Staying Healthy, Active and Involved in the Community

1. Staying Healthy, Active and Involved in the Community Optimizing Your Resources The Lakeside Medical Unit Johns Hopkins Bayview Care Center

2. Lakeside Medical Unit • Currently is a 22 bed unit with expansion schedule for the summer of 2011 to ultimately 28 beds. • Opened in January 2008 • Provides comprehensive inpatient care to older adults with complex medical needs and specialty consultation to address psychiatric conditions and behavioral symptoms.

3. The primary treatment goals are to stabilize and discharge to the community, assisted living or long term care facilities. • The interdisciplinary team consists of geriatricians, psychiatrist , midlevel practitioners, nurses, physical and occupational & speech therapist, recreational therapist, social workers, and clinical nutritionist.

4. The treatment team works closely to assure: • the highest level of care • coordination of the plan of care • Safe and appropriate discharge

5. Criteria for AdmissionTo LMU • Serves patients 55 years and older • Most patients have Medicare • Medical Diagnosis and corresponding treatment plan that cannot be managed in a less intensive inpatient setting • Secondary psychiatric diagnosis that requires consultation • Chronic hospital level of care needed to safely and effectively manage medication and behavioral care plan

6. Exclusion • In patient medical and psychiatric conditions that require inpatient acute hospital care • Nursing services outside scope of service • Medical or psychiatric condition for which on-sight continuous physician services are needed • Seclusion and or restraints

7. Range of Conditions Treated on LMU • Dementia • Depression • Anxiety • Agitation and Irritability • Anorexia/ Failure to thrive • Delusions and Hallucinations • Delirium

8. Compassionate healthcare focused on the individuals treatment plan • Includes • medical care • Family education of the individual patients medical and behavioral condition • Nurturing environment

9. Typical Patient Day • Up for breakfast Around 7:00 AM • Self Care around 7:30 AM • Recreational Activity 10:00 AM • OT Life Skills Group At 11:00 Am • Lunch 12:00 • Quiet time • OT Task Group 2:00 • Recreational activity 3:00 • Individual rehab tha may include PT OT & Speech therapy scheduled throughout the day

10. Recreational Therapy • Memory games • Singing • Table bowling • Bingo

11. OT Life skills

12. OT Task Group

13. Family Meetings • Social work coordinates • Attended by Psychiatry, mid level provider and/or geriatrician, family of patient and at times patient and referring facility • Family education • Discussion of plan of care • Discharge planning