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Estell MH, Whitford KJ, Ulrich AM, Larsen BE, Wood C, Bigelow ML, Dockter TJ, Schoonover KL, Stelpflug AJ, Strand JJ, Walton MP, Lapid MI. Music Therapy Intervention to Reduce Symptom Burden in Hospice Patients: A Descriptive Study. Am J Hosp Palliat Care 2024:10499091241237991. [PMID: 38501668 DOI: 10.1177/10499091241237991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
Background: Music therapy (MT) offers benefits of improved symptom relief and quality of life at the end of life, but its impact on hospice patients and caregivers needs more research. Objective: To assess the impact of MT intervention on symptom burden and well-being of hospice patients and caregivers. Methods: A total of 18 hospice patients, selected based on scores ≥4 on the revised Edmonton Symptom Assessment System (ESAS-r) items on pain, depression, anxiety, or well-being, participated in MT sessions provided by a board-certified music therapist. Over a period of 2-3 weeks, 3-4 MT sessions were conducted for each. Patient Quality of life (QOL) was assessed using the Linear Analogue Self-Assessment (LASA). Depression and anxiety were measured with the Patient Health Questionnaire-4 (PHQ-4). For the 7 caregivers enrolled, stress levels were measured using the Pearlin role overload measure and LASA. Results: Patients reported a reduction in symptom severity and emotional distress and an increase in QOL. All patients endorsed satisfaction with music therapy, describing it as particularly beneficial for stress relief, relaxation, spiritual support, emotional support, and well-being. Scores on overall QOL and stress were worse for caregivers. Conclusion: This study provides evidence that MT reduces symptom burden and enhances the quality of life for hospice patients. Hospice patients and their caregivers endorsed satisfaction with MT. Given the benefits observed, integrating MT into hospice care regimens could potentially improve patient and caregiver outcomes. Larger studies should be conducted to better assess the impact of MT in this population.
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Affiliation(s)
- Madison H Estell
- Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA
| | - Kevin J Whitford
- Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA
- Mayo Clinic Hospice, Mayo Clinic, Rochester, MN, USA
- Department of Medicine, Mayo Clinic Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Angela M Ulrich
- Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA
| | | | | | | | - Travis J Dockter
- Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA
| | - Kimberly L Schoonover
- Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA
- Division of Community Internal Medicine, Geriatrics and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | | | - Jacob J Strand
- Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA
- Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Monica P Walton
- Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon, USA
| | - Maria I Lapid
- Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA
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Rodgers-Melnick SN, Rivard RL, Block S, Dusek JA. Effectiveness of Medical Music Therapy Practice: Integrative Research Using the Electronic Health Record: Rationale, Design, and Population Characteristics. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2024; 30:57-65. [PMID: 37433198 PMCID: PMC10795501 DOI: 10.1089/jicm.2022.0701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
Background: Several clinical trials support the efficacy of music therapy (MT) for improving outcomes in hospitalized patients, but few studies have evaluated the real-world delivery and integration of MT across multiple medical centers. This article describes the rationale, design, and population characteristics of a retrospective study examining the delivery and integration of MT within a large health system. Methods: A retrospective electronic health record (EHR) review was conducted of hospitalized patients seen by and/or referred to MT between January 2017 and July 2020. MT was provided across ten medical centers, including an academic medical center, a freestanding cancer center, and eight community hospitals. Discrete demographic, clinical, and MT treatment and referral characteristics were extracted from the EHR, cleaned, and organized using regular expressions functions, and they were summarized using descriptive statistics. Results: The MT team (average 11.6 clinical fulltime equivalent staff/year) provided 14,261 sessions to 7378 patients across 9091 hospitalizations. Patients were predominantly female (63.7%), White (54.3%) or Black/African American (44.0%), 63.7 ± 18.5 years of age at admission, and insured under Medicare (51.1%), Medicaid (18.1%), or private insurance (14.2%). Patients' hospitalizations (median length of stay: 5 days) were primarily for cardiovascular (11.8%), respiratory (9.9%), or musculoskeletal (8.9%) conditions. Overall, 39.4% of patients' hospital admissions included a mental health diagnosis, and 15.4% were referred to palliative care. Patients were referred by physicians (34.7%), nurses (29.4%), or advanced practice providers (24.7%) for coping (32.0%), anxiety reduction (20.4%), or pain management (10.1%). Therapists provided sessions to patients discharged from medical/surgical (74.5%), oncology (18.4%), or intensive care (5.8%) units. Conclusions: This retrospective study indicates that MT can be integrated across a large health system for addressing the needs of socioeconomically diverse patients. However, future research is needed to assess MT's impact on health care utilization (i.e., length of stay and rates of readmission) and immediate patient-reported outcomes.
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Affiliation(s)
- Samuel N. Rodgers-Melnick
- Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, USA
- Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, USA
| | - Rachael L. Rivard
- Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, USA
- Center for Survey and Evaluation Research, HealthPartners Institute, Minneapolis, MN, USA
| | - Seneca Block
- Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, USA
- Department of Psychiatry and School of Medicine, Case Western Reserve University, Cleveland, OH, USA
| | - Jeffery A. Dusek
- Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, USA
- Department of Psychiatry Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, USA
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Tamiasso RSS, Silva VAD, Turrini RNT. Membranophone percussion instruments in music therapy with adult patients in the health context: a scope review. Rev Esc Enferm USP 2023; 57:e20220263. [PMID: 37486369 PMCID: PMC10364967 DOI: 10.1590/1980-220x-reeusp-2022-0263en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 04/14/2023] [Indexed: 07/25/2023] Open
Abstract
OBJECTIVE To map scientific knowledge about the use of percussion instruments in music therapy in individuals over 18 years of age in the health context. METHOD Scope review with search strategy implemented in September 2021, in 13 databases, using indexed descriptors and keywords. Studies on the use of membranophones for care of people over 18 years of age were included. Studies with the participation of pregnant women, psychiatric patients (schizophrenia, psychosis, addiction), or people with hearing impairment, and journal editorials were excluded. The selection process was carried out by two independent researchers. RESULTS Thirteen studies were included and the results showed that the membranophones have a positive impact on the physical, psychological, and social health of people in different care environments, and allow them to repeat rhythmic patterns and play music. Active music therapy was the strategy predominantly used in interventions, and the most used membranophone was the djembe. CONCLUSION The results suggest that music therapy with membranophones proved to be a viable intervention with beneficial results in improving physical, psychological, and social health of people over 18 years of age.
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Affiliation(s)
- Renata Souza Souto Tamiasso
- Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil
| | - Vladimir Araujo da Silva
- Universidade Federal de Santa Catarina - Campus de Curitibanos, Coordenadoria Especial de Biociências e Saúde Única, Curitibanos, SC, Brazil
| | - Ruth Natalia Teresa Turrini
- Escola de Enfermagem - Programa de Pós-graduação Enfermagem na Saúde do Adulto, Universidade de São Paulo, São Paulo, SP, Brazil
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Tian B, Ma C, Su JW, Luo J, Sun HX, Su J, Ning ZP. Left atrial appendage occlusion in a mirror-image dextrocardia: A case report and review of literature. World J Clin Cases 2022; 10:1357-1365. [PMID: 35211570 PMCID: PMC8855170 DOI: 10.12998/wjcc.v10.i4.1357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 10/05/2021] [Accepted: 12/23/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND In mirror-image dextrocardia, the anterior-posterior position of the cardiac chambers and great vessels is maintained, but the left-right orientation of the abdominal organs is reversed. The abnormal anatomy of the heart poses surgical challenges and problems in dealing with surgical risk and monitoring complications. There are few reports on closure of the left atrial appendage (LAA) in dextrocardia and no reports on the application of enhanced recovery after surgery (ERAS) following LAA occlusion (LAAO) procedures.
CASE SUMMARY The objective for this case was to ensure perioperative safety and accelerate postoperative recovery from LAAO in a patient with mirror-image dextrocardia. ERAS was guided by the theory and practice of nursing care. Atrial fibrillation was diagnosed in a 77-year-old male patient, in whom LAAO was performed. The 2019 guidelines for perioperative care after cardiac surgery recommend that the clinical nursing procedures for patients with LAAO should be optimized to reduce the incidence of perioperative complications and ensure patient safety. Music therapy can be used throughout perioperative treatment and nursing to improve the anxiety symptoms of patients.
CONCLUSION The procedure was uneventful and proceeded without complications. Anxiety symptoms were improved.
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Affiliation(s)
- Bei Tian
- Zhoupu Hospital Shanghai University of Medicine & Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Chuang Ma
- Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Jin-Wen Su
- Zhoupu Hospital Shanghai University of Medicine & Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Jun Luo
- Zhoupu Hospital Shanghai University of Medicine & Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Hong-Xia Sun
- Zhoupu Hospital Shanghai University of Medicine & Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Jie Su
- Shache County People's Hospital, Kashgar 200437, Xinjiang Uygur Autonomous Region, China
| | - Zhong-Ping Ning
- Zhoupu Hospital Shanghai University of Medicine & Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
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Peralta A, Fernández-Caballero A, Latorre JM. Determining the ambient influences and configuration of optimised environments for emotional wellbeing of older adults. ERGONOMICS 2021; 64:1146-1159. [PMID: 33860739 DOI: 10.1080/00140139.2021.1909756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 03/24/2021] [Indexed: 06/12/2023]
Abstract
It is now widely recognised that aspects such as tiredness or mood state can have an impact on an individual's wellbeing. However, there also exist other less studied factors that might be influential, and whose analysis is important to maximise personal wellbeing. The aim of this study was to determine the influence of a set of 12 selected factors. Using the analysis of a 20-experiment case study by soft computing techniques the intention was to establish the most appropriate configuration for each factor to compose an optimal living environment to foster wellbeing. The analysis revealed that ambient lighting and stress level are the factors that most impact emotional wellbeing. To a lesser extent, being able to take a break, ambient temperature and ambient noise play a relatively determining role. The findings of this work can be used to establish a living environment for older persons that favours their emotional wellbeing. Practitioner summary: This study analyses the level of influence of a set of ambient factors on the emotional wellbeing of older people, conducting, to this end, a series of controlled experiments, and concluding that ambient lighting and stress level are the factors most relevant to promote a better living environment.KEY POINTSOlder adults' emotional interpretation of pictures depends on the environment and ambient factors.Ambient factors, such as lighting and stress, have a significant, positive effect on visual interpretation of stimuli and greater wellbeing.The use of soft computing techniques facilitates the quantification of the influence of factors affecting emotional wellbeing.
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Affiliation(s)
- Arturo Peralta
- Departamento de Tecnologías y Sistemas de Información, Escuela Superior de Informática, Universidad de Castilla-La Mancha, Ciudad Real, Spain
| | - Antonio Fernández-Caballero
- Departamento de Sistemas Informáticos, Universidad de Castilla-La Mancha, Albacete, Spain
- CIBERSAM (Biomedical Research Networking Center in Mental Health), Madrid, Spain
| | - José Miguel Latorre
- Departamento de Psicología, Universidad de Castilla-La Mancha, Albacete, Spain
- Instituto de Investigación en Discapacidades Neurológicas (IDINE), Albacete, Spain
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Potvin N, Hicks M, Kronk R. Music Therapy and Nursing Cotreatment in Integrative Hospice and Palliative Care. J Hosp Palliat Nurs 2021; 23:309-315. [PMID: 33631776 PMCID: PMC8248250 DOI: 10.1097/njh.0000000000000747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Integrative hospice and palliative care is a philosophy of treatment framing patients as whole persons composed of interrelated systems. The interdisciplinary treatment team is subsequently challenged to consider ethical and effective provision of holistic services that concomitantly address these systems at the end of life through cotreatment. Nurses and music therapists, as direct care professionals with consistent face-to-face contact with patients and caregivers, are well positioned to collaborate in providing holistic care. This article introduces processes of referral, assessment, and treatment that nurses and music therapists may engage in to address family support, spirituality, bereavement, and telehealth. Clinical vignettes are provided to illustrate how cotreatment may evolve and its potential benefits given diverse circumstances. As part of this framing, music therapy is positioned as a core-rather than alternative or complementary-service in hospice that satisfies the required counseling services detailed in Medicare's Conditions of Participation for hospice providers. The systematic and intentional partnering of nurses and music therapists can provide patients and caregivers access to quality comprehensive care that can cultivate healthy transitions through the dying process.
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Potvin N, Hicks M, Kronk R. Retracted: Music Therapy: A Core Service in Integrative Palliative Care. J Altern Complement Med 2021; 27:e1156-e1158. [PMID: 33902291 DOI: 10.1089/acm.2020.0025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The Journal of Alternative and Complementary Medicine (JACM) officially withdraws the article entitled, "Music Therapy: A Core Service in Integrative Palliative Care" by Noah Potvin, Molly Hicks, and Rebecca Kronk (epub: 27 April 2021; DOI: https://doi.org/10.1089/acm.2020.0025). The article had been "provisionally accepted" for possible publication in a special issue of JACM, but by the time articles were selected for that issue, the Guest Editors determined it should not be included and the Editor rescinded the provisional acceptance. Regrettably, the acceptance was reversed after the article was processed through normal production processes and was mistakenly released to the Journal's online platform. After the article was posted, the publisher learned that the authors had submitted and published the article elsewhere since the provisional acceptance had been reversed. Because of this, and in keeping with standard peer review practices, JACM must withdraw the article. It is important to note that this was an editorial error and that the authors bear no fault. The publisher of JACM and its editorial team deeply regret this error and sincerely apologize to Dr. Potvin, Dr. Hicks, and Dr. Kronk.
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Affiliation(s)
- Noah Potvin
- Mary Pappert School of Music and School of Nursing, Duquesne University, Pittsburgh, PA, USA
| | - Molly Hicks
- Penn Medicine Hospice, University of Pennsylvania Health System, Philadelphia, PA, USA
| | - Rebecca Kronk
- School of Nursing, Duquesne University, Pittsburgh, PA, USA
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Brungardt A, Wibben A, Tompkins AF, Shanbhag P, Coats H, LaGasse AB, Boeldt D, Youngwerth J, Kutner JS, Lum HD. Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial. J Palliat Med 2020; 24:736-742. [PMID: 33227225 DOI: 10.1089/jpm.2020.0403] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Background: Music therapy (MT) and virtual reality (VR) have shown favorable patient-reported outcomes during serious illness. Objectives: To evaluate implementation measures of feasibility, usability, and acceptability of a VR-based MT intervention. Design: A pilot implementation study of a two-day VR-MT intervention using mixed methods. Patients created a personalized soundtrack with a music therapist, and then paired the soundtrack with a 360° VR environment. Setting/Subjects: Hospitalized patients with palliative care needs. Results: Of 23 patients (ages 20-74 years, 52% women), 17 completed the intervention, including 39% during an intensive care unit stay. Participants scored usability above average. For satisfaction, 53% chose the highest rating. Most participants spoke favorably of VR-MT, describing pleasant emotional and physical responses. Participants provided feedback on length, frequency of use, VR options, and timing of delivery. Conclusion: This VR-MT intervention was feasible, usable, and acceptable for hospitalized palliative care patients. Further study will test VR-MT outcomes.
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Affiliation(s)
- Adreanne Brungardt
- Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Angela Wibben
- University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA
| | - Amanda F Tompkins
- Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Prajakta Shanbhag
- Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Heather Coats
- Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.,College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - A Blythe LaGasse
- School of Music, Theatre and Dance, Colorado State University, Fort Collins, Colorado, USA
| | - Debra Boeldt
- National Mental Health Innovation Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Jeanie Youngwerth
- University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA.,Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Jean S Kutner
- University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA.,Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Hillary D Lum
- Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.,VA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, Colorado, USA
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Strange J. Text watch. BRITISH JOURNAL OF MUSIC THERAPY 2019. [DOI: 10.1177/1359457519888392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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