Music Therapy in Hospice and Palliative Care

2018 ◽  
pp. 79-94
Author(s):  
Meganne K. Masko
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
Hospice And Palliative Care

Assessment and Clinical Decision-Making During Imminent Death in Hospice Music Therapy

2021 ◽  
Author(s):  
Erin Fox ◽  
Alexa Economos ◽  
Noah Potvin
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Music Therapy ◽  
Clinical Decision Making ◽  
Ways Of Knowing ◽  
Clinical Decision ◽  
Constructivist Grounded Theory ◽  
Situational Analysis ◽  
Music Therapists ◽  
Hospice And Palliative Care

Abstract Assessment is a critical aspect of treatment planning, and while there exist standards for facilitating music therapy assessments in a variety of clinical settings, no such standards exist for music therapists in hospice and palliative care. This gap in knowledge, which limits music therapists’ ability to provide patients and caregivers best practices promoting supported movement through the dying process, becomes particularly problematic when assessing patients who are imminently dying with a 24–72 hour prognosis. To further develop and define assessment and clinical decision-making processes used by music therapists in hospice and palliative care, the authors used a constructivist grounded theory and situational analysis methodology to analyze interviews of 15 hospice music therapists. The resulting theoretical model describes an ongoing process of assessment and clinical decision-making shaped by participants’ individual epistemologies. Epistemologies were comprised of 5 ways of knowing, which were termed experiential, personal, musical, ethical, and integral, and provided participants critical foundations for their practice. The results support a development of a model for reflective practice as well as continued research on epistemological foundations of clinical practice.

scholarly journals Music Therapy in Hospice and Palliative Care: a Review of the Empirical Data

2005 ◽  
Vol 2 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Russell E. Hilliard
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
Terminal Illness ◽  
Empirical Studies ◽  
Research Literature ◽  
Future Research ◽  
Duration Of Treatment ◽  
Evidenced Based ◽  
Allied Health Profession ◽  
Hospice And Palliative Care

Although music therapy is an established allied health profession and is used with increasing frequency in the treatment of those with a terminal illness, there is a real dearth of empirical research literature supporting the use of music therapy in end-of-life care. This article reviews the empirical studies found in the literature and documents the emergence of an evidenced-based approach to the use of music therapy in hospice and palliative care. A total of 11 studies are reviewed; of these, six show significant differences supporting the use of music therapy in this area. Dependent variables positively affected by music therapy include pain, physical comfort, fatigue and energy, anxiety and relaxation, time and duration of treatment, mood, spirituality and quality of life. Guidelines for future research are considered, and variables that need to be controlled are presented. The need to create an evidence-based approach to hospice and palliative care music therapy is articulated, and future researchers are empowered to continue to conduct investigations among this population.

Introducing Music Therapy in Hospice and Palliative Care

2010 ◽  
Vol 28 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Laura G. Pawuk ◽  
John E. Schumacher
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
Hospice And Palliative Care

scholarly journals Parents' Voices Supporting Music Therapy within Pediatric Palliative Care

2005 ◽  
Vol 5 (3) ◽  
Author(s):  
Kathryn Lindenfelser
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
End Of Life ◽  
Hospice Care ◽  
Terminally Ill ◽  
Children And Families ◽  
Therapy Services ◽  
Hospice And Palliative Care ◽  
The University ◽  
Parents Experiences

It has been my experience that parents are willing and open to express their voices to promote and advocate for music therapy services for their terminally ill children. By listening to parents' voices when providing care for terminally ill children, much can be done to ease the suffering of children and families at the end of life (Widger & Wilkins, 2004). My music therapy masters research at the University of Melbourne with Dr. Katrina McFerran will investigate bereaved parents' experiences of music therapy with their terminally ill child. This inquiry unfolded through my music therapy work with several children and families within hospice and palliative care. Parents have reflected that music therapy was a vital component in their child's care at the end of life. As one mom commented, "I don't care what anyone says, it has made a world of a difference." In order to further explore parents' experiences of music therapy, in-depth interviews will be conducted and transcripts will be analyzed using phenomenological strategies. It has been reported that parents find the interview process helpful in working through grief. They have also reported feeling an overall eagerness to share their child's story in order to provide input that might assist other families in the future (Widger & Wilkins, 2004). This article will describe pediatric palliative and hospice care, discuss parents as advocates for their terminally ill children, portray the use of music therapy within pediatrics, and share an example of music therapy with Jack.

scholarly journals How did Music Therapy Contribute to Patients’ Quality of Life in a Hospice and Palliative Care Setting?

2021 ◽  
Author(s):  
◽  
Ah Young Jeong
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Music Therapy ◽  
Care Setting ◽  
Research Question ◽  
Palliative Care Setting ◽  
Hospice Patients ◽  
Hospice And Palliative Care ◽  
Affective Awareness

<p>This qualitative research explores how I, as a student music therapist, contributed to patients’ quality of life (QoL) in a hospice and palliative care setting. The study principally focuses on the different music therapy and personal approaches that I used and which seemed to contribute to patients’ QoL. The research was carried out at a hospice in New Zealand and I had sessions with in-patients, day hospice patients and out-patients who were all at varying stages of illness.  In this research, secondary analysis of data is used to answer my research question. The data used in this study are the clinical notes and reflexive journals that I gathered while working with 67 patients in a total of 194 sessions. Because QoL is a broad complex concept, I have chosen to use a conceptual framework suggested by music therapy theorist Even Ruud (1997) to put a structure to answering my research question. In thematic analysis, the data were both deductively and inductively analysed.  The findings describe music therapy methods, activities, strategies and techniques as well as personal approaches I employed which seemed to promote a sense of affective awareness, agency, belonging and meaning, and coherence of life in patients receiving hospice and palliative care. This study indicated that Ruud’s (1997) framework has particular meaning in the context of hospice palliative care and that the framework could be extended for use in hospice and palliative care. The clinical vignette further provide an exploratory view of the use of music therapy techniques and the quality of relationships, and how both of these contributed to increasing a patient’s QoL.  In the discussion, the findings are further explained in the light of other studies. In particular, ‘being with’ patients underpinned all of the musical and personal approaches that I made in working with hospice patients and this is evaluated as an overarching point. Although Ruud’s (1997) idea of QoL was a good fit in my study, the study may suggests how his model could address ways in which affective awareness, agency, belonging and meaning and coherence of life can be supported with various music and personal approaches in the context of music therapy in hospice and palliative care settings.</p>

scholarly journals How did Music Therapy Contribute to Patients’ Quality of Life in a Hospice and Palliative Care Setting?

2021 ◽  
Author(s):  
◽  
Ah Young Jeong
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Music Therapy ◽  
Care Setting ◽  
Research Question ◽  
Palliative Care Setting ◽  
Hospice Patients ◽  
Hospice And Palliative Care ◽  
Affective Awareness

<p>This qualitative research explores how I, as a student music therapist, contributed to patients’ quality of life (QoL) in a hospice and palliative care setting. The study principally focuses on the different music therapy and personal approaches that I used and which seemed to contribute to patients’ QoL. The research was carried out at a hospice in New Zealand and I had sessions with in-patients, day hospice patients and out-patients who were all at varying stages of illness.  In this research, secondary analysis of data is used to answer my research question. The data used in this study are the clinical notes and reflexive journals that I gathered while working with 67 patients in a total of 194 sessions. Because QoL is a broad complex concept, I have chosen to use a conceptual framework suggested by music therapy theorist Even Ruud (1997) to put a structure to answering my research question. In thematic analysis, the data were both deductively and inductively analysed.  The findings describe music therapy methods, activities, strategies and techniques as well as personal approaches I employed which seemed to promote a sense of affective awareness, agency, belonging and meaning, and coherence of life in patients receiving hospice and palliative care. This study indicated that Ruud’s (1997) framework has particular meaning in the context of hospice palliative care and that the framework could be extended for use in hospice and palliative care. The clinical vignette further provide an exploratory view of the use of music therapy techniques and the quality of relationships, and how both of these contributed to increasing a patient’s QoL.  In the discussion, the findings are further explained in the light of other studies. In particular, ‘being with’ patients underpinned all of the musical and personal approaches that I made in working with hospice patients and this is evaluated as an overarching point. Although Ruud’s (1997) idea of QoL was a good fit in my study, the study may suggests how his model could address ways in which affective awareness, agency, belonging and meaning and coherence of life can be supported with various music and personal approaches in the context of music therapy in hospice and palliative care settings.</p>

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