Sleep

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Trace DC42-13

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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8. Interventions performed

Document the skilled interventions delivered this visit; each should connect to a finding and carry a reassessment in Section 10.

  • Sleep assessment with identification of the reversible contributing factors.
  • Sleep-hygiene teaching — schedule, environment, caffeine, naps, and screen use.
  • Coordination to address a reversible cause — pain control, nocturnal-dyspnea management, nocturia evaluation, or mood treatment.
  • Sleep-aid safety review and coordination of deprescribing when a sedative-hypnotic creates fall risk.
  • Sleep-disordered-breathing screening with referral, and CPAP adherence support where applicable.
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