Nursing Home Sleep Testing
Medicina Medical offers on-site
Nursing Home Sleep Apnea Testing with therapy and treatment
recommendations by a board certified sleep physician. Medicina
Medical will conduct the screening using the ResMed Apnea Link
diagnostic device and provide the sleep physician with the test
results. Upon a positive diagnosis of OSA, Medicina
will initiate continuous positive air pressure (CPAP) or bi-level
positive air (BiPAP) therapy per physician’s order. The sleep test
results and signed interpretation letter from the sleep doctor will
be provided to the facility for patients being discharged home with
orders for PAP therapy.
What is Nursing Home Sleep
In order to diagnose Sleep Apnea
or other sleep disorders, a patient must undergo a polysomnography
(sleep study). This is typically done in a sleep lab, requiring the
patient to spend the night in-lab, while the polysomnography (PSG)
equipment records his/her physiological data.
However, with technological
advancements a polysomnography can now be performed at the nursing
home. This service is the most cost effective and convenient way for
nursing home residents to get tested without having to spend a night
at a sleep lab away from the facility.
Evidence suggests that sleep
disorders and sleep fragmentation are very common in nursing home
residents. A variety of factors contribute to these sleeping
difficulties, including age-related changes in sleep patterns; the
high prevalence of dementia, depression, medical illness and
medications that affect sleep; and sleep disorders such as
respiratory disturbance of sleep. Other important factors include
common life style characteristics in nursing home residents (such as
inactivity, large amounts of time spent in bed, lack of bright light
exposure, and poor sleep hygiene) and the disruptive night-time
nursing home environment. Assessment and management of sleeping
problems in nursing home residents should involve comprehensive
assessment and treatment of the multiple factors that can interfere
with your residents sleep.
Ordering a sleep study and
how the process works:
1) Call Medicina customer
service at 1-216-351-0224. Fax the resident face sheet, enrollment
form and sleep test order to 1-866-763-9505.
2) Upon receipt of the order, we will deliver and instruct nursing
staff on how to setup the ApneaLink device on the resident at
3) The resident wears a chest strap, nasal cannula and oxygen sensor
4) The next morning the ApneaLink device will be picked up
and the test results are downloaded to our sleep diagnostic lab for
scoring by a certified sleep technician.
5) A board certified sleep doctor reviews the test report and makes
therapy recommendations based on a positive diagnosis of Obstructive
6) Results and therapy recommendations are fax directly to the
facility within 4 days of the sleep test.
7) The prescribing physician reviews the information provided by the
sleep doctor and authorizes CPAP/BiPAP therapy based on a
confirmation and diagnosis of Obstructive Sleep Apnea. The sleep
test results and a signed interpretation letter from the sleep
doctor will be provided to the facility for patients being
discharged home with orders for PAP therapy.
8) Medicina Medical Respiratory Therapist will visit the facility to
setup residents who are prescribed PAP therapy.
For more information about our sleep apnea
testing, we invite you to