The use of music in facilitating emotional expression in the terminally ill

Clements-Cortés, Amy

doi:10.1177/104990910402100406

Cited by 63 publications

(38 citation statements)

References 5 publications

(5 reference statements)

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“…[12][13][14][15] Interpretive research describes patients and families experience music and music therapy as providing ways to remain connected to self and others, a means for expression, and a way to stimulate reminiscence and life review. [16][17][18] Because of the important role of family members in the care of the dying, family satisfaction is also seen as an important component of quality end of life care. 6,19 While preliminary evidence supports the patient related outcomes of quality end of life care, the influence of music therapy on family perception of quality of care is not known.…”

Section: Introductionmentioning

confidence: 99%

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Burns

Perkins

Tong

et al. 2015

Journal of Pain and Symptom Management

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Context: Music therapy is a common discretionary service offered within hospice; however, there are critical gaps in understanding the effects of music therapy on hospice quality indicators, such as family satisfaction with care. Objectives: The purpose of this study was to examine whether music therapy affected family perception of patients' symptoms and family satisfaction with hospice care. Methods: A retrospective, cross sectional analysis of electronic medical records from 10,534 cancer patients cared for between 2006-2010 by a large national hospice. Logistic regression was used to estimate the effect of music therapy using propensity scores to adjust for non-random assignment. Results: Overall, those receiving music therapy had higher odds of being female, having longer length of stay, and receiving more services other than music therapy, and lower odds of being married/partnered or receiving home care. Family satisfaction data were available for 1495 (14%) and were more likely available if the patient received music therapy (16% vs 12%, p<.01). There were no differences in patient pain, anxiety, or overall satisfaction with care between those receiving music therapy vs not. Patients who received music therapy were more likely to report discussions about spirituality (OR=1.59, p=.01), marginally less trouble breathing (OR = 0.77, p=.06), and marginally more likely to receive the right amount of spiritual support (OR = 1.59, p=.06). Conclusions: Music therapy was associated with perceptions of meaningful spiritual support and less trouble breathing. The results provide preliminary data for a prospective trial to optimize MT interventions for integration into clinical practice.

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Section: Introductionmentioning

confidence: 99%

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Burns

Perkins

Tong

et al. 2015

Journal of Pain and Symptom Management

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“…Song choice has also been demonstrated in the efficacy literature and is a useful technique in helping clients regain self-esteem, reconnect to identity, provide opportunities to make choices, and also help clients express feelings that are challenging to discuss [29]. Gallagher et al [36] implemented song choice to facilitate goal acquisition with respect to several concerns including: decreasing anxiety and depression, enhancing mood, decreasing pain perception, providing enjoyment, distraction and support or coping skills.…”

Section: Receptive Techniquesmentioning

confidence: 95%

“…[22,23] describe its success in addressing a variety of emotional, physical and spiritual issues in palliative care. Specifically, the literature has discussed: reducing emotional suffering that includes anxiety, anger, depression and fear [24], reducing feelings of loneliness and social isolation [25], patient perceived improvements in physical comfort, reduced pain perception and enhanced relaxation [4,26e28] and attending to spiritual distress [29].…”

Section: The Role Of Music Therapists Within Palliative Care Interdismentioning

confidence: 99%

Development and efficacy of music therapy techniques within palliative care

Clements-Cortés

2016

Complementary Therapies in Clinical Practice

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“…The simple act of choosing songs may also increase self-esteem, help patients regain self-identity, encourage choice making, and promote social interaction. 32 The provider can engage the patient by asking, ''What does this song make you [think of/remember/feel]?'' the technique used by Anna in the earlier example.…”

Section: Journal Of Hospice and Palliative Nursingmentioning

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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The use of music in facilitating emotional expression in the terminally ill

Cited by 63 publications

References 5 publications

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Development and efficacy of music therapy techniques within palliative care

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

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