Sleep-wake reversal (delirium)

New day-night reversal with nighttime agitation and daytime somnolence — CAM and trigger screen initiated, provider notified, sleep hygiene/safety measures, unnecessary hypnotic avoided; reassess pattern/mental status; supports the workup. (Cognitive.)

CPAP intolerance/desaturation

Removing the mask with observed apneas and SpO₂ below range overnight — fit/settings troubleshot, O₂ adjusted per order, provider notified, monitoring, device-plan follow-up requested; reassess; supports Section O. (Respiratory.)

Pain-driven insomnia

Insomnia from uncontrolled overnight pain undermining daytime therapy — pain regimen reassessed and adjusted per order, response reassessed, participation improving; documented; supports the goal. (Pain reference.)

CPAP/BiPAP desaturation and respiratory detail route to the Respiratory reference; a sleep-wake reversal and delirium workup route to the Cognitive reference; pain- or dyspnea-driven insomnia routes to the Pain and Respiratory references; hypnotic/psychotropic monitoring routes to the Behavioral reference.