A Sleep Measures Tool SleepAbility & SleepAble by KE Torkelson MS Et.al. (2025)
Feature Image
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Requirement |
Specification |
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Title |
A Sleep Measures Tool SleepAbility & SleepAble by KE Torkelson MS Et.al. (2025) |
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Authors |
Avey C., Magnus EMe, Keith Torkelson MS |
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Date Published |
July 16, 2025 (W) |
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Blog |
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Discipline |
Health & Human Services – Housing & Living Arrangements |
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Purpose |
Digital Preservation & sharing Real World Phenomena |
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Characters |
Ted Francis, John Baer, & Keith Torkelson |
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Experience |
Lived |
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Self-Score (SS) |
Yes by Keith Torkelson |
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Assess Number of Items |
22 |
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Type of Assessment |
Derived |
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Name of Assessment |
SleepAbility & SleepAble Assessment (S&SA 22-Items) |
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Psychometric Properties & Soundness |
Not Assessed |
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Key Words |
Bed, Room, SleepAble, SleepAbility, Host |
Results up Front
Developing a Sleep Measures Tool
>We researched assessments
centered about sleep and sleeping finding none really fit our need. We wrote a 22 Item Measures Tool we call a SleepAbility
& SleepAble (S&S) Assessment (22 Items). SleepAbility questions are centered about the
host. In this case the host is Keith
“Buster” Torkelson. We applied the
assessment to two of Buster’s Rent a Shared Room (RASR) roommates: Ted (TF)
& John (JB). This material is derived from lived experience about real
world phenomena. Buster is the
scorer. TF lived at Shanks Truck Stop (STS)
and JB lives at Harvest Retirement (HRAL).
Buster lives at Harvest Retirement.
SleepAble are the environmental and agent factors about sleep. All these associations are in the context of
Renting a Shared Room (RASR).
Real World Phenomena
Real world phenomena are observable
events or occurrences in nature that can be directly experienced or
documented. These phenomena can be natural, like a sunrise or a volcanic
eruption, or they can be related to human activities and their consequences,
such as the effects of climate change or the spread of disease. Studying these
phenomena helps us understand the world around us and develop solutions to
real-world problems.
HSF = High Scores are Favorable
Scored by Buster about STS RASR & Harvest
Perspective is Buster’s
Summary Matrix
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Category |
2023 0703 M-RT SW-TF |
2025 0329 SA-RT SW-JB |
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Part II CALC |
=4.50/10 |
=9.50/10 |
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Part II S&S Score (HSF) = |
45.0% |
95.0% |
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Part I CALC |
=9.00/12 |
=10.00/11 |
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Part I S&S Score (HSF) = |
75.0% |
90/9% |
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Parts I & II CALC |
=13.50/22 |
=19.50/21 |
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Environmental SleepAbility & Host SleepAble Score (HSF) = |
61.3% |
92.9% |
JB = John Baer | K”B”T = Keith “Buster” Torkelson | KET = Keith Edward Torkelson | LSF = Low Scores are Favorable | MSE = Medication Side Effect(s) | RJD = Rubin James Duron | SDS-CL-25 = Sleep Disorder Symptoms | S&S = SleepAbility & SleepAble | SS = Score Self | SW = Share (d) With | UKN = Unknown | VHW = Very High Weight
HSF = High Scores are Favorable
Scored by Buster about STS RASR & Harvest
Part I of II
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## |
Requirement |
2023 0703 M-RT SW-TF |
2025 0329 SA-RT SW-JB |
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01 |
-Comforter quality |
1.00 |
1.00 |
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02 |
Door open or closed optional |
1.00 |
1.00 |
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03 |
-Ear Plug efficacy |
1.00 |
1.00 |
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04 |
-Fan efficacy (White noise) |
1.00 |
NA |
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05 |
-Headphones |
1.00 |
1.00 |
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06 |
Little interfering media at night (VHW) |
1.00 |
1.00 |
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07 |
Mattress Quality |
0.50 |
0.50 |
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08 |
Minimal Light on at night (VHW) |
1.00 |
1.00 |
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09 |
Minimal non-productive Noise Created by Roommate(s) |
0.50 |
0.75 |
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10 |
Minimal Roommate breathing noises (VHW) |
0.25 |
0.75 |
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11 |
No Bed Bugs (VHW) |
0.00 |
1.00 |
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12 |
No or managed Sleep Apnea (VHW) |
0.75 |
1.00 |
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Part I of II CALC |
=9.00/12 |
=10.00/11 |
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Host SleepAbility & Environmental SleepAble Sub-Score = |
75.0% |
90.9% |
VHW Item
JB = John Baer | K”B”T = Keith “Buster” Torkelson | KET = Keith Edward Torkelson | LSF = Low Scores are Favorable | MSE = Medication Side Effect(s) | RJD = Rubin James Duron | SDS-CL-25 = Sleep Disorder Symptoms | S&S = SleepAbility & SleepAble | SS = Score Self | SW = Share (d) With | UKN = Unknown | VHW = Very High Weight
HSF = High Scores are Favorable
Scored by Buster about STS RASR & Harvest
Part II of II
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## |
Requirement |
2023 0703 M-RT SW-TF |
2025 0329 SA-RT SW-JB |
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13 |
Not woken up in the middle of the night (VHW) |
0.00 |
1.00 |
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14 |
Peaceful roommate |
0.00 |
1.00 |
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15 |
-Pillow quality |
0.75 |
1.00 |
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16 |
Quiet Time 830 pm to 830 am |
0.50 |
0.75 |
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17 |
Roommate doesn’t sleep much during the day |
0.50 |
0.75 |
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18 |
Roommate quiet and harmonious |
0.50 |
1.00 |
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19 |
Roommate sleeps @ night |
0.25 |
1.00 |
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20 |
Roommate without sleep disorder (VHW) |
0.00 |
1.00 |
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21 |
-Sleep medication efficacy (VHW) |
1.00 |
1.00 |
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22 (10) |
-Temperature |
1.00 |
1.00 |
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Part II of II CALC |
=4.50/10 |
=9.50/10 |
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Host SleepAbility & Environmental SleepAble Sub-Score (HSF) = |
45.0% |
95.0% |
JB
= John Baer | K”B”T = Keith “Buster” Torkelson | KET = Keith Edward Torkelson |
LSF = Low Scores are Favorable | MSE = Medication Side Effect(s) | RJD = Rubin
James Duron
SDS-CL-25
= Sleep Disorder Symptoms | S&S = SleepAbility & SleepAble | SS = Score
Self | SW = Share (d) With | UKN = Unknown | VHW = Very High Weight
Everyone deserves Great Sleep
In humans, lack of sleep leads to
impaired memory and reduced cognitive abilities, and, if the deprivation
persists, mood swings and even hallucinations. The longest documented period of
voluntary sleeplessness is 264 hours (approximately 11 days), a record achieved
without any pharmacological stimulation.
Nature
>The assessment we introduced
above addresses both SleepAbility (Host factors) and SleepAble (Agent and
Environmental factors). We derived this
assessment tool of 22 Items. It yields a
combined score that is reflective of whole sleeping experience (WSE). Taking
and scoring this test yields a combined SleepAbility + SleepAble Score
(22-Items).
|
Aspect |
Note |
Detail |
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SleepAble |
Environment & Agents (People) |
Factors permitting sleep, rest and peace. |
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SleepAbility |
Host (Self) |
Host or our inherent and internal factors promoting sleep, rest and peace |
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Environment 2023 |
Shanks Truck Stop (STS) |
Rent a Shared Room (RASR) Ted Francis |
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Environment 2025 |
Harvest Retirement (ALF) |
Rent a Shared Room (RASR) John Baer |
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Agent 2023 |
Theodore Francis AKA “Ted” AKA “Zep” |
Morbidly Ill In 2024 Ted Died too Young (DTY) |
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Host |
Keith “Buster” Torkelson MS |
Share with Ted – June 28, 2021 till March 19, 2024 Share with John – February 20, 2025 till present |
Theodore Francis (TF)
>Buster shared a room with Ted from June 28, 2021 till March of 2024. Ted suffered uncontrolled Sleep Apnea and was hospitalized in November of 2023 for what he reported was mania psychosis. Ted was also a Bully. Ted was a High Negative Weight SleepAble factor (Agent).
Reversed Meaning Error
>In some of our reports we may have reversed the meanings of the terms SleepAble and SleepAbility. This measure was saved as SleepAbility when we are actually evaluating both a bit of the Host factors (SleepAbility) as well as the Environment and Agents factors (SleepAble). We will try to keep it straight from here out.
Leisure_Crisis_Cigs_Meds_Sleep_2024060701_Notes
Link – Too our material online
https://clozapinerx4ecstasy.blogspot.com/2024/07/medication-gaps-returning-to-normalcy.html
2024/07 - Abstract
>In this study we address our
recent Episode of Behavioral and Mental Health symptoms. At the core, as is often the case, is
de-regulation of our sleep and / or sleep medication. We are now on Clozapine and Invega. Clozapine is still indicated for our
well-being including: Peace and Sleep.
This study also describes a move in our bed from a BadBed via BadBeds to
a BetterBed. Our current bed at Harvest
Retirement would be a GoodBed if it were affordable. This report addresses gaps in our medication. While managing his own meds since 1989 Buster
never had gaps. The recent (2024) gaps
occurred at Leisure Court Skilled Nursing.
At Harvest we also have been unable to keep Emergency Backup Medication
(EBM). We hope the impact of this study
is such that it contributes to, for Buster, an expedited Return to
Normalcy. We give Leisure Court 3.0 Star
Equivalents for their supports and services.
We give Samantha our social worker at Leisure Court 5.0 Star Equivalents
for her supports and services.
Medication Gaps
Addressing Medication Gaps
Gaps in medication can disrupt treatment and potentially lead to symptom exacerbation. It's crucial to address these gaps to ensure continuity of care. In long-term care settings, implementing standardized protocols, utilizing technology, and fostering strong communication between staff and residents are essential for minimizing medication errors and promoting patient safety.
Successful Medication Cocktail -
Polypharmacy
>Buster is currently stable on
Ambien, Lorazepam and Clozapine before bedtime.
The environment permitting he gets from eight (8) to nine (9) hours of
sleep per night. Buster cannot sleep
without medication. His doctor is
targeting taking Buster off Ambien this upcoming December (2025). This worries us! He is doing very well with his sleep and
living arrangement.
Weighted Score – Very High Weight
A weighted score with a very high weight
indicates that a particular criterion, factor, or item carries significantly
more importance or influence than others in a scoring or evaluation system.
This means that when calculating the overall score, the value associated with
that high-weighted criterion will have a greater impact on the final result.
>In the
tables above we list 22 features (Items) centered about the sleep we as human’s
need. We do our best to provide for
these features for our roommate also. Above
we scored SleepAbility and SleepAble for two of our Rent a Shared Roommates
(RASR) Ted and John. Ted was living in Shank’s
and John is living at Harvest Retirement.
>An
important factor in long-term site selection is cost effectiveness. Gloria’s or Shank’s Guest Home at around $500
per month was cost effective. Harvest Retirement
at just under $1,400 out-of-pocket is not cost effective. This lowers its SleepAble score.
>The point is that rejuvenating
Sleep is a combination of: Agent, Environmental and Host factors (Epidemiologic
Triad). This document is put forth to help
others actualize adequate and rejuvenating sleep. We had a roommate (TF) with uncontrolled Sleep
Apnea. Frequently at night, and
sometimes during the day, TF choked dozens of times. It impacted Buster negatively. We coped with it for more than two years yet eventually
living with a roommate with Sleep Apnea contributed about putting Buster in the
hospital (2024). As of March 17, 2025, we
now have a SleepAble roommate and can focus on our SleepAbility (Us).
Timestamps are crucial during data migration as they record when data was created, modified, or accessed, preserving important historical context and ensuring data integrity. Migrating timestamps along with data is vital for maintaining workflow, audit trails, and compliance, especially when moving between cloud platforms like Dropbox to OneDrive or Box to Google Drive. Failing to migrate timestamps can lead to workflow disruptions and data mismanagement.
Key Takeaways
Brain Performance
Good sleep supports your brain performance and mood and can decrease your risk for many diseases and disorders, like type 2 diabetes, heart disease, stroke, obesity, and dementia.
Percentage of people with sleep
problems (Mar 7, 2024)
ncoa.org/adviser/sleep/sleep-statistics/adults
Statistics
Among adults (that are) older than 18, 13.5% reported feeling tired or exhausted most days. More than a third of Americans report getting less than seven hours of sleep in a 24-hour period. About 30% of adults have symptoms of insomnia, with 10% having insomnia that impacts their daily activities. Sleep apnea impacts 9%–38% of the general population.
Enough Sleep
Getting enough sleep is important to our overall health and wellness. Lack of sleep has been associated with poor quality of life and increased risk for diabetes, obesity, heart disease, cancer, and even death. People who don’t get enough sleep are also at a higher risk of stroke or dementia.
Sleep and Anxiety
Sleep and anxiety have a bidirectional relationship; anxiety can disrupt sleep, and poor sleep can worsen anxiety. This means that if you're struggling with anxiety, it can make it harder to fall asleep or stay asleep, and conversely, not getting enough sleep can make you feel more anxious and stressed.
Associated Documents > Metadata >
“Sleep Disorder Self-Test”
Assess_Sleep_Disorder_Self_Test_23092702_Notes
V2025
DSM 5 Derived
Sleep Disorders Symptom
Checklist-25 (Klingman)
Sleep Interruption
Assess_SleepAbility_Interruption_Scale_SIS_18091909_Results
V2024
Metadata > Sleep Centered Tasks >
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