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Music Therapy

Music Therapy. Pediatric Room. The Playroom. The playroom is a very interactive place for children going through hospital procedures to relax in. Research has shown that children who play for at least thirty minutes a day have less anxiety than others who don’t receive active play

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Music Therapy

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  1. Music Therapy Pediatric Room

  2. The Playroom • The playroom is a very interactive place for children going through hospital procedures to relax in. • Research has shown that children who play for at least thirty minutes a day have less anxiety than others who don’t receive active play • The whole point of the playroom is to bring some sort of normalcy to the child’s life

  3. Music Therapy Goals -improve self expression -increase verbalization -reduce fear and anxiety -alleviate physical discomfort -teach relaxation -assist with coping skills -provide a normal environment

  4. Terminal Illness • Improvision • Song-writing • Guided imagery

  5. Bedside • Help to manage physical discomfort by musical stimulation • Headphones can be used to drown out outside noises during bedside procedures

  6. Chemotherapy • Music received during chemotherapy treatments has been proven to lesson the side effects such as nausea • In this particular study by Standley, those who were given music during treatment said they would ask for music again

  7. Pain Management • Music can help to distract away from music • Combine music with images • Songwriting • Singing • Instrument playing • Musical games • Name that tune • Play how you feel

  8. Songwriting • Fill in the blank • Re-write lyrics • Choose own lyrics to preexisting melody • Create entirely new piece

  9. Invasive Medical Procedures • Dressing changes • Shots • Bone marrow aspirations • Heel sticks • Hypodermic injections

  10. Types of Interjection • Intraopertively: during procedure • Music aids as a distraction • Preoperative: before procedure • Music helps to relax patient

  11. Questions • What kinds of music to use? • Was the music selected by the patient? • Live or taped? • Volume? • Listen to whole piece, or specific parts?

  12. Surgical Area • Mostly used prior to surgery, or after surgery • Music is suggested to be chosen by the patient • Loudness helps to make outside noises less noticeable • Headphones help to create a louder, surround sound quality • Patient selected headphones

  13. Pre-surgery • Help alleviate tension or anxiety • Help to facilitate learning relaxation techniques • Should be the focus of attention • Half hour before surgery • Should last until child has been transferred to surgical room

  14. Post-Surgery • Used to promote rest • Pre-optive and post-optive music can be the same • Should have sedative characteristics • Use music 12-48 hours after surgery when pain is the most intense

  15. For Parents-A Relaxation Program • Therapist should just provide a listening portfolio and directions on how to listen to help relax • Degree of Relaxation Depends on • Source of music • Duration of listening • Many sources of stress • Sleep deprivation • Loud noise • Worry

  16. Computerized Music Therapy Assessment in Pediatrics • Computer-based Music Perception Assessment for Children (CMPAC) • CD that allows for children to make their own choices • A menu appears with popular musical recordings • The Child clicks on the picture, and a song plays that corresponds with the picture • Preference can be seen by the amount of time the child spends on a particular song and how many times a specific picture is selected

  17. Testing • This program was tested on a group of children ages 4-7 in an educational setting • They were given 10 minutes to listen to whatever they wanted • This time slot was not found to be sufficient enough, 15 minutes is suggested • This program is used to help the therapist pick the appropriate music for each individual child

  18. MASA • Music Attentiveness Screening Assessment • Used to evaluate the child’s ability to concentrate for a period of time on a music task • Two games: • C is for Cookie • Listen for cookie and if heard, put a cookie in the jar • Whole New World • Distinguish who is singing and hold up the appropriate doll

  19. SCRIBE • Simple Computer Recording Interface for Behavioral Evaluation • A computer software program that records frequency and duration of observed events

  20. Bibliography • Wolfe, D.E., & Jellison, J.A. (1995). Interviews with preschool children about music videos. Journal of Music Therapy,23, 265-285. • Wolfe, D.E., & Waldon, E.G. Music Therapy and Pediatric Medicine: A guide to Skill Development and Clinical Intervention.

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