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Under the Big Top:Building A Successful

Integrative Care

Program

Winchester Medical Center

Valley Health Systems

Winchester, VA

Integrative Care

Integrative medicine "combinesmainstream medical therapies

and complementary alternativetherapies for which there is somehigh-quality scientific evidence

of safety and effectiveness.~ The National Center for Complementary and Alternative Medicine at

the National Institutes of Health,

Integrative medicine takesaccount of the whole person(body, mind, emotions and

spirit). It emphasizes thetherapeutic relationship andmakes use of all appropriatetherapies, both conventional

and alternative.

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Genesis:Behind the curtain

Integrative Care Programs inHospitals

2012 "America's Best Hospitals" Honor Roll

Over 800 American Hospitals

Up to 70% of Americans use Integrative Care

Helps satisfy JACHO requirements

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The Wheel of Healthreflects theIntegrative

approach towellness.

At Valley Health, we arecommitted to

Compassionate, Collaborative,Innovative Healthcare

We re Healthier Together

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Initiating the ProgramIdentify

Gain Support

Plan

Compromise

Build

Recruit

WMC Integrative CareProgram

Integrative Care Program for inpatients,staff, volunteers and families at WMC sinceMay 2013.

Free Reiki Therapy, Therapeutic Musicoptions, Aromatherapy, Art Therapy &Animal Assisted Therapy, in addition to paidMBSR workshops.

All services available by request.

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Program Logistics

Referrals

Tracking &Documentation

VolunteerRequirements

Growing Successfully

Tracking

Education

Collaboration

Passion

Flexibility

Support

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Music Therapy Components

Participationin IHC helps

promotemusic therapy

availability

Providesaccess to staff

in-service,educationand health

fairs

Live at LunchSeries

Volunteer Music TherapyPatient Visit Record

Date: _____________________ Time In: _____________ Time Out: _____________

Reason for Request: _________________________________________________________________________

Beforethe Session

Pain Level 1-10: __________ Pain Location: _________________________________ Chronic Acute

Emotional: Rested Relaxed Calm Happy Stable Exhausted Sad Anxious Stressed Agitated

Comments: ______________________________________________________________________________

_________________________________________________________________________________________

Completed by: ! Patient ! Practitioner via Patient Feedback ! Practitioner Observations

During the Session

Music Therapy Goals

Support grieving process Support rehabilitation goals Improve mood

Promote relaxation/sleep Provide sensory presence Reduce anxiety

Decrease pain perception Engage in life review/reminiscence Enhance coping skills

Support spiritual connections Normalization of the environment Support medical procedure

Provide emotional support Encourage emotional expression Encourage family interaction

Promote Independence/Control Other ________________________________________________________

Music Therapy Interventions

Music listening (active/passive) Playing instruments Music legacy Song Choice/

Music-assisted relaxation Movement to music Lyric analysis dedication

Music-assisted life review Improvisation Song writing Lyric analysis

Other ___________________________________ Notes:____________________________________

_________________________________________________________________________________________

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-13415%16&24651+ ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Volunteer Name: _________________________________________________

" # $ % & '"

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WMC Music TherapyMay 2013 October 2014

Total Sessions: 185

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-./01. 34567 89.1:;< =>.1 34567 89.1:;

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Next Steps

Using Revised surveys andcontinuing data collection

Integrative Health Care asits own department

Proposal for full time MT athospital

Expanding, creating a buzz

More information:

Valley healthlink: http://www.valleyhealthlink.com/?id=1186&sid=1

www.musicmakessense.blogspot.com

www.su.edu

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Presenters

Daniel Tague, PhD, MT-BCAssistant Professor of Music

Therapy, ShenandoahConservatory and

University

Leigh Jenks, MMT, MT-BCClinical Training

Coordinator, ShenandoahConservatory and

University

Athena Hall, RD, CSOCo-Chair Integrative Care

Program, WinchesterMedical Center

April AdamsIntegrative Care Program

Coordinator/Co-Chair,Women and ChildrensServices Coordinator,Winchester Medical

Center

Thank you!