We recommend that you try the following solutions with your patient: The “Ramp” option. The Ramp feature is designed to make therapy more comfortable. It helps your patient ease into therapy each night by setting the device at a lower pressure than prescribed and slowly ramping up to the full therapy pressure over a maximum of 45 minutes. Using Ramp means the machine has more time to reach the prescribed therapy pressure and your patient has more time to comfortably fall asleep. On ResMed’s AirSense 10 therapy devices, we recommend that you use the AutoRamp feature which will automatically detect when your patient falls asleep and increase pressure from this moment on. An APAP therapy device. If your patient’s pressure needs vary throughout the night, one of ResMed’s AutoSet therapy devices might be a good choice. These devices automatically adjust pressure throughout the night to suit your patient’s unique breathing needs. The EPR feature. ResMed therapy devices have an Expiratory Pressure Relief (EPR) feature that decreases pressure as your patient exhales. This can make breathing out feel more natural and comfortable. Patience: remind your patient that it takes time to get used to treatment!  It takes a while for most people to get comfortable using a PAP machine and mask every night. Some patients find that wearing their mask with the therapy device running during the day, for example while watching TV, helps them to get used to it.