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Disclaimer
is pocket guide attempts to define principles of practice that should produce high-quality patient care
in the post-acute and long-term care setting. is pocket guide should not be considered exclusive of other
methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the
propriety of any course of conduct must be made by the clinician aer consideration of each individual
patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service
associated with the distributor of this clinical reference tool. Not for further reproduction or distribution
without written permission.
Sources
AMDA - e Society for Post-Acute and Long-Term Care Medicine. 10500 Little Patuxent Parkway,
Suite 210, Columbia, MD 21044. Dementia in the Long Term Care Setting Clinical Practice Guideline.
Columbia, MD: AMDA 2012.
AMDA - e Society for Post-Acute and Long-Term Care Medicine. 10500 Little Patuxent Parkway,
Suite 210, Columbia, MD 21044. Depression in the Long-Term Care Setting. Columbia, MD: AMDA
2011.
Clinical Frailty Scale. © 2009-2011. Version 1.3. All rights reserved to VIdex-US, LLC, NY, USA under
license agreement with VIdex Canada Inc.
Recognizing Delirium, Depression and Dementia (3D's) is developed by: Toronto Region Best Practice
in LTC Initiative January 2007, Adapted from: Ontario Psychogeriatric Association (OPGA) (2005).
Basics of the 3Ds, and used with their permission.
We recognize that people who reside in PALTC facilities are residents. roughout this pocket
guide, however, we use the term patient(s) because we are addressing individuals within the context
of treating a medical condition.
Acknowledgements
AMDA – e Society for Post-Acute and Long-Term Care Medicine developed this educational tool
with the support and cooperation of the Clinical Practice Steering Committee and Clinical Practice
Guidelines and Tools Subcommittee.
A special thank you to the following members for their contributions:
Renante Ignacio, MD, FACP, AGSF, CMD – Chair, Clinical Practice Steering Committee
Nancy Overstreet, DNP, GNP-BC, WOCN – Vice Chair, Clinical Practice Steering Committee
Robert Hogikyan, MD, MPH, CMD - Chair, Clinical Guidelines and Tools Subcommittee
Gary Brandeis, MD, CMD – Vice Chair, Clinical Practice Guidelines and Tools Subcommittee
Karl Steinberg, MD, CMD, HMDC – Chair, Public Policy Committee
Gwendolen Buhr, MD, MHS, MEd, CMD
Christian Bergman, MD
Ryan Feeney, PharmD, BCPS, BCGP
Liza Genao, MD
Paula Lester, MD, FACP, CMD
AMDA Staff:
Mary Mulligan, BSN, MA, CDONA/LTC - Director, Clinical Affairs
Danielle Jordan - Project Manager, Clinical Affairs
