My exquisite wall by https://padlet.com/mparker151/4qhbanav0vw5 Made with eyes on the prize en-us 2017-10-06 07:41:23 UTC 2025-10-23 04:04:06 UTC hello@padlet.com Inspire Upper Airway Stimulation Pacemaker Device mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194578709 https://www.youtube.com/watch?viwacxD_v91w 

Through the advancement of informatics and biomedical engineering the Inspire Upper Airway Stimulator has come into being. This implantable device is about the size of a pacemaker. It uses electronic stimulation to cause the base of the tongue to lift in obstructive sleep apnea. This opens the airway and does not awaken the patient. The implanted device and lack of any type of facemask or external apparatus leads to compliance of the sleep apnea patient. Since most sleep apnea patients are middle aged, the eventual surgical replacement of the generator would be a negative. But the positives clearly outweigh any negatives.]]> 2017-10-06 07:48:52 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194578709 Sleep apnea is a BIG deal! mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194579408 It isn't just snoring. It is a common cause of insomnia, waking frequently, and decreased quality of sleep. Sleep apnea affects adults, usually obese males, and children with big tonsils. Symptoms are snoring and being overly sleepy in the daytime hours. Breathing may be shallow or stop while sleeping. This can occur a few or many times during a night. ]]> 2017-10-06 07:52:01 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194579408 Common precipitating factors mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194581262 Obstructive sleep apnea is the most common form of sleep apnea. The airway collapses or gets blocked and causes a temporary obstruction which startles the patient from deep sleep .
Central sleep apnea is not as common. This form arises from the brain. The signal is not sent to the diaphragmatic and accessory muscles to do the work of breathing. The patient makes no effort to breathe for periods of time. Patients with central sleep apnea do not usually snore. ]]> 2017-10-06 07:59:36 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194581262 Untreated sleep apnea can increase the risk for: mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194584098 MI
stroke
diabetes
obesity
HTN
arrythmias
worsening heart failure
motor vehicle accidents

]]> 2017-10-06 08:10:47 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194584098 Lifestyle changes may help mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194585430 avoid alcohol
lose weight
become a side sleeper
quit smoking
avoid medications that cause    drowsiness]]> 2017-10-06 08:16:05 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194585430 Surgical options mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194586214 procedures to remove, shrink,  or stiffen excess tissue in the mouth or throat.
Tonsillectomy

]]> 2017-10-06 08:18:57 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194586214 Sleep Apnea: The incidence of sleep apnea among United States veterans has increased in the 50-64 year age group from 3.7% to 8.1%. The incidence has increased 6-fold. Speculative cause is an increase in psychological distress, unmet mental health needs, and asthma. Vets with mild or moderate increase in psychological distress over the last year had a 61% higher chance of having sleep apnea. Those with serious psychological distress over the last year had a 138% increased odds of sleep apnea. If he has asthma, the odds jump to 256% higher. Asthma onset may be in the field from environmental risk factors or not diagnosed prior to enlistment deployment. mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194591004 Source: Jackson, M., Becerra, B. J., Marmolejo, C., Avina, R. M., Henley, N., & Becerra, M. B. (2017). Prevelence and correlates of sleep apnea among US male veterans, 2005-2014. Preventing Chronic Disease (vol. 14, E47). Centers for Disease Control and Prevention. 
doi: 10.5888/pcd14.160365]]> 2017-10-06 08:35:46 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194591004 Healthy People 2020 has increased awareness of poor sleep health and the degree it adds to the burden of chronic illness. mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194591910 2017-10-06 08:39:20 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194591910 Many people discover they have sleep apnea from their bed partner mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194610657 2017-10-06 09:56:32 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194610657 Sleep apnea may have genetic components. mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194611053 2017-10-06 09:58:40 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194611053 mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194613279 2017-10-06 10:07:43 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194613279 mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194613671 2017-10-06 10:09:34 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194613671 mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/194615081 2017-10-06 10:15:56 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/194615081 Pro for Inspire: mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/196694293 no uncomfortable nose-piece or mask, no noisy machine, no interruption of intimacy]]> 2017-10-13 05:24:46 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/196694293 Cons for Inspire: mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/196694505 potential for surgical site infection, hospitalization for procedure, anesthesia risks, generator failure]]> 2017-10-13 05:28:04 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/196694505 Opinion mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/196694664 Over the years I have seen many patients with sleep apnea. Not one has ever had anything positive to say about their CPAP. Some have eventually given up on the CPAP due to the inconvenience and lack of tolerance of the device. I stronglyfeel this procedure will lead to increased compliance and decrease the many co-morbities of sleep apnea.]]> 2017-10-13 05:30:33 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/196694664 Nurse Informaticists : mparker151 https://padlet.com/mparker151/4qhbanav0vw5/wish/196696423 In the innovation of new products, NIs are needed to take the stated problem (sleep apnea) and coordinate with nursing staff, IT, medical staff, and others to define the problem, develop clinical tools for gathering data regarding the problem, and refine the information for presentation of the problem to stakeholders. In the instance of sleep apnea, for example, the ICU nurse could report noting a high number of patients with sleep apnea. This could trigger the involvement of NIs to assist in the design of a computer audit tool to pull data and make it the basis of reporting the noted trend. The data gathered could spark an idea in an entrepreneurial person to devise a solution, such as the Inspire Upper Airway Stimulation Device. NIs are able to move between nursing science, computer science, and informational science. They are able to provide the needed support to education and research using nursing and computer knowledge.]]> 2017-10-13 05:57:44 UTC https://padlet.com/mparker151/4qhbanav0vw5/wish/196696423