SOUNDS OF HEALING HOW MUSIC THERAPY ENHANCES RESPIRATORY CARE JENNY MEMMOTT, MME APRIL 8, 2016
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1 SOUNDS OF HEALING HOW MUSIC THERAPY ENHANCES RESPIRATORY CARE JENNY MEMMOTT, MME APRIL 8, 2016
2 OVERVIEW Music therapy overview Why music? Music therapy as a complementary therapy to respiratory care
3 WHAT IS MUSIC THERAPY?????
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6 WHAT IS MUSIC THERAPY?????
7 WHAT IS MUSIC THERAPY?????
8 MUSIC THERAPY DEFINITION Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program. American Music Therapy Association, 2016
9 WITH WHOM DO MUSIC THERAPISTS WORK? American Music Therapy Association Survey (2007) All others Neurological Medical Elderly Developmentally disabled Behavioral and Emotional Disorders Percentage of Music Therapists
10 OTHERS? Hospice/palliative care
11 OTHERS? Neonatal Intensive Care Unit
12 OTHERS? Correctional facilities
13 OTHERS? Early intervention
14 OTHERS? Individuals with visual impairments
15 OTHERS? Individuals with hearing loss
16 WHERE DO MUSIC THERAPISTS WORK? Schools Mental Health Facilities Geriatric Facilities Medical Facilities Private Practice
17 BECOMING A MUSIC THERAPIST What qualities are necessary to become a music therapist? How does one become a boardcertified music therapist?
18 WHY MUSIC and WHY MUSIC THERAPY????
19 Think about the many ways that music functions in your own life!
20 WHY MUSIC? Listening example 1 Listening example 2 Listening example 3
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22 MUSIC (AND MUSIC THERAPY) IMPACTS AND ACTIVATES AND THE PHYSICAL, THE COGNITIVE AND THE EMOTIONAL
23 WHY MUSIC? Physical responses to music Your body is a natural instrument! Research - music impacts physiological responses Rhythm can influence timing and readiness nervous system Assist automatic movement by providing a cue for timing
24 WHY MUSIC? Physical responses to music Iso principle Entrainment Rhythmic Auditory Stimulation
25 WHY MUSIC?
26 WHY MUSIC? Cognition and music Memory is enhanced when accompanied by emotional context Music as a stimulus for memory Music highly organized in structure Easier to process for individuals with memory disorders
27 WHY MUSIC? Music and Emotion Areas of brain activated during emotionally rewarding stimuli (e.g., sex, good food) also activated while listening to personally meaningful music Music as an acceptable way to express ideas/feelings
28 WHY MUSIC? Music is -- Flexible Motivating Diverse Engaging Personal Non-threatening Non-pharmacological
29 WHY MUSIC? Musical engagement can take many forms
30 WHY MUSIC? Listening (active or passive)
31 WHY MUSIC? Instrument playing
32 WHY MUSIC? Singing along
33 WHY MUSIC? Songwriting or Lyric Analysis
34 WHY MUSIC? As such, the music therapist can choose music and music therapy interventions that are appropriate for anyone.
35 MUSIC THERAPY AND RESPIRATORY CARE
36 MUSIC THERAPY AND RESPIRATORY CARE Music-assisted relaxation and breathing intervention
37 MUSIC THERAPY AND RESPIRATORY CARE How do you think music functioned in the intervention?
38 MUSIC THERAPY AND RESPIRATORY CARE Iso principle Entrain breathing to tempo Cue relaxation Focus of attention
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40 MUSIC THERAPY AND RESPIRATORY CARE Music therapy as a distraction from pain Gate control theory Music therapy to reduce anxiety Music therapy to help support and regulate breathing rhythms
41 MUSIC THERAPY AND RESPIRATORY CARE Active music making (wind instrument playing, singing) to support optimal respiration and strengthen breathing muscles MT for emotional expression MT for adherence (e.g., music-listening protocol with CPAP machine)
42 OPPORTUNITIES FOR CO-TREATMENT Pulmonary medicine Individuals with mechanical ventilation Pain management Procedural support Childbirth NICU Oncology End-of-life Wellness
43 SOME COOL RESEARCH Musical rhythm can be a zeitgeber (pacemaker) and can help entrain respiration (Haas, Distenfeld & Axen, 1986) Music therapy, combined with standard pulmonary rehabilitation, may serve as an effective treatment modality in the management of COPD (Canga et al., 2015)
44 SOME COOL RESEARCH Music therapy may help increase respiratory muscle strength in patients with advanced multiple sclerosis (Wiens, Reimer & Guyn, 1999) Music therapy can encourage relaxation in individuals with asthma, and in turn, decrease tension and improve expiratory flow (Leher et al., 1994)
45 SOME COOL RESEARCH Music therapy may have beneficial effects on state anxiety in mechanically ventilated patients in critical care units and may reduce heart rate and respiratory rate (Bradt, Dileo & Grocke, 2010) Music therapy had positive effects on oxygen saturation levels, heart rate and respiratory rate of 20 low birthweight infants oxygenated in a NICU (Cassidy & Standley, 1995)
46 WHAT ARE YOUR TAKEAWAYS FROM THIS SESSION?
47 QUESTIONS?
48 Jenny Memmott, MME or THANK YOU!
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