Cpap%28Continuous Positive Airway Pressure%29 Compliance Report Template
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CPAP (Continuous Positive Airway Pressure) Compliance Report

I. Patient Information

  • Name: [Patient's Name]

  • Date of Birth: [Date of Birth]

  • Patient ID: [Patient ID]

  • Contact Information: [Patient's Contact Number]

II. Compliance Metrics

Metrics

Details

Usage Statistics

Hours of CPAP usage per night:

  • <2 hours

  • 2-4 hours

  • 4-6 hours

  • >6 hours

Mask Fit

Mask type:

  • Nasal mask

  • Full-face mask

  • Nasal pillow

Fit assessment:

  • Proper fit

  • Loose fit

  • Uncomfortable

Therapy Issues Encountered

Check any issues reported by the patient:

  • Dry mouth/nose

  • Skin irritation

  • Mask leakage

  • Claustrophobia

  • Discomfort during exhalation

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

  • Schedule a follow-up appointment to assess mask fit.

  • Provide additional guidance on proper mask adjustments and maintenance.

VI. Approval

[Your Name]

[Title]

[Date]

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