The 3D's: A Revised 3-in-1 CPG (Archive 10/26/22)

1.0 CME / 1.0 CMD Clinical

This webinar will introduce the new clinical practice guideline (CPG) from AMDA, Delirium, Depression, and Dementia (3Ds) in the Post-Acute and Long-Term Care Setting. Each of the 3Ds—delirium, depression, and dementia—represents a distinct condition observed in a variety of clinical settings. As clinicians in post-acute and long-term care (PALTC) frequently confront two or all three of these conditions simultaneously, it is important to recognize the variability in presentation and the core characteristics of each. Christian Bergman, MD, CMD, FACP, and Nancy Overstreet, DNP, GNP-BC, will share insights about the updated format of the CPG and can help practitioners and staff take a stepwise approach to recognizing, assessing, treating, and monitoring patients who have a clinical presentation consistent with one or more of the 3Ds.

 AMDA’s Delirium, Depression, and Dementia (3Ds) in the Post-Acute and Long-Term Care Setting CPG is supported by a grant from RRF Foundation for Aging.

Learning Objectives

By the end of the webinar, participants should be able to:

  • Differentiate between the clinical presentation of delirium, depression, and dementia (3Ds) in the PALTC setting.
  • Discuss common challenges in managing mood, behavior, and cognitive decline. 
  • Describe pharmacologic and nonpharmacologic (psychosocial) treatment strategies for delirium, depression, and dementia. 
  • Apply the care delivery process to management of the 3Ds.
Speaker Information:

cbCarl J. “Christian” Bergman, MD, CMD, is assistant professor at Virginia Commonwealth University in Richmond, VA, where he is focusing on improving transitions of care throughout the VCU Health System and actively involved in teaching medical students, residents, and geriatric fellows. At AMDA – The Society for Post-Acute and Long-Term Care Medicine, he is vice chair of the Transitions of Care Subcommittee, a member of the Clinical Steering Committee, chair of the State Policy and Advocacy Subcommittee, and a member of the Public Policy Steering Committee. Dr. Bergman is board-certified in internal medicine and geriatric medicine. He attended medical school at the University of Virginia in Charlottesville, VA, and completed his internal medicine residency and geriatric medicine fellowship at Eastern Virginia Medical School in Norfolk, VA, where he specialized in post-acute and long-term care medicine.

noNancy Overstreet, DNP, GNP-BC, is a geriatric nurse practitioner serving older adults in assisted living and skilled care in Central Virginia for over 20 years. Previously an associate professor with Lynchburg College's Nursing Program, Dr. Overstreet returned to clinical practice with a focus on dementia care. She is active member of AMDA and currently serves as chair of the Clinical Practice Steering Committee.

Credit Information:

Activity Created 10/2022

Credits Available Until 10/2025

Credit Statements: 

CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDA – The Society for Post-Acute and Long-Term Care Medicine for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 clinical hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Visit the Continuing Education page for information on if and how you can claim credit/hours for AMDA’s education.

Disclosure Information:

The Society requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Society’s staff.

All relevant financial relationships have been identified, mitigated, and resolved.

All relationships have been identified, mitigated, and resolved. 

The following AMDA Online Education Subcommittee members have financial relationships to report: Robert Zorowitz, MD, MBA, CMD – United Health Group: stock shareholder; all others have no relationships to disclose.   

The speakers have no financial relationships to disclose.

AMDA staff have no financial relationships to disclose.