NBHPC ASPNB ConferenceApril 24, 2014

Presented by Bev Foster, EDRoom 217 Foundation

MUSIC FOR LIFE’S JOURNEY

LEAN ON ME (Bill Withers)

Lean on me when you’re not strongI’ll be your friend, I’ll help you carry

onFor it won’t be long ‘til I’m gonna

needSomebody to lean on

Music helps us EXPRESS

IDENTITY

Music helps us EXPRESS

IDENTITYFEELINGS/SENTIMENTS music as containment in PCDeborah Salmon – 1999

Music helps us EXPRESS

IDENTITYFEELINGS/SENTIMENTSWORDS

Music helps us EXPRESS

IDENTITYFEELINGS/SENTIMENTSWORDSMOODSMusic improves QoL in persons who are dyingRussell Hilliard – 2003, 2004

Music helps us EXPRESS

IDENTITYFEELINGS/SENTIMENTSWORDSMOODSLONGINGS, HOPES – universal truths

LEAN ON ME (Bill Withers)

Lean on me when you’re not strongI’ll be your friend, I’ll help you carry

onFor it won’t be long ‘til I’m gonna

needSomebody to lean on

Music helps us CONNECT

INTERPERSONALINTRAPERSONAL

What sorts of connections were made between Naomi and Gladys?

What sorts of connections were made within Gladys?

Interpersonal connections Gladys & Naomi

Communication, interaction Intimacy “one person” in sync Helps to mirror movements Provides emotional safety because of familiar

songs Making music together Repetitive motion (responsive behavior)

redirected into meaningful communication

Intrapersonal connectionsGladys

Repetitive motion becomes entrained with music and makes meaning and sense

Reconnection with “self” Elicits appropriate and rhythmically timed

response in song Carryover effect?

Music-making meets 5 main psychosocial needs of PWD (Simpson, 2001)

Comfort – music’s consoling power reaching deep into psyche, beyond words

Attachment – communicative potential of music may continue unimpeded by verbal losses

Inclusion – music is incomplete without PWD’s contribution

Occupation – music-making encourages participation, concentration, imagination, skill

Identity – experience of self in dynamic relationship with another

Music Medicine & NeuroscienceGottfried Schlaug

Michael ThautLee Bartel

MOOH #1.pptx

Music helps us SUPPORT

PAIN DISTRACTION – Cochrane Review, 2008ANTIEMETICSLEEP PROMOTION

Music helps us SUPPORT

PAIN DISTRACTIONANTIEMETICSLEEP PROMOTIONRELATIONSHIP COMPLETIONIra Byock, 2004(I love you, thank you, will you forgive me, I forgive you, good bye)Amy Clements-Cortes, 2009Music enhances relationship completion

Music helps us SUPPORT

PAIN DISTRACTIONANTIEMETICSLEEP PROMOTIONRELATIONSHIP COMPLETIONLEGACY

Music as part of dignity therapy protocolChochinov, 2005

Music helps us SUPPORT

PAIN DISTRACTIONANTIEMETICSLEEP PROMOTIONRELATIONSHIP COMPLETIONLEGACYGRIEF WORK

Music and mourning tasksJoy Berger, 2008

Music helps us SUPPORT

PAIN DISTRACTIONANTIEMETICSLEEP PROMOTIONRELATIONSHIP COMPLETIONLEGACYGRIEF WORKCAREGIVERS

www.room217.ca

caring for the whole person with music

MUSIC CARE RESOURCES

MUSIC CARE EDUCATION

WORKSHOPSKEYNOTESCONCERTS

MUSIC CAREDELIVERY

MUSIC CARE RESEARCH

1. Bridgepoint Health Collaboration2. Music Care Delivery in Long Term Care 2 phase study3. Conceptualizing Music Care – 10 domains

IMPACT OF ROOM 217

35,000+ units of designed music delivered across Canada (12 albums, 3 DVDs)

5 national conferences, 200+workshops 84 R2R sites across Canada – results Music Care conceptualization

MUSIC CARE TIPS AT EOL 1. PREFERENCE

2. RIGHT EAR DOMINANCE

3. SOUND ENVIRONMENT

4. DYNAMIC NOT FORMULAIC

Lean on me when you’re not strongI’ll be your friend, I’ll help you carry onFor it won’t be long ‘til I’m gonna needSomebody to lean on

5. PRESENCE, NOT PERFORMANCE

HUMMING AS PRESENCE

Relax and pay attention to the breathHum one tone and think of it as homeMove to neighbouring notes slowlyHum each note sensibly flowing softly in

betweenExplore melody, finding what is soothingRepeat melodies with simple words – lullabies,

prayers “I am here with you”, “I love you”, “peace my child”, “there is no need to fear”

Listen deeply to pace, pause, texture and breath

Allow for silence