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Epworth Sleepiness Scale Index

Parkinson's Disease Sleep Scale Calculator


Parkinson's Disease Sleep Scale Calculator - Epworth Sleepiness Scale Index

Find Out More About Parkinson's Sleep Monitoring

People with Parkinson’s disease (PD) frequently experience disrupted sleep. It’s one disease that carries excessive daytime sleepiness as an attenuating health issue. However, many patients recently diagnosed with the illness don’t know how to quantify their symptoms for a doctor. 

The simple sleep scale calculator below is an effective screening tool for those experiencing daytime sleepiness and the different sleep disorders related to PD.

Please note that the information presented in our Parkinson’s Sleep Scale Calculator
is for supporting older adults and their families as they converse with each other and healthcare professionals. Our Calculator does not substitute a patient’s relationship with their healthcare provider and should not replace medical advice.

How Can I Screen For Sleepiness Related To Parkinson's?

Parkinson’s disease-related fatigue is often described as the patient feeling so exhausted that they do not have the energy to move or focus. They find it easy to doze off throughout the day. As PD is a progressive condition, not all patients have the same symptoms; those who haven’t felt it impact their sleep at one point may find the fatigue hard to manage later in life. Untreated, the fatigue can impact their cognitive function, create depressive symptoms, and negatively affect daily living.

An excessive daytime sleepiness test is especially essential for people that drive or perform high-risk jobs. It’s not something to take lightly – even the slightest chance of falling asleep because of the condition has to be evaluated and eliminated. If the PD patient dozes off even for a couple of seconds, they can put their life or the lives of others at risk.

To help, patients and their families can use the Epworth sleepiness scale calculator. It’s an easy-to-use gauge of excessive daytime sleepiness and different sleep disorders, including those related to symptoms or medications related to PD. This method is an effortless, effective way of evaluating if a patient will fall asleep throughout the day.

Using The Epworth Sleepiness Scale

The ESS consists of eight short questions that serve as a screening test for most people over 18. The sleepiness score can be anywhere between 0 and 24. The answer to each of the eight questions is worth 0, 1, 2, or 3 points:

0 – Would never doze or sleep

1 – Small chance of dozing or sleeping

2 – Moderate chance of dozing or sleeping

3 – High chance of dozing or sleeping

The eight questions relate to typical situations in life. If you or a loved one is doing this calculation, you must answer them as best as you can; even if the patient hasn’t done some of these activities recently, they can still try to work out how likely they would be affected. 

How likely are you to doze off or fall asleep, in contrast to just feeling tired, when:

  1. You’re sitting and reading?
  2. You’re watching TV?
  3. You’re sitting inactive in a public place, e.g., a meeting or a theatre?
  4. You’re a passenger in a car after driving for more than one hour without any stop?
  5. You’re lying down in the afternoon, in comfortable conditions?
  6. You’re sitting and talking to someone?
  7. You’re sitting quietly after lunch without alcohol?
  8. You’re driving a car, and the traffic stops you for more than a few minutes?

If you or your loved one has a sleepiness score of 11 or higher on the Epworth Sleepiness Scale, consider reporting your findings to the medical team in charge of the care and making living quarter changes.

Why Is This Parkinson's Disease Sleep Scale So Important?

Gauging how sleepy one gets due to PD is vital to health and well-being. The patient can describe their symptoms and help medical professionals manage them; for instance, it can indicate that the medication dosage is off. It also tells the doctor when the symptoms of PD aren’t well controlled.

A sleepiness score higher than 11 could also tell the patient and their family that it’s time to make changes in-home comfort. When a patient’s PD progresses to a certain point, the condition can impact how they lead their life. Changes to the home, including the bed, might be essential for accessibility and comfort – not to mention getting a quality night’s sleep.

How Can Patients Fight Fatigue Related To Parkinson's Disease?

Experts recommend that sleep medicine specialists accurately diagnose and manage the cause of their daytime sleepiness. The right furniture could stop nighttime sleep disruptions and eliminate fatigue that impedes daily activities. Whether they need to plan short naps or improve nighttime sleep, patients can rely on SonderCare’s Rise & Recline Chair and the line of luxury home hospital beds. They all have the features a patient could need to overcome obstacles presented by PD-related fatigue.

Many patients find napping to be an effective way of easing PD-related fatigue. SonderCare™’s fully-electric Rise & Recline Chair supports users in shifting from a sitting position to a fully reclining flat and then boosting up to standing when desired. The chair can support safe mobility and comfort for patients struggling to get in and out of the chair, helping them sleep in a safe, supportive environment when necessary.

Frequently Asked Questions About Parkinsons Sleep Scores and Quality

As part of the Epworth Sleepiness Scale (ESS), a person’s daytime sleepiness is assessed. During the questionnaire, the person is asked to rate the likelihood that they will fall asleep or doze off in different situations by answering eight questions. On a scale of 0 to 3, where 0 means it is highly unlikely to happen, and 3 means it will never happen, the person rates their likelihood of doingze off on a scale of 0 to 3. As a result, the overall ESS score is determined by adding up all eight questions. An ESS score of 10 or higher indicates excessive daytime sleepiness, whereas a score of less than 10 indicates normal sleepiness. Anxiety and depression may influence the ESS score, which is a subjective measure.

In the Epworth Sleepiness Scale (ESS), an individual with a score of 11 is considered excessively sleepy during the day. An ESS is a self-administered questionnaire that measures a person’s level of daytime sleepiness. It asks eight questions, each asking if the person is likely to doze off or fall asleep in certain situations. To determine the overall ESS score, the scores for all eight questions are summed. Excessive daytime sleepiness, such as insomnia or sleep apnea, is considered to be a sign of sleep disorders. The ESS is a subjective measure of sleepiness, and it is possible for anxiety and depression to influence the score. If you have a score of 11 or above, you should talk to your healthcare provider, who can provide a more comprehensive assessment and recommend treatment if necessary.

Sleep disturbances can occur in late-stage Parkinson’s disease patients, including excessive sleepiness during the day and insomnia during the night. Parkinson’s disease is a progressive disorder that affects the nervous system, and as it progresses, many of its symptoms can affect sleep. Parkinson’s disease can affect the brain’s ability to regulate sleep-wake cycle, which may cause excessive daytime sleepiness (hypersomnia). A number of Parkinson’s patients experience insomnia as a result of the disease’s impact on the brain’s ability to control muscle tone during sleep, causing restlessness and difficulty falling asleep. As well as having difficulty staying asleep throughout the night, Parkinson’s patients may also experience restlessness. As each individual is different and may experience different symptoms, it is essential to consult a healthcare professional for advice.

A phenomenon known as “nocturnal Parkinsonism” can cause Parkinson’s disease symptoms to worsen at night, resulting in tremors, stiffness, balance problems, and coordination difficulties. Parkinson’s patients may also suffer from sleep-related problems like insomnia, restless legs syndrome, and REM sleep behavior disorder. It is possible that these symptoms are caused by changes in brain levels of dopamine, a chemical messenger that regulates movement control, as well as other neurotransmitters. Symptoms can also worsen if physical activity is not increased during the day or light exposure is reduced at night. Each individual will have different symptoms and experiences, so it’s important to consult a healthcare professional to determine the best course of action.

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