Music Speaks music therapy PP-- Methodist Hospital 2019 · Microsoft PowerPoint - Music Speaks music therapy PP-- Methodist Hospital 2019 Author: holms Created Date: 9/11/2019 5:03:59

MAKING MUSIC YOUR MEDICINE

Tyanne Mischnick, MMT, MT-BCBoard-Certified Music Therapist

Music Speaks, LLC

September 24, 2019

Music Therapy in Healthcare

What do YOU know about music?

(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

Music TODAY

Nanette Stroebele, John M. de Castro. Listening to music while eating is related to increases in people's food intake and meal duration. Appetite. Volume 47, Issue 3, November 2006, Pages 285-289.


What is Music Therapy?

An established health profession using music-based interventions to address the physical, emotional, cognitive, social, and emotional needs of children and adults with special needs.

(AMTA, 2019).


Qualifications of a music therapist

Education

Certification

Continuing Education Requirements


Research and music therapy

Journal of Music Therapy

Music Therapy Perspectives

Other various medical journals(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

General populations

Patients with cancer

Individuals with neurological diseases or impairments

Woman in labor

Physical challenges(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

General populations

Children and adults with autism and developmental disabilities.

Behavioral health

End of life

Premature infants(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

Music therapists also work in…

Hospitals

Clinics

Rehabilitation centers

Assisted living and nursing homes


What about the music?


Music and the Brain

What do we have in every daylife?

Structure Rhythm

Predictability

Control

= content(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

Someone who is in abnormal environment

UN- structured

UN- predictability

NO control

= anxiety(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.


Edwards, J. (2006). Music therapy in the treatment and management of mental disorders. Irish Journal of Psychological Medicine, 23(1), 33–35.

“The findings support a role for music therapy as a structured interaction…. used to participate successfully, manage some of their symptoms, and express feelings relating to their experiences…. ”



Examples

Rhythm… and crickets?

Sensory elements of music

Sensory

Audio

Tactile

Visual


Music and the Brain

Altogether = Fireworks

Music Therapy for Specific Goals


Acute Care

Pain

Distress

Confusion


Addressing pain

Gate control theory of pain

Refocusing techniques


Addressing Pain

Fratianne, R.B, Presner, J.D., Houston, M.J., Super, D.M., Yowler, C.J.&

Standley, J.M. (2001). The effect of music – based imagery and musical alternate engagement on the burn debridement process. Journal of Burn Care & Rehabilitation. 22(1): 47-53

Tan, X., Yowler, C.J., Super, D.M. & Fratianne, R.B. (2010). The efficacy of music therapy protocols for decreasing pain, anxiety, and muscle tension levels during burn dressing changes: a prospective randomized crossover trial. J Burn Care Res., 31(4):590-7


Addressing ANXIETY

Attention refocus

Iso-rhythmic principle

Techniques for sleeping

Addressing ANXIETY

Use of stimulation to match need

Physical Goals


Gait (reducing falls)

Core strengthening

Range of motion

Respiration control

Cancer treatment

Treatment during chemotherapy

Effecting immune system

Addressing sense of loss


Cancer treatment

Standley, J.M. (1992). Clinical applications of music and chemotherapy: The effects on nausea and emesis. Music Therapy Perspectives, 10, 27-35.

Sabo, C.E. & Michael, S.R. (1996). The influence of personal message with music on anxiety and side effects associated with chemotherapy. Cancer Nursing, 19(4), 283-289.

Nunez, M., et al. (2002). Music, immunity, and cancer. Life Sciences, 71(9), 1047-1057.


Pre-procedures

Iso-rhythmic principle

Progressive muscle relaxation

Imagery guidance


Pre-procedures

Miluk-Kolasa, B., Matejek, M., & Stupnicki, R. (1996). The effects of music listening on changes in selected physiological parameters in adult pre-surgical patients. Journal of Music Therapy, 33, 208-218.

Robb, S. L., Nichols R. J., Rutan R. L., & Bishop B. L. (1995). The effects of music assisted relaxation on preoperative anxiety. Journal of Music Therapy, 32, 2-21.


Intra-procedural

MT during colonoscopy:Reduce anxietyReduce need for sedation and

analgesiaIncreases completion rateShortens examination time during

colonoscopy.(c) Copyright Music Speaks, LLC 2019. All Rights Reserved.

Intra-procedural

Schiemann, U., Gross, M., Reuter, R., & Kellner, H. (2002). Improved procedure of colonoscopy underaccompanying music therapy. European Journal of Medical Research. 7(3), 131-134.

Smolon, D., Topp, R., & Singer, L. (2002). The effect of self-selected music during colonoscopy of anxiety, heart rate, and blood pressure. Applied Nursing Research. 15(3), 126-136.


Post-Procedure

Reverse iso-rhythmic principle

Immune system improvement


Effects on Immune System

Music Therapy reduces cortisol in healthy adults.McKinney, C. H., Antoni, M. H., Kumar, M., Tims, F. C.,

& McCabe, P.M. (1997). Effects of Guided Imagery and Music (GIM) Therapy on mood and cortisol in healthy adults. Health Psychology 16( 4), 390-400.

Effects on Immune System

Music Therapy has potential to produce cumulative or sustaining neuroendocrine or immunological effects contributing to well-being. Bittman, B. B., Berk, L. S., Felten, D. L., Westengard, J.,

Simonton, 0. C., Pappas, J., & Ninehouser, M. (2001). Composite effects of group drumming music therapy on modulation of neuroendocrine-immillle parameters in normal subjects. Alternative Therapies in Health & Medicine, 7(1), 38-47.

Hasegawa, Y., Kubota, N., Unagaki, T., & Shinagawa, N. (2001). Music therapy induced alterations in natural killer cell count and function. Japanese Journal of Geriatrics. 38(2), 201-204.

Addressing Emotional Needs

Mood improvement vs Emotional regulation

Addressing trauma

Family involvement

Communication Impairment

Language, Memory, Motor



Language

Speech and aphasia Singing can be an effective means in

collaboration with speech therapy Racette et al. Making non-fluent aphasics speak: sing along! Brain : A Journal of Neurology, 2006, Vol.129(10), pp.2571-84.



Alice


How can caregivers use music?


Music Therapy vs Therapeutic Musicians



What is the difference?

Therapeutic Assess memory and

orientation Increase communication

and expression Cognitive stimulation Grief and life validation Elicit measurable changes

and modify to needs

Entertainment Play music resembling

how it was played on radio

Recall past memories Human interaction Conversation

Socialization and reminisce


Additional References

American Music Therapy Association website (www.musictherapy.org)

American Music Therapy Assocation “Member Sourcebook,” 2006 The Certification Board for Music Therapy (www.cbmt.org) Gfeller, K.E. & Davis, W.B. (1999). Clinical Practice in Music Therapy.

In W.B. Davis, K.E. Gfeller, M.H. Thaut, An Introduction to Music Therapy: Theory and Practice (2nd ed.). Boston: McGraw-Hill.


Music Speaks music therapy PP-- Methodist Hospital 2019 · Microsoft PowerPoint - Music Speaks music therapy PP-- Methodist Hospital 2019 Author: holms Created Date: 9/11/2019 5:03:59

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