CCSH case studies
CCSH · Put your knowledge to work in context.
The Certified Clinical Sleep Health (CCSH) credential is a professional certification for allied health practitioners who support patients through the sleep care pathway - from the initial intake interview and sleep history through diagnostic testing, treatment initiation, follow-up, and long-term adherence coaching. Candidates typically come from nursing, respiratory therapy, polysomnographic technology, health education, and community health backgrounds, and the credential signals that the holder can function as a clinical sleep health educator and coordinator rather than only a technician performing studies. The CCSH case studies are 5 cases and about 3,016 words.
1Eight-Week PAP Follow-Up: Claustrophobia, Congestion, and a Rotating Shift
R is a 44-year-old warehouse supervisor who rotates between two weeks of day shift and two weeks of night shift (7 p.m. He was diagnosed with obstructive sleep apnea (AHI 38) eight weeks ago and started autotitrating PAP with a nasal mask.
664 words, about 3 min2A "Negative" Home Study in a Woman With Classic Insomnia
L is a 58-year-old woman with a BMI of 33, treated hypertension, and a six-year history of insomnia. She describes a 45-minute sleep latency, three awakenings per night, and total sleep time of about 5.5 hours.
462 words, about 2 min3The Commercial Driver, the Employer, and a Selective Report
A 52-year-old commercial driver with a Class A license has been on PAP for three months. His 90-day device data show a nightly average of 4.9 hours with 21 of 90 nights below 4 hours, including several consecutive nights on long-haul runs.
581 words, about 3 min4Two SOREMPs After Five Hours of Sleep
A 22-year-old college student is referred for excessive daytime sleepiness (Epworth 18) and episodes of sudden knee buckling when he laughs. An overnight polysomnogram shows total sleep time of 5 hours 10 minutes, sleep efficiency 88%, no respiratory events, and no sleep-onset REM periods.
649 words, about 3 min5Central Sleep Apnea, a Low Ejection Fraction, and a Request for ASV
A 71-year-old man with heart failure and an ejection fraction of 28% on guideline-directed medical therapy is referred for sleep-disordered breathing. Diagnostic polysomnography shows an AHI of 41 with a central apnea index of 29, Cheyne-Stokes respiration for 45% of total sleep time, and an arousal index of 38.
660 words, about 3 min