Treatment Plan Proposal
Patient Name: N/A
DOB: N/A
Chief Complaint:
Obstructive Sleep Apnea
Problem/Issue List:
- Intermittent snoring
- Daytime sleepiness
- Difficulty in concentrating
- Recurrent awakening during night
- Gasping for air during sleep
- Morning headache
- Irritability
Relevant Medical Issues:
Obstructive Sleep Apnea (OSA), Hypertension (controlled), Obesity
Patient Desires and Goals:
Improve sleep quality, reduce daytime sleepiness, manage OSA
Patient Name: N/A
Note: No treatment is always an option, just not a recommendation for cases of this complexity.
Note: The fees associated are approximate, not absolute. Actual costs will be done after specific plan is chosen. These are estimates to guide patient into best option for them and financial ability. Again, these are estimates. Once a tentative option is chosen, more exact costs will be given, as specific numbers take a considerable amount of administrative effort.
*These fees do not take into account insurance benefits. You can expect that your yearly benefit will be maximized for a case of this size. 5% bookkeeping benefit is given for any case paid in full prior to start.
Below, it’d be great if the strategies created were based off of conditions in the “Dental Conditions Problem List”. From there, the pros and cons get generated. The estimates are generated off of fee schedule of various procedures that adds as we go along.
Each strategy will have it’s own “layman’s” term with basic description beneath it.
| Strategy | Pros | Cons | Estimate |
|---|---|---|---|
| 1 – Lifestyle Modifications | No cost, Improved overall health | Requires self-discipline and consistency | N/A |
| 2 – Oral Appliances | Non-invasive, Portable, Quiet | Requires consistent use, Possible discomfort or side effects | $1.5-2k |
| 3 – Continuous Positive Airway Pressure (CPAP) | Highly effective, Improves sleep quality | Requires consistent use, Possible discomfort or side effects | $1-3k |
| 4 – Surgery (Uvulopalatopharyngoplasty, Tonsillectomy) | Potential long-term solution | Invasive, Risks associated with surgery, Not guaranteed to be effective | $4-10k |
| 5 – Maxillomandibular Advancement (MMA) Surgery | High success rate, Long-term solution | Highly invasive, Longer recovery time, Cost | $20-40k |
Patient Name: N/A
Phased Treatment Plan
*This is the recommended and optimal option, one that I’d recommend for my sibling, parent, or close friend. To help alleviate the daunting nature of such a plan, I have broken up the treatment into phases. Although phasing is not required, it helps to spread out the financial and time considerations. In addition, in many cases, treatment can be spread out over multiple yea rs to take advantage of multiple years of insurance coverage. The column indicated by “Time between phases” will have a time range. The first number is the minimum time needed for healing. The maximum is the maximum amount of time that can pass before compromise/issues can arise. It is also important to note that phasing any of the plans often ends up in an overall cost greater than if done all at once.
The phased plan would be laid out from the “ideal” option on the previous page. The actual plan in detail would be in response to the specific criteria/conditions that exist in response the problem/condition list.
Phase I – Initial Management
- Assessment of lifestyle factors (e.g., weight, alcohol use, smoking)
- Implementation of lifestyle modifications
- Trial of oral appliance
Phase II – CPAP Trial
- CPAP Machine trial
- Follow-up and monitoring of CPAP effectiveness and tolerance
Phase III – Surgical Considerations
- Assessment for surgical intervention
- Surgical treatment
- Post-surgical follow-up and management
Phase IV – Long Term Management
- Regular follow-up and management
- Continuous lifestyle modifications
- Use of oral appliance or CPAP machine as necessary
- Monitoring and management of OSA symptoms