Staying Healthy, Active and
Involved in the Community
Optimizing Your Resources
The Lakeside Medical Unit
Johns Hopkins Bayview Care Center
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.
• 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.
• The treatment team works closely to
assure:
– the highest level of care
– coordination of the plan of care
– Safe and appropriate discharge
Criteria for Admission
To
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
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
Range of Conditions
Treated on LMU
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Dementia
Depression
Anxiety
Agitation and Irritability
Anorexia/ Failure to thrive
Delusions and Hallucinations
Delirium
• Compassionate healthcare focused on the
individuals treatment plan
• Includes
– medical care
– Family education of the individual patients
medical and behavioral condition
– Nurturing environment
Typical Patient Day
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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
Recreational Therapy
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Memory games
Singing
Table bowling
Bingo
OT Life skills
OT Task Group
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