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Music for life’s journey

Music for life’s journey. NBHPC ASPNB Conference April 24, 2014 Presented by Bev Foster, ED Room 217 Foundation. LEAN ON ME (Bill Withers). Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on.

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Music for life’s journey

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  1. Music for life’s journey NBHPC ASPNB Conference April 24, 2014 Presented by Bev Foster, ED Room 217 Foundation

  2. LEAN ON ME (Bill Withers) Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

  3. Music helps us EXPRESS • IDENTITY

  4. Music helps us EXPRESS • IDENTITY • FEELINGS/SENTIMENTS music as containment in PC Deborah Salmon – 1999

  5. Music helps us EXPRESS • IDENTITY • FEELINGS/SENTIMENTS • WORDS

  6. Music helps us EXPRESS • IDENTITY • FEELINGS/SENTIMENTS • WORDS • MOODS Music improves QoL in persons who are dying Russell Hilliard – 2003, 2004

  7. Music helps us EXPRESS • IDENTITY • FEELINGS/SENTIMENTS • WORDS • MOODS • LONGINGS, HOPES – universal truths

  8. LEAN ON ME (Bill Withers) Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

  9. Music helps us CONNECT • INTERPERSONAL • INTRAPERSONAL What sorts of connections were made between Naomi and Gladys? What sorts of connections were made within Gladys?

  10. 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

  11. 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?

  12. 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

  13. Music Medicine & NeuroscienceGottfried SchlaugMichael ThautLee Bartel

  14. Music helps us SUPPORT • PAIN DISTRACTION – Cochrane Review, 2008 • ANTIEMETIC • SLEEP PROMOTION

  15. Music helps us SUPPORT • PAIN DISTRACTION • ANTIEMETIC • SLEEP PROMOTION • RELATIONSHIP COMPLETION Ira Byock, 2004 (I love you, thank you, will you forgive me, I forgive you, good bye) Amy Clements-Cortes, 2009 Music enhances relationship completion

  16. Music helps us SUPPORT • PAIN DISTRACTION • ANTIEMETIC • SLEEP PROMOTION • RELATIONSHIP COMPLETION • LEGACY Music as part of dignity therapy protocol Chochinov, 2005

  17. Music helps us SUPPORT • PAIN DISTRACTION • ANTIEMETIC • SLEEP PROMOTION • RELATIONSHIP COMPLETION • LEGACY • GRIEF WORK Music and mourning tasks Joy Berger, 2008

  18. Music helps us SUPPORT • PAIN DISTRACTION • ANTIEMETIC • SLEEP PROMOTION • RELATIONSHIP COMPLETION • LEGACY • GRIEF WORK • CAREGIVERS

  19. caring for the whole person with music www.room217.ca

  20. Music Care Resources

  21. Music CareEducation WORKSHOPS KEYNOTES CONCERTS

  22. Music careDELIVERY

  23. Music care research 1. Bridgepoint Health Collaboration 2. Music Care Delivery in Long Term Care 2 phase study 3. Conceptualizing Music Care – 10 domains

  24. 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

  25. MUSIC CARE TIPS AT EOL 1. PREFERENCE

  26. 2. RIGHT EAR DOMINANCE

  27. 3. SOUND ENVIRONMENT

  28. 4. DYNAMIC NOT FORMULAIC Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

  29. 5. PRESENCE, NOT PERFORMANCE

  30. Humming as presence • Relax and pay attention to the breath • Hum one tone and think of it as home • Move to neighbouring notes slowly • Hum each note sensibly flowing softly in between • Explore melody, finding what is soothing • Repeat 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

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