Although CPAP therapy has a high rate of effectiveness in the treatment of Obstructive Sleep Apnea, patients often struggle to maintain compliance. CPAP therapy compliance is critical for improving patient health and quality of life. A pattern of adherence1 is generally established within the first week of patient treatment however, it’s important to take steps to ensure success.
Education
When a patient understands the positive impact CPAP therapy can have on their health and daily life, they will be more likely to adhere to the treatment2. Your physician and other healthcare professionals should work with you to answer any questions, help work through any problems that may arise, and provide you with educational resources that are available. Below are some common issues and how they’re typically managed.
Mask Size and Style
Choosing a proper fitting and comfortable style mask for the individual is critical. There are different size, shape and style masks available to try. Your healthcare provider and CPAP supplier can work with you to choose the best size, style and fit for your individual comfort.
Adjusting the Air Pressure
Some patients have trouble getting used to the CPAP’s air pressure. You can try using your CPAP during the day while you are awake or napping so it becomes more familiar to you. Some CPAP devices have features and settings that can help alleviate pressure3 related issues4. Talk to your healthcare provider and CPAP supplier to ensure you’re making the right adjustments.
Stuffy Nose, Dry Mouth
Many CPAP users experience stuffy nose, dry mouth, or both. Make sure your mask is probably fitted5. Air leaks can cause a dry or stuffy nose. Many individuals find that using a CPAP device that has a heated humidifier helps greatly in alleviating this discomfort. Additionally, your healthcare provider may suggest trying saline nasal spray. A dry mouth may be a sign you are breathing through your mouth. Your healthcare provider may suggest a chin strap or a full face mask.
Facial Sores and Skin Irritation
Some CPAP users develop facial sores or skin irritation6. Make sure your mask is properly fitted. A mask that’s too tight can create pressure that can lead to sores. Mask movement can cause friction, leading to irritation. Clean your mask regularly to avoid buildup of oil, dirt and bacteria which can lead to skin irritation and infection. In addition to regular recommended cleaning, try CPAP wipes for daily maintenance.
Nighttime Mask Removal
Removing your CPAP mask in your sleep is disruptive to your CPAP therapy7. Poor mask fit, nasal congestion, and restless sleep can all lead to nighttime mask removal. Ensure your mask is properly fitted, and explore the use of a chin strap, head gear and even a special CPAP pillow to help you sleep more comfortably.
Adjusting to CPAP therapy can be a challenge, but once you begin to realize the improvement in your health and daily life, you will be happy you’ve made the effort to achieve successful CPAP compliance.
References:
- Adherence to Continuous Positive Airway Pressure Therapy
- Top 10 Practices to Increase CPAP Compliance
- What Pressure Should Your CPAP Machine Be?
- CPAP machines: Tips for avoiding 10 common problems
- What to Expect When Starting CPAP Therapy: A Comprehensive Guide
- CPAP Dermatitis: Cause and Prevention
- Coping with CPAP: Managing the Challenge of Removing the Mask During Sleep
