Lesson 1Sleep partner report and bed-partner questionnaire use: witness reports, bed partner sleep diaries, STOP-Bang components collected from partnerE explain how to bring in sleep partner observations, including snoring, apneas, movements, vocalizations, and parasomnias. E review use of partner questionnaires, sleep diaries, and STOP-Bang items wey dem get from di bed partner, making am simple for our clinics.
Eliciting detailed partner observationsPartner reports of snoring and apneasNocturnal movements and parasomnia signsBed-partner sleep diaries and logsSTOP-Bang items from partner historyLesson 2Screening for other sleep disorders: RLS/PLMD screening, insomnia disorder questions, circadian rhythm disorder screening, REM behavior screeningE provide a structured way to screen for restless legs syndrome, periodic limb movement disorder, insomnia, circadian rhythm disorders, and REM sleep behavior disorder, using key diagnostic questions to guide further testing or referral in local settings.
Key questions for restless legs syndromeClues to periodic limb movement disorderCore insomnia disorder interview itemsCircadian rhythm disorder screening pointsREM sleep behavior disorder red flagsLesson 3Focused symptom history: snoring, witnessed apneas, nocturnal choking, nocturia, morning headaches, non-restorative sleepE detail how to get a precise nocturnal symptom history, including snoring, witnessed apneas, choking, nocturia, gasping, and morning headaches, to separate obstructive sleep apnea from other causes of non-restorative or fragmented sleep wey common for we.
Characterizing snoring pattern and severityWitnessed apneas and gasping descriptionsNocturnal choking, reflux, and positional factorsNocturia, sweating, and other autonomic signsMorning headaches and non-restorative sleepSymptom timelines and aggravating factorsLesson 4Comorbidities and medications: cardiovascular disease, psychiatric disorders, pain, nasal disease, antihypertensives, sedatives, alcohol and stimulant useE focus on finding medical, psychiatric, and medication contributors to sleep complaints, including cardiovascular and respiratory disease, pain, nasal issues, psychotropics, sedatives, alcohol, stimulants, and polypharmacy interactions wey plenty for Sierra Leone.
Cardiometabolic and respiratory comorbiditiesPsychiatric disorders affecting sleepChronic pain and nasal or airway diseaseSedatives, opioids, and psychotropic agentsAlcohol, caffeine, and stimulant use patternsPolypharmacy and drug interaction reviewLesson 5Substance, lifestyle, and sleep hygiene assessment: alcohol timing/quantity, caffeine, smoking, exercise, weight historyE outline assessment of alcohol, caffeine, nicotine, exercise, diet, and evening behaviors wey affect sleep. E stress timing, quantity, chronic patterns, weight history, and how to turn findings into tailored sleep hygiene counseling for our people.
Alcohol timing, dose, and nightcap effectsCaffeine sources, timing, and sensitivityNicotine, vaping, and other substancesExercise timing and light exposure habitsWeight history and recent weight changeTargeted sleep hygiene counseling pointsLesson 6Sleep timing and architecture: bedtime, wake time, sleep latency, awakenings, naps, shift work, variabilityE review how to map sleep timing, regularity, and continuity, including bedtime, wake time, latency, awakenings, naps, and shift work. E stress finding circadian misalignment, social jet lag, and behavioral contributors to insomnia wey common in shift workers here.
Bedtime, wake time, and time in bedSleep latency and nocturnal awakeningsNapping habits and unintended dozingShift work, jet lag, and social jet lagWeekday–weekend variability patternsUsing sleep diaries to clarify patternsLesson 7Red flags and safety assessment: unexplained weight loss, neurological signs, excessive daytime sleepiness with high accident risk, nocturnal seizures, psychiatric crisisE cover urgent sleep-related red flags wey need quick action, including safety risks from severe sleepiness, possible neurological disease, seizures, major weight loss, and psychiatric crisis, plus triage, documentation, and referral pathways for Sierra Leone.
Identifying medical and neurological red flagsAssessing excessive sleepiness and accident riskScreening for nocturnal seizures and parasomniasRecognizing psychiatric crisis and suicidalityImmediate safety planning and urgent referralsLesson 8Daytime symptoms and function: Epworth Sleepiness Scale scoring, concentration, mood, occupational safety risksE explore structured assessment of daytime sleepiness, fatigue, cognition, mood, and safety. E include Epworth Sleepiness Scale use, impact on work, driving, relationships, and how to separate sleepiness from low energy or depression in daily life.
Using and interpreting the Epworth ScaleDifferentiating sleepiness from fatigueCognitive and mood impacts of poor sleepOccupational and driving safety assessmentEffects on relationships and quality of life
