Music Therapy in Pediatric Palliative Care: Complementing the Interdisciplinary Approach

Hilliard, Russell E.

doi:10.1177/082585970301900210

Cited by 20 publications

(29 citation statements)

References 17 publications

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“…There is a lack of published literature reporting on the use of music therapy in pediatric palliative care. of the literature that does exist, a large proportion consists of case studies documenting the journeys of children and youths with cardiac conditions, cancer, AIDS, cystic fibrosis, or chronic degenerative conditions such as muscular dystro-forum music Therapy in Pediatric Palliative Care 180 phy (3,12,13). Some of the case studies focused on home-based service delivery (5), while others were set in hospitals (4) or freestanding pediatric hospice facilities (11).…”

Section: Introductionmentioning

confidence: 99%

An Integrative Approach to Music Therapy in Pediatric Palliative Care

2014

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Section: Introductionmentioning

confidence: 99%

An Integrative Approach to Music Therapy in Pediatric Palliative Care

2014

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“…One of the areas in most need of further study is the use of music for children and adolescents in EOL care. 9 Although there are similarities between adults and children receiving palliative care, the developmental stage of the child, as in all interventions, must be addressed to best meet his/her needs with music.…”

Section: Suggestions For Future Researchmentioning

confidence: 99%

“…palliative and hospice care vary from reducing physical symptoms and increasing tolerance for treatment to easing emotional pain and spiritual distress. [7][8][9] Physical Symptoms and Pain Management Music can be used to create a calm environment, which in turn can improve management of other distressful symptoms. Brown et al 10 showed through positron emission tomography scans of the brains of 10 healthy subjects that even unfamiliar instrumental music can activate the limbic and paralimbic areas of the brain, resulting in ''strongly pleasant feelings.''…”

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confidence: 99%

Music as a Therapeutic Resource in End-of-Life Care

Black¹,

Penrose-Thompson²

2012

Journal of Hospice & Palliative Nursing

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Music has been used in a variety of settings by nurses and other providers to ease their patients' physical, emotional, and spiritual distress. In end-of-life settings, music has been shown to improve quality of life. Nurses have noted the usefulness of music in practice but perceive that they have limited knowledge and skills about how to use music and lack the resources to implement its use. Drawing on knowledge from music therapy and music-thanatology, we describe the receptive approach to the use of music in palliative care and hospice settings. This approach is characterized by active listening and using techniques that are accessible to nurses who may not have music training. Nurses can help patients select music that evokes memories or feelings and helps divert their attention from emotional and physical distress. Music may be an effective tool for reviewing one's life, through which a patient moves toward acceptance of death by giving meaning to his or her life. Near the end of life, prescriptive music may be used during bedside vigils to accompany the patient in the transition from life to death. KEY WORDShospice care, music, nursing, palliative care M usic is basic to the human experience. From lullabies that calm fretful babies to mournful dirges over the dead, music marks lives' ordinary and extraordinary events. William Congreve, an English playwright and poet, in 1697 penned the famous line ''Music has charms to soothe a savage breast'' in his tragic play The Mourning Bride. Two hundred thirty years later, another English writer, Aldous Huxley, 1 noted, ''After silence, that which comes the nearest to expressing the inexpressible is music.'' Music can engage the human spirit and reach the deeper realms of a person's psyche and spirit, lending itself to easing physical and emotional distress as well as serving as a vehicle of transcendence from suffering to ease, and from life to death. Nurses have noted the usefulness of music in practice but perceived that they have limited knowledge and skills about the use of music and resources to implement its use. 2 The purposes of this article are dual: (1) to describe the therapeutic use of music in hospice and palliative care settings using examples from practice and (2) to inform nurses and other clinicians of resources to enhance their use of music in their practice with patients at the end of life. Drawing from the music therapy literature, this article details the roles of music in palliative and hospice care and describes ways in which clinicians can use music effectively in supporting their patients who are approaching the end of their lives.Healthcare providers in a variety of settings have found music's remarkable attributes to be beneficial. A burgeoning literature exists on the effective use of music in long-term-care facilities, care of the elderly, and care of persons with dementia. Similarly, terminally ill children and adolescents benefit from music, which can help them feel supported, improve self-esteem, express emotions, resolve conflicts, ...

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“…Those unable or unwilling to discuss feelings may symbolically express and find self-understanding, such as when a 'miserable and depressed' 8-year-old child was able to express grief and give a message to her best friend through song writing shortly before her death (Daveson and Kennelly, 2000), and when two 13-year-old-patients with brain tumours undergoing radiotherapy required less anxiolytics after experiencing improvisation, song writing, or therapeutic music lessons (O'Callaghan et al, 2007). Families may also have normalized and 'fun' experiences, for example when 4-year-old Peter smiled after a blanket was put on and gently pulled from his face during a Swedish playsong the day before he died , and when a grandmother said that the happiest she had ever seen her 14year-old grandson with AIDS was when he received a trumpet from a hospice on which the music therapist gave him lessons (Hilliard, 2003).…”

Section: Children and Adolescentsmentioning

confidence: 99%

Music therapy in palliative care

O’Callaghan¹

2015

Oxford Textbook of Palliative Medicine

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Music therapists are university-trained professionals who invite palliative care patients, and their significant family members and friends, to explore how creative music-based experiences in therapeutic relationships can address biopsychosocial needs and enhance spiritual well-being. The chapter illustrates how music therapists can extend music’s power to help patients across the lifespan live a quality life and support their families. Patients often choose familiar music to listen to, sing, or play that elicits people, places, emotions, and thoughts that they want to connect with. Through music therapy song writing and improvisation, patients and families creatively explore their ‘playful’ musical and unique selves, and potentially experience helpful new awareness, wonder, pride, and accomplishment. Patients’ song composition legacies can also support the bereaved. Music therapists offer guided music and relaxation or imagery interventions, to soothe and help with symptom management. Extensive quantitative and qualitative research informing music therapy is also outlined and music-based care suggestions are provided for when music therapists are not available.

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Music Therapy in Pediatric Palliative Care: Complementing the Interdisciplinary Approach

Cited by 20 publications

References 17 publications

An Integrative Approach to Music Therapy in Pediatric Palliative Care

An Integrative Approach to Music Therapy in Pediatric Palliative Care

Music as a Therapeutic Resource in End-of-Life Care

Music therapy in palliative care

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