Free Cpap(Continuous Positive Airway Pressure) Compliance Report Template
CPAP (Continuous Positive Airway Pressure) Compliance Report
I. Patient Information
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Name: [Patient's Name]
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Date of Birth: [Date of Birth]
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Patient ID: [Patient ID]
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Contact Information: [Patient's Contact Number]
II. Compliance Metrics
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Metrics |
Details |
|---|---|
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Usage Statistics |
Hours of CPAP usage per night:
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Mask Fit |
Mask type:
Fit assessment:
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|
Therapy Issues Encountered |
Check any issues reported by the patient:
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III. Additional Notes
The patient mentioned occasional mask slippage during sleep, which may affect overall compliance. Advised patient to adjust straps for a snugger fit.
IV. Clinician's Comments
The patient shows good adherence to CPAP therapy, averaging 4-6 hours of usage per night. Mask fit issues were reported, requiring further adjustment.
V. Next Steps
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Schedule a follow-up appointment to assess mask fit.
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Provide additional guidance on proper mask adjustments and maintenance.
VI. Approval
[Your Name]
[Title]
[Date]
