5. Abnormal findings

Abnormal findings and what they may signal — each warrants Mode B focused documentation and, where parameters are met, intervention and notification:

• Insufficient or nonrestorative sleep.
• Insomnia — difficulty with sleep onset, maintenance, or early-morning waking.
• Excessive daytime sleepiness or fatigue affecting function.
• Sleep-disordered-breathing signs — snoring, witnessed apneas, gasping, or morning headache.
• Identifiable contributing factors — pain, nocturnal dyspnea, nocturia, mood, restless legs, medications, or caffeine.
• An unsafe or ineffective sleep aid, including a sedative-hypnotic creating fall risk.
• CPAP or BiPAP nonadherence, and a functional, mood, or safety impact of poor sleep.