CART or visited a different model home that demonstrates AT devices?  What AT devices do you want to see showcased?  Use the comment section below to share your thoughts and/or resources about AT in the home.

 Bedroom - Simple adaptations increase safety and maintain independence.

Bathroom - Simple adaptations increase safety and maintain independence.


Kitchen - Accessible cooking supplies, work surfaces, and appliances maximize independence in the kitchen.

Bathroom - Simple adaptations increase safety and maintain independence.

Living Room
Electronic Aids to Daily Living (EADL) systems provide independent control of electronic devices for persons with a range of physical limitations.