about the program manual full.pdf · seniors residing in skilled nursing and assisted living...
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About the Program Those affected with Dementia often struggle to preserve their personhood and to remain connected with their past and present while maintaining a dignified and meaningful quality of life. The Georgia Health Care Association (GHCA) wants to help ease this struggle.
Thanks to a grant from the Centers for Medicare and Medicaid Services funded by the civil monetary penalty fund, GHCA, in partnership with the Music & Memorysm Organization and other key stakeholders, will offer a Music Integration Program designed to give life to memories through music. The program encourages the involvement of family, community and staff to develop and incorporate personalized music into resident activities and caregiving. We have the potential to touch thousands of lives through the program, which will initially be available to 150 skilled nursing centers.
Current ResearchResearch supports the following positive effects of music on persons with dementia:
Which leads to:
Key Program Components• Education to assist caregivers and family members to understand the effects of Alzheimer’s and other types
of Dementia and the potential benefits of personalized music as an integral part of resident’s plan of care• Certification in Music & Memorysm • Training, equipment and technical support to implement Music & Memorysm program• Instruments & speakers to integrate music into activities and bathing
ParticipationParticipation is available to all skilled nursing centers in Georgia on a first come basis, with an emphasis on centers that specialize in memory care or that have high psychotropic utilization rates. Participants must complete a participation agreement to initiate enrollment in the program. Please contact Tiffany Nelson, Program Coordinator at tnelson@ghca.info or 478-258-9483 for more information.
About GHCAThe Georgia Health Care Association (GHCA) is a mission driven organization dedicated to advancing quality for seniors residing in skilled nursing and assisted living centers. We provide support to over 350 providers in both rural and urban areas across the state.
• Improved mood• Enhanced engagement and socialization
• Calmness and less agitation• Heightened ability to communicate
• Reduced antipsychotic, anxiolytic and antidepressant use
• Fewer falls and less resistance to care
• More meaningful interactions• Greater staff efficiencies and reduced cost
Georgia Health Care Association Resident Centered Care Initiative - 2016-04-GA-1107
Equipment: Qty: # Received
Maracas 1
Claves 2
Cabasa 2
Egg shaker 5
Tone Block w/mallet 1
Castanet 1
Musical Spoons 1
Tambourine 2
Cowbell w/striker 1
Triangle w/striker 2
Finger Cymbals 1
Wrist Bells 2
Tone Bars w/mallet 2
Bathing Suite Mountable SPEAKER Yorkville 1
iPod Shuffle 15
Headphones 15
External portable speaker (small) 1
AC adapter/charger 15
iTunes Cards (could be 1 card or multiple= $500) varies
3.5mm Splitter 2
HP Laptop 1
"Alive Inside" DVD 1
MIPS Center Impact Evaluation v3
Page 1 of 1
1. Center Name & CCN#:*
-- Please Select --
2. Is this your baseline report?*
Yes No
3. If this is not your baseline report, what quarter/year are you reporting for?
-- None --
4. Name of person submitting the form:*
5. Email address of person submitting the form:*
6. Date signed MIPS Participation Agreement:*
mm/dd/yyyy
7. Have the program champion(s) at your center changed?*
Yes No
8. If your program champion(s) have changed, please enter the new champion(s) name(s) & email(s) below:
9. M&M certification completion date:*
mm/dd/yyyy
10. Enter the following data:
Rate/Response Comments
Anti-Psychotic Drug Rate (%, Quality Measure)
LS Depressive Symptoms (%, Quality Measure)
LS Antianxiety/Sedative Hypnotics (%, Quality Measure)
LS Rehospitalization Rate (%, Trend Tracker)
LS Pain (% Quality Measure)
Total Employee Turnover Rate (%, Facility Record)
Number of residents with active M&M care plan (# 1-15, facility Record)
Overall State Rating (1-5 scale, NH Compare)
Quality Measure Star Rating (1-5 scale, NH Compare)
11. Upon completion of certification and implementation of program, outline plan for program sustainability and/or changes to enhance program:
Resident Impact Evaluation V2Page 1 of 1
1. Center Name & CCN#:*
-- Please Select --
2. Resident Identifier:*
3. Diagnosis:*
4. New Dx of Schizophrenia?*
Yes No
5. Is this a baseline report?*
Yes No
6. If this is not a baseline report, what quarter/year are you reporting for?
-- None --
7. Name of person submitting the form:*
8. Email address of person submitting the form:*
9. Date of M&M Care Plan Implementation:*
mm/dd/yyyy
10. Enter the following data:*
Data
B0700 Makes Self Understood (0-3)C0500 Summary Score-BIMS (00 - 15, or 99)D0300 Total Mood Severity Score (0 - 27, or 99)D0600 Total Mood Severity Score-Staff Assessment (00 - 30)E0200 Behavioral Symptoms- Presence & Frequency: Physical Behavior Symptoms (0 - 3)E0200 Behavioral Symptoms- Presence & Frequency: Verbal Behavior Symptoms (0 - 3)E0200 Behavioral Symptoms- Presence & Frequency: Other Behavioral Symptoms Not Directed toward others (0 - 3)J0100 Pain Management: Received scheduled pain med regimen? ( 0=no, 1=yes)J0100 Pain Management: Received PRN pain medication? ( 0=no, 1=yes)J0100 Pain Management: Received non-medication intervention for pain? ( 0=no, 1=yes)
11. Medication Regimen:(not all inclusive list, only specific classifications noted below)
date of order Medication Dosage Frequency
Dosage changes,
discontinuation or not used
Anti-psychotic
Anti-anxiety
Sedative/Hypnotic
MUSIC & MEMORY® ACTION PLAN WORKSHEETS
Refer to Implementation Guide for Full Details
STEP ONE: Activate a High-Functioning Team STEP TWO: Prepare STEP THREE: Begin Your Pilot STEP FOUR: Launch Your Program Organization-Wide STEP FIVE: Sustain
Action Item Who’s Responsible Target Date
Completed Date
Form Interdisciplinary Team
Access Care Community and Invite Team Members
Assign Tasks (ex: tech savvy staff/volunteers to build playlists)
Schedule Team Meetings (monthly/weekly). Include Administrators and Nursing Staff
Download and/or Print MUSIC & MEMORY® Implementation Guide and Action Plan Worksheets
Obtain Music & Memory Certificates of Completion and Plaque Upon Completion of Certification Training (webinars and online course)
6.1 STEP ONE Action Plan Worksheet: Activate a High-Functioning Team
Action Item Who’s Responsible Target Date
Completed Date
Order Equipment
Hands-on Staff Access Online iTunes Training via Care Community
Download and/or Print Key Program Documents from Care Community
Create Organization-owned iTunes Account
Assign Who Will Set Up iTunes Library
Identify Equipment Storage Area for Pilot
Label Music Devices and Headphones
Train Staff to Use Equipment for Pilot
Identify Pilot Participants
Get Permissions
6.2 STEP TWO Action Plan Worksheet: Prepare
Action Item Who’s Responsible Target Date
Completed Date
Work One-to-one with Pilot Participants to Discover Favorite Music
Purchase/obtain Needed Music
Create iTunes Library
Create Playlists for Pilot Participants
Load Playlists to Music Devices; Print Two Copies of Playlists (file one, and place one with individual for change requests)
Test and Revise Playlists with Pilot Participants
Use Forms to Track Impact and Add to Care Plan
Expand to Other Participants, Shifts and Care Needs
6.3 STEP THREE Action Plan Worksheet: Pilot Your Program
Action Item Who’s Responsible Target Date
Date completed
Take Your Program Organization-wide! Launch Celebration and/or Announce at Staff Meetings
Promote Music & Memory Program in Marketing Materials, Website, Social Media. Add M&M Certified Logo to Your Website to Promote Your Program
Create Organization-wide System for Documenting Impact, Tracking and Refining Program. (Sample assessment tools available in Care Community)
Determine Time Frame for Adding New Participants
Continue to Add New Participants and New Applications of Music
6.4 STEP FOUR Action Plan Worksheet: Launch Your Program Organization-Wide
Action Item Who’s Responsible Target Date
Completed Date
Sustain Your Team by Sending Additional Team Members for Music & Memory Training. Contact carequestions@musicandmemory.org
Integrate Music & Memory Into New Employee Orientation & Ongoing Training
Identify and Implement Strategies to Build Team Commitment Across Your Organization and with Participants’ Family Members
Optional: Recruit Volunteers to Build Support in Your Community and Expand Your Program. Register Them for Training as Needed.
Fundraise to Expand Your Program
Stay Connected to Music & Memory Through Care Community
6.5 STEP FIVE Action Plan Worksheet Sustain
Step 1 View the
Videos from Music & Memory Laptop
Step 2 Browse
Through the Manual
Step 3 Locate the Action Plan
Worksheets & Implementation
Guide
Step 4
Access Care Community
Write to carequestions@
musicand memory.org
Step 5 Go to Care Community
View the Tour Video & Then Go to Training
EXPANDING YOUR PROGRAM’S TEAM:
THE ALL-IN APPROACH Recharge your caregiver batteries and experience fulfillment of purpose in a uniquely rewarding way. This transformative program can enhance outcomes, quality of care, and the lives of those you serve. It can transform relationships and make your job easier.
Get to Know the MUSIC & MEMORY® PROGRAM
Videos to View & Share
Leadership - Get the Advantage https://www.youtube.com/watch?v=jCmVQt5-EdU&feature=youtu.be Morse Life C.N.A. https://musicandmemory.org/landing/introducing-cnas-to-music-and-memory/ Reducing Antipsychotic Meds https://www.youtube.com/watch?v=wjSVY3kf9S8 Henry http://www.youtube.com/watch?v=fyZQf0p73QM State of Delaware Documentary https://www.youtube.com/watch?v=iBNRj1oMVdI New South Wales – Australia https://www.youtube.com/watch?v=A91cx0b3lbw
MUSIC & MEMORY® IMPLEMENTATION GUIDE
Launch & Sustain Your Program
Visit musicandmemory.org for more info.
www.facebook.com/MusicAndMemoryMusic and Memory on YouTube
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MUSIC & MEMORY IMPLEMENTATION GUIDE
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Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0 .1 How to use this guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0 .2 Care Community resources & additional trainings . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0.3Benefitsofpersonalizedmusic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0.4Thefiveactionsteps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
STEP ONE: Activate a High-Functioning Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1.1Formaninterdisciplinaryteam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1 .2 Determine who does what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 1 .3 Schedule regular team meetings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
STEP TWO: Prepare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 2.1Orderequipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 2 .2 Establish storage and access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 2.3SetupyourcomputerandiTunesaccount;onlinelearningresources . . . . . . . . .15 2.4Trainstafftouseequipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 2.5Selectprogramparticipants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 2.6Getpermission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
STEP THREE: Begin Your Pilot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3.1Identifymusicfavorites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3 .2 Build your iTunes library . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 3.3Createplaylistsandloadontodevices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 3.4Testmusic&evaluateImpact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 3.5Expand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
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STEP FOUR: Launch Your Program Organization-Wide . . . . . . . . . . . . . . . . . . . . . . . . .26 4.1Takeyourprogramorganization-wide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 4.2Promotetheprogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 4.3Trackprogram&refine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
STEP FIVE: Sustain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 5 .1 Sustain your team . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 5.2Workwithvolunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 5.3Fundraisetoexpandyourprogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 5 .4 Build community connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 5 .5 Stay connected through the Care Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Action Plan Worksheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
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Introduction
Welcome toMusic&Memory! This ImplementationGuide isdesigned to complementwhat you learned during the MUSIC & MEMORY®CertificationTrainingWebinar.You’llfindstep-by-stepinstructionsbasedonourextensivefieldexperiencethatwillhelpyoutolaunchasuccessfulpersonalizedmusicprogramforyourcareorganization.
0.1 How to Use This GuideWerecommendyoutakesometimetoreadthroughthisguideandreinforceyourunder-standingofthefivekeystepsforimplementingasuccessfulprogram.We’vealsoincludedthe Action Plan Worksheets that were described in the webinars .
Whetheryou’renewtoMusic&MemoryoranexperiencedteammemberinyourMUSIC& MEMORY®CertifiedCareOrganization,you’llfindawealthofideasthatwillhelpyoutostrengthenandgrowyourprogram.
NOTE: If your program is grant or state funded, your implementation steps may be different. Contact your program sponsor for more information.
0.2a Care Community Resources & Additional TrainingsUponcompletionofthecertificationtraining,youshouldreceiveanemailinvitationtojointheCareCommunity,Music&Memory’sonlineresourceforMUSIC&MEMORY®CertifiedOrganizations.IntheCareCommunity,you’llfindawealthofprogramresources,includingallof theprintoutsandvideoresourcesmentionedduringthe livewebinarand inthisguide.You’llalsogainaccesstoadditionaltrainingsandequipmentdiscountlists.
If you are not yet a Care Community member, it’s easy to join. Email us at carequestions@ musicandmemory.org to request an invitation.
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MUSIC & MEMORY® iTunes Training
RemembertohaveatleastonememberofyourteamcompleteouronlineiTunes Training Course,whichyou canfind in theCareCommunityunderTraining. Traineeswill learn efficientandcost-effectivewaystomanagelargescaleiTunesimplementation.
Additional Care Community Resources
Topicsofspecial interesttooursiteareaddressedduringlivemonthlyTopicCalls.CallschedulesarelocatedonthehomepageoftheCareCommunity.
Additional trainingoptionsareavailable forLeadershipandNursingAssistantsaspart of your certification. Furthermore, the following fee-based courses will allow certain organizationstoleveragetheirinitialinvestmentinnewdirections:
• MUSIC & MEMORY® Tablet Engagement Series
• MUSIC & MEMORY® for PT, OT, SLP
0.3 Benefits of Personalized MusicThroughsurveys,research,andasteadystreamofamazingstories,we’vedocumentedmany
benefitsofourpersonalizedmusicprogram.Herearesomeofthemostsignificant:
• Personalizedmusicbringspleasureandjoy.
• Itreducesuseofantipsychotic,anti-anxiety,antidepressantandpainmedications.
• Participantsexperiencereducedfalls.
• Participantsexperiencelessanxiety,distressanddelirium,exhibitbettermoodsandhaveaneasiertimecommunicating.
• Participants’appetitesincrease.
• Caregivers-bothfamiliesandprofessionals-experiencereducedstress.
• Therearefewerstaffinjuriesandphysicalaltercationswiththoseinyourcare.
• Caregiversexperiencereducedresistancetocare.
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• Hospitalreadmissionratesdecline.
• Strengthenedbondsbetweenstaff,participantsandfamilymembers.
• Opportunityformoremeaningful,personalconnectionswiththoseinyourcare.
Thesebenefitsarenotlimitedtothelisteningduration.Thereareresidualbenefits,aswell.
M&M SURVEY: Behaviors for which listening to personalized music appeared to have a residual effect.
100
80
60
40
20
0
Reduction in challenging verbal or
physical behaviors
Reduction in anxiety or
nervousness
Positive changes in
mood
Increase in desire to communicate or interact with
others
Negative changes in mood
General increase in
pleasure and joy
Reduction in amount of
physical pain
Other
Value Percent Count
Reductioninchallengingverbalorphysicalbehaviors 56.1% 119
Reductioninanxietyornervousness 80.2% 170
Positivechangesinmood 87.7% 186
Increase in desire to communicate or interact with others 48.1% 102
Negativechangesinmood 7.5% 16
Generalincreaseinpleasureandjoy 72.6% 154
Reductioninamountofphysicalpain 18.4% 39 (referring to chronic pain)
Other 8.5% 18
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0.4 The Five Action StepsOurCertificationTrainingisbuiltupontheFiveActionStepstoSuccess:
1 . Activate a High-Functioning Team: Create an interdisciplinary, “all-in” team to implementyourMusic&Memoryprogram,tailoredtothesizeofyourorganization.
2 . Prepare: Set up your iTunes library, determine equipment storage and access, selectparticipants,getpermission,andacquireequipment.
3 . Begin Your Pilot: Starting with up to five participants, conduct assessment to identifymusicpreferencesandcreateplaylists;reviewprogresswithpilotprogram,makeadjustmentsandgetreadytoexpand.
4 . Launch Your Program Organization-Wide:OfferyourMusic&Memoryprogramtotheentireorganization;promotebenefits, trackandevaluate,make improve-ments,documentimpactandcontinuetogrow.
5 . Sustain: Support your team,workwith volunteers, fundraise, build communityconnections,learnandenhanceyourprogramviatheCareCommunity.
BesuretousetheActionPlanworksheetslocatedattheendofthisguidetohelpyourteamstayontopoftasks.Feelfreetoadaptandembellishtheworksheetsasneeded.Let’stakeacloserlook!
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STEP ONE: Activate a High-Functioning TeamInStepOne,we’llreviewhowtoputtogetheran“all-in”teamtoimplement yourMusic&Memoryprogram,tailoredtothesizeofyourorganization:
1.1 Formaninterdisciplinaryteam
1.2 Determine who does what
1.3 Schedule regular team meetings
1.1 Form an Interdisciplinary TeamThe key to creating and maintaining a successful Music & Memory program is this: Everyone, from leadership to direct care and support staff, has a role to play and a stake in how participants experience and benefit from their personalized music playlists.ThisisnotjustanActivitiesDepartmentprogram—eachdepartmentcanusetheprogramstrategicallytohelpmeettheorganization’sgoals.Music&Memoryworksbestwhenleadershiptakestheleadandallhandsjointosupportparticipantsinasharedmusicaljourney.
“The staff loves Music & Memory. If you don’t have everybody on board, it won’t work. From the administration to the aides, everyone was so excited to try it, and they could see how it was working.” —Sara Young, Director of Nursing, Rocky Mountain Care-Willow Springs, Utah
So,whatdoesaneffectiveMusic&Memoryteamlooklike?Ofcourse,itdependsonthesizeofyourorganization.Smallercareorganizationsmayonlyhaveoneortwopeoplewhocarryouttheprogram.Formid-sizetolargerorganizations,westronglyrecommendateamoffiveinterdisciplinaryteammembers.Here’sabasicbreakdown:
• Administrator/Management
• DirectorofNursing/ClinicalDirector
• Three additional teammembers representing Social Services, Direct Care Staff, Activities,Marketing,QualityAssurance
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1.2 Determine Who Does WhatIdentifystaffchampionswhoarecomfortablewithtechnologyandenthusiasticabouttheprogram.Thefollowingareexamplesofrolesforvariousstaffinalargeorganization.Ifyoursissmaller,thinkaboutwhocancombinesomeoftheserolesandresponsibilities,whilestillcreatinganinterdisciplinarymixofideasandskills.
Membersandrolesmayinclude:
• Administratorrunsmeetings,setsgoalsandactionplans,assignstasks,keepsontrack .
• Director of Nursingoverseesallpersonalizedmusicnursinginterventionsforuse24/7anddocumentationofuseandimpact,linkedtocareplanningandqualityassurance.
• Direct Care Staffserveasprogramchampionsforeachshift;provideessentialfeedbackaboutparticipantresponsestomusicandhelptoidentifypreferences.
• Activities/Tech-Savvy Staff/VolunteersConductindividualizedmusicassessmentstobuildandupdatepersonalizedplaylists;loaddevices.
• Social Services identifyprogramparticipantswhowouldbenefitandworkwithfamiliesandvolunteers.
• Music Therapistsprovideanexcellentresourceforprogramenhancement.
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• OT, PT and SLPenhancetheirtherapybyintegratingMusic&Memory intotheirpractice.
• Maintenanceassistswithequipmentstorage,chargingstationsandaccess.
• Marketing/Developmentbuildscommunityawarenessandsupport.
• Minimum Data Set coordinatorintegratespersonalizedmusicintocareplanning
• Quality Assurance coordinatorintegratesMusic&MemoryintoQuality Assurance/PerformanceImpactactivities.
1.3 Schedule Regular Team MeetingsWhetheryourteamislargeorsmall,it’sessentialtomeetregularlytodiscussprogress.Troubleshoot,analyzeandevaluateasyoutailorMusic&Memorytoyourspecificneeds.Afewguidelines:
• Entire Music & Memory team should attend .
• Administrativeand/orclinicalleadersconductthemeetings.
• Check in about immediate issues/questions during regular huddle orstandupmomentsinmornings.
• Convene15to30minutemeetingweeklytoreview,trouble-shootandcoordinate.
• Discussimplementationandstrategyduringone-hourmeetingmonthly.
• Askwhat’sworking,whatisn’t,andmakeadjustments.
• Stayopentoinputfromwholeteamandothers.
Teammeetings are also a time to share stories about how the program is benefiting participantsandtocelebrateyoursuccessesasyougrowyourprogramfrompilotstagetoorganization-wide.Thetimeyouinvestinasmoothlyrunningeffortthatmeetstheuniqueneedsofyourorganizationwillpaydividendsinpositiveoutcomesforyourorganization.
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STEP TWO: PrepareInStepTwo,we’lldiscussbestpracticesforgettingyourMusic&Memory programreadytolaunch:
2.1 Orderequipment
2.2 Establish storage and access
2.3 SetupYourComputerandiTunesLibrary;OnlineLearningResources
2.4 Trainstafftouseequipment
2.5 SelectProgramParticipants
2.6 Getpermission
2.1 Order Equipment
Select a Computer for Your Music Library
Your first step is to determine which computer willhouse your master library. If you have an IT depart-ment, involvethemearly intheprocessofselectingacomputeranddeterminingabackupsystem.
1. Music&Memoryrecommendstheconvenienceofalaptopformobilityandaccess.Thiscanbeparticularly helpful when you are in the pro-cessofdeterminingwhichmusictheindividual prefers; it enables you to bring the music tothemandplaysamples.
2. Selectarecentmodelcomputersothatyoucanworkefficiently.ItshouldhaveaninternalorexternalCDdriveandWIFIcapability.iTunesworksoneitheraMacOSorPCWindowsplatform.
3. Besurethatyouhaveasysteminplaceforbackingupyourmusiclibraryonaregularly scheduled basis .
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Obtain Music Devices and Headphones
Music Players
WhatistherightdeviceforyourMusic&Memoryprogram?Thatdependsonwhat works best for your participants.Devicesvaryinstoragecapacity,chargelife,durabilityandsoundquality.
Where to Buy Equipment
Music & Memory has relationships with technology vendors who can help you purchase at a discount. You’ll find the latest information about contacts and pricing in the document Equipment Resources for MUSIC & MEMORY®, located in the Resources section of the Care Community.
How Much Will It Cost?We suggest you budget $80-$100 per participant. ($100 allows for more songs.)
• $30 - $50 for digital music device
• $2.50 + shipping for approved headset
• $2.00 for A/C adapter
• $25 for starter selection of songs for music library
Cost of laptop computer with CD reader is separate and depends largely on model.
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SanDisk® Clip Jam MP3 Player–AsanalternativetotherecentlydiscontinuedAppleiPodShuffle&Nano,Music&MemoryrecommendstheSanDisk® Clip Jam MP3 Player (Item #SDMX26-008G).Comparableinpriceandfunctionality,thismulti-platformdevicestores4GBofmusic(about1,000songs)andoffers11hoursofcontinuousplayback.Thedevicefully charges in two to threehours;overcharging isokay,as ispartial charging. Italso allowsfortransferofmusicwithiTunes.
Donated iPods –Althoughmany iPodmodelsarediscontinued,manypeoplestillownthem. The iPod Touch, iPhone (without a carrier) and iPad are all-purpose devices. In additiontoplayingmusic,theycanbeusedtoaccessebooks,games,podcasts,YouTube,appsandmore.
Headphones –Our goal is to useheadphones that sound great,aredurableandinexpensive.We’vetestedmanyheadphonesandfindthattheyoftenstopworkinginoneearorbecomecracklyinamatterofmonths.Weprefer theKossUR5-Bbecause itcomeswith a lifetime guarantee, rarely breaks, sounds fine, and is less expensive than most other headphones. Certified organizationsmaypurchaseatadiscount.
2.2 Establish Storage and AccessWhere tokeepyourMusic&Memoryequipment, including laptop,musicdevicesandheadphones,isanimportantconsiderationforyourprogram.We’vefoundthatlaptopsareusuallykeptwiththeActivitiesDirectororthepersonmostresponsiblefortheday-to-dayoperationoftheprogram.Regardingstorageofmusicdevicesandheadphones,Music&Memoryrecommendsusingadecentralizedapproach—keepingtheseitemsclosesttothe user allows them easy access to their music at all times .
Solutionsrangefromafloororcommunity-basedcabinetorclosetthatcanbelocked,tostorageonmedcarts.Onegoodwaytostoreequipmentclosetotheuserisalockablethermostatcover(picturedright).Thisitemisgreatforin-roomstorage,easyaccessandkeepingthedevicecharged.Familyandstaffmemberscanhaveakey.
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For more information about the lockablethermostatcoverandotherstorageoptions,see Equipment Resources for MUSIC & MEMORY®,locatedintheResources section oftheCareCommunity.
NOTE: Thermostat covers are designed to be mounted over electrical devices. However, each state and health setting has different regulations. (Contact your state Fire & Safety inspector if you have questions regarding regulations for your care category in your state.)
Music&Memoryrecommendslabellingyourequipmentasameanstoreduceloss,usingcorrespondingnumbersformusicdevicesandheadphones(usealabelmaker;permanentmarkersdon’twork in the long-term).Don’t forget to label the chargers aswell! Keepa master log . We recommend using our Music Device Assignment Tracking Sheet to control access and Music Device Sign-Out Sheettotrackuseoftheequipment.BothoftheseformsareavailableintheResourcessectionoftheCareCommunity.
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2.3 Set Up Your Computer and iTunes Account ItisimportanttohaveaniTunessavvystaffmemberorvolunteeronyourMusic&Memoryteam.RunningiTunesinanorganizationalsettingismoredemandingthanusingiTunesat home .
Maintainingthelibrarycanbeastafforvolunteerresponsibility.
Howmuch time is involved? Itdependson thenumberofparticipants in theprogram.Thelibrarywillgrowovertimeandshouldconsistofthemostpopularmusicbyartists requestedbyyourprogramparticipants.
Yourmusic librarywill includeamixofCDsthatarealreadythepropertyofyourorga-nization,CDsfromfamiliesofparticipantsgiftedtotheprogram,aswellasnewmusicpurchasedfromiTunes.Sooneofyourfirsttasksistotakestockofwhatmusicyourcareorganizationalreadyownsorhasaccessto.You’ll find all the details for setting up your library and personalized playlist in our online training courses (see below).
Remember: Create an organizational iTunes account for your music library. Never use a staff member or volunteer’s iTunes account; if they ever leave, all your music goes with them!
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MUSIC & MEMORY® iTunes Training
Music&Memoryoffersanonlinetrainingto teachshortcutsand tips when setting up andmanaging your organization’siTunesLibrary.ItisavailableintheTrainingsectionoftheCareCommunity.Takeitasmanytimesasyoulike,repeatlessonsthatwillhelpyoutosharpenskills,oruseitasarefresher.Theaccessible online format is ideal for bringing new staff ontoyour Music & Memory team .
Additional On-Demand Trainings for MP3 Players
OnlinetrainingfortheSandiskClipJamMp3Player isavailable intheVideossectionoftheCareCommunity.ThesetrainingsincludedeviceoperationinstructionsandhowtotransferplaylistsandmusicfromiTunes.WerecommendwatchingthesevideosifyourorganizationisplanningonusingtheSandiskplayer.
2.4 Train Staff to Use EquipmentOurrecommendedequipmentiseasytouse,butitpaystoensurethatyourdirectcareteamisbothcomfortableusingthemusicdevicesandheadphonesandalsofeelconfidentintroducingtheequipmenttoparticipants.
Reviewon-offswitches,volumecontrols,howtoskiptothenextsong,aswellaswhichwaytheheadphonesareplacedandhowtoensurecomfortlevel.Participantswithhearingaidesmayneedtoexperimentwithwhatworksbest.
A Word of Caution
It is extremely important to honor music copyright laws. Using pirated music files leaves your organization and all of your efforts vulnerable to legal action for copyright infringement. Music & Memory is committed to respecting the rights of music artists to own and distribute their creative property.
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2.5 Identify ParticipantsNowyou’rereadytoselectthepeoplewhowillparticipateintheinitialpilottestrun.Ifyourorganization’sfundingrequiresparticipantswithsomeformofdementia,thenthiswillinformyourchoice.Beyondthat,it’suptoyourteamtodecidewhogetspriority.Music&Memoryencouragesuse throughout theorganizationandchoosing individualswithvariedneeds.
It’sbesttosetupamaximumoffiveparticipantsatatimeinthebeginningandtoincludevariousstaff(nursingleadership,activities,socialwork,nurseassistants)intheselectionprocess.Bytestingpersonalizedmusicwithafewresidentsinitially,youcanfigureoutuseandlogisticsonasmallscalebeforeexpandingyourprogram.
Determinewhetheranindividualenjoysorhasanaffinityformusicandhowtheymightbenefitfromtheprogram.Asyoudiscusshowtoprioritizeparticipantsintermsofneeds,alsoconsiderthefollowingforthetestphaseofyourprogram:
• Selectresidentswhowillhavethegreatestlikelihoodofsuccess,withpotentialforsignificantbenefits.
• Choosetheareawhereyouhavebestchanceofsuccessbecausestaffworkwelltogetherandareopentonewideas.
• Chooseresidentswhoareconsistentlycaredforbystaffwhoknowjusthowtoapproachthem.
• IdentifystaffwhoareenthusiasticaboutusingMusic&Memoryfortheirresidents.
2.6 Get PermissionAfteryou’veidentifiedyourpilotgroup,approachtheirfamiliestointroducetheprogramandgettheirpermission(whereapplicable).Werecommendthatyoudothiseitherbyletterorinperson.Whenyoudoso,it’sagoodideatostressthatthereisno fee to participate.
Ifyouplantosendaletter,werecommendusingourtemplateslocatedintheResources sectionoftheCareCommunity.
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STEP THREE: Begin Your PilotNowthatyou’veassembledyourteamandpreparedforlaunch,it’stimetoget thingsmovingbyprovidingpersonalizedplaylistforindividualsinyourpilot:
3.1 Identifymusicfavorites
3.2 Build your iTunes library
3.3 Createplaylistsandloadontodevices
3.4 Track,measureandevaluate
3.5 Expand
3.1 Identify Music Favorites
Become a Music Detective
What’syourfavoritemusic?Seemslikeasimpleenoughquestion.DiscoveringthemusicmostlovedbysomeoneinyourcareisattheheartofMusic&Memory’spersonalizedmusicprogram.
But theanswersaren’t alwaysobviousand, sometimes, they’redownrighthard toget,especiallywhenthepersonyou’reaskingcannotarticulate—orifthey’refromaforeigncountry that’sunfamiliar toyou,or if theysimplyhave troubleexplainingwhat they’reremembering .
Now it’s time to become a “music detective,” working one-to-onewith participants to discovertheirmusicalpreferences,favoritepiecesandperformingartists.Wefindit’sbesttofocusonbelovedmusicfromtheparticipant’sformativeyears,ages10to25.
Discoveringmusicingroupsisafunwaytoexpeditelearningpreferences.Bringpartic-ipantstogether inaclosesemi-circleandtestrelevantsongsforreactions.Keepnotesaboutwhorespondstowhatmusicsothatyoucancreatemultipleinitialmusicassess-mentsatonetime.(SeeHowtoKnowYou’veFoundtheRightMusic,below.)
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Use the Music Assessment Questionnaire and the Expanded Artist Matrix foundinthe ResourcessectionoftheCareCommunity,tohelpyourdiscoveryprocess.
• Music Assessment Questionnaire:Startaconversationaboutmusicalpreferencesandrecordresponses.(SeeMusicDetectiveBasics,below.)Fornon-verbalpartici-pants,observetheirbodylanguageasyousamplesongs.
• Music-Artist Matrix:Sometimesyoumayknowthataparticipantlikesacertaingenre ofmusic, but don’t knowhow tomove forward from there. Consult the ExpandedArtistMatrixtofindtopsingersandmusiciansofpopularmusicgenres.Participants canpointoutwhichartists theyenjoyor youcouldplay topsongsfromeachgenreandwatchforpositiveresponses.NOTE: This tool is for discovery, only. Avoid creating genre playlists (e.g. Country Music, Big Bands). Playlists must be specific to individual tastes to impact and maximize benefits.
Music Detective Basics
Start with the fundamentals:
• Didyoulistentomusicwhenyouwereyoung?
• What’syourfavoritesong?
• Didanyoneinyourfamilyplaymusic?Didyou?
• Whatsongdidyoudancetoatyourwedding?
• Doyouhaveanyfavoritemusicfromattendingaplaceofworship?
It’salwaysworthittoasksuchbasicquestions,becausetheymayopenthedoortoalonger,deeperconversation.Butdon’tbediscouragedifyoudon’tgetveryfar,sincethesequestionsarequitedirect.Sometimestheindividualwon’tknowtheanswerrightaway,orwon’tbeable to recall .
That’swhenyouneedtohoneyourmusicdetectiveskillsandlookforclues.
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Age-Related Clues
Armedwithafewbasicfacts,includingageandwherethepersonlivedatanearlierpointintime,youcanfindasidedoortotheperson’smusicalfavorites.Forexample:
• Apersonwithdementiadidn’tknowwhatkindofmusicsheliked.
• ShewasfromtheMidwest,andlivedinHollywoodintheearly‘40s.
• Sherememberedtakingdancelessonswithherbrother,andgoingout to dance at the Palladium .
ThatwasenoughinformationtocreateaplaylistofearlySinatraandTommyDorsey,whoperformedatthePalladium-plussomeLawrenceWelktotapherMidwestroots.
Bits and Pieces
Sometimesallyou’llgetfromyourinitialquestionsisaphraseandageneralguessofthetypeofmusic:“Itwassomethingaboutwavyblackhairorwavingblackhair.ItwasanoldcountrysingerfromwhenIwasyoung.”UsecontextandInternetsearchestoseewhatyoucanlearn.Forexample:
• Iftheindividualisintheir90s,theymightbethinkingofmusicfromthe‘40s.
• Asearchfor“wavingblackhaircountrymusic”pullsupseverallistingsfor Wildwood Flower.
• ThesearchalsodisplaysaquotebyMotherMaybelleCarteroftheoriginalCarterFamily,whorecordedthesong:“It’sthemostpopularsongweeverrecorded,andthere’shardlyacountrygroupwhodoesn’tusethissong.”
Given that theCarter Family recorded in the ‘30s and ‘40s, chances are you’reon the right track .
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What If They Can’t Communicate?
Fortheuncommunicative,yourbestbet istoobservetheirbodylanguageasyousam-plesongs,andfindoutasmuchasyoucanfromothersources,particularlyfamilyandfriends,abouttheindividual’sbackground.Inadditiontoage,findoutwheretheywereborn,wheretheylivedoverthecourseoftheirlife,andtheirfirstlanguage.
Youmaybeabletofindoutaboutfavoritehobbies,sportsandotherpastimesthatcouldsuggestastartingpoint.Whatradiostationdofamilymembersrecallthemlisteningto?WhatTVshows?Weretheymusical?Didtheyplayaninstrumentorsinginachoir?Allofthisinformationcanhelpyousolvethemusicalfavoritesmystery.
Overcoming Language Barriers
Iftheindividualspeaksadifferentlanguage,startwithfamilymembersandfriendswhomaybeabletointerpret.Staffmembersmaybeofhelpwithtranslating,aswell.Ifyoumeetsomeresistanceandskepticismaboutyourknowledgeofanotherculture’smusic,don’t let thatdissuadeyou.Doyourhomework.Search the Internet for “top [nameofcountry]singersofalltime”andseewhatturnsup.
For furtherassistance, checkout thedocumentTop Elder Music in 26 Languages in the ResourcessectionoftheCareCommunity.
Staff don’t have time to play Music Detective!
We understand how busy direct care and other staff can be. Learning someone’s favorite music and creating playlists requires a significant commitment; if you need to spread the work, consider using volunteers to help with the process. However, we encourage your professional team to be part of the discovery process, which is profoundly rewarding as you get to know those in your care at a more personal level.
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How to Know When You’ve Found the Right Music
Asyouhone inonmusical favorites, sample thefiveor tenmostpopular songs fromiTunesonyourlaptopandnotetheparticipant’sreaction.Responsescanbeimmediateandmayincludetappingfingers,makingeyecontact,talkingandlaughing.
Aimforfivetotensongsfromeachartistinyourmusiclibrary,andincludethebestthreetofoursongsfromthatartistonasingleplaylist.Wecannotstressenough:Always avoid
“filler” music and hone in on songs that are most popular or requested.
Ultimatelyyouwanttohave150+songsperplaylist,butfocusonqualityoverquantity,inthesamewayweselectmusicforourselves.
Beingasuccessfulmusicdetective requirespatienceandpersistence,aswellassomeintuitionand luck.But the journey isdeeply rewarding.Youwill learnmoreabout the personinyourcare,andseeingthatfacelightupwhenyouuncovertherightmusicmakesallthateffortworthwhile.
3.2 Build Your iTunes LibraryBuildingyouriTuneslibrarywithavarietyofsongs,genresandmusiciansiskeyforyourMusic&Memoryprogram.iTunesgiftcardsareaneasyandconvenientwaytobuildyourlibrary.They’reavailableforpurchaseonlineandinmanystores,andpeoplelovedonatingthemtoMusic&Memoryprograms.
YoucanalsobuildyouriTunesLibrarybyimportingCDs.Download only the most popular tracks from CDs to avoid overpopulating your library with music that is not liked. Make sure these are original CDs.ItisillegaltouploadsongsfrombootlegorloanedCDsfromlibrariesintoyouriTuneslibrary.No“borrowing”orcopyingsomeone’smusiclibraryofftheirharddrive.
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3.3 Create Playlists and Load onto DevicesLearnhowtobuildyour industrial-strength iTunes library,createpersonalizedplaylistsandsetupmusicplayersinouronlineiTunes Training CourseavailableintheTraining sectionoftheCareCommunity.
Playlist Reminders
• Alwaystestandrevisetheplaylist.
• Checkinquarterlytoupdatemusicalselections.UseiTunesGeniusfunction tofindsimilarmusicandfacilitateupdates.
• Printtwocopiesoftheplaylistasback-up.Placeoneinabinderandkeep aseparatecopyinparticipant’sroomtosharewithfamilywhentheyvisit andforeasyplaylistrevisionrequests.
How to Discover the Right Music
• Focus on musical favorites from ages 10-25.
• Avoid genre-based playlists; tailor to listener’s true favorites.
• Work one-to-one with participants to identify specific artists and songs. Discovering favorite music in a group is also possible.
• Be deliberate. Discovery takes time. Everyone benefits from a carefully selected playlist.
• Get specific: Aim for quality versus quantity.
• Sample songs for participants and note reaction.
• Responses to music can be immediate.
• Library: Include most popular songs from each artist.
• Playlist: 5-7 songs from each artist.
• Goal: 150+ songs specific to individual’s preferences.
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3.4 Test Music & Evaluate ImpactBytestingpersonalizedmusicwithafewparticipantsatatime,youcanassesswhatworksandwhatdoesn’t on a small scalebefore expanding yourprogram. Two forms, bothavailable in theResources section of theCareCommunity, help you tomanually track participants’responsestotheirplaylists.
Personal Impact Evaluation Form
Thisisagreattoolfortrackingaparticipant’sprogress.Itallowsyoutomeasureandreviewtheimpactofhavingapersonalizedplaylist, includinganychanges inmedication,pain,weightanddininghabits,aswellasobservedchangesinmoodsandcognition.
Patient Response Form
This form includes ten-point scales for trackingavarietyof responses to thepersonal-izedplaylist,includingfacialandvocalresponsesaswellasvariousbodymovements.It’s particularlyhelpfulforassessinganon-verbalindividual.
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Herearesomekeyaspectstoevaluatingtheimpactofcertainmusicforeachparticipant:
Best times and uses of music for each participant.Identifytoughtimesofdayincaringfortheindividual—morningcare,showers,meals,shiftchange,rangeofmotion,familyvisits,settlingdownatnight—andexperimentwithmusicateachofthesetimes.
How best to relieve agitation.Observeand trackwhenand forhow long touse themusic.Lookforthewindowoftimebeforeagitationbecomestoosevereforpersonalizedmusictohaveapositiveimpact.
3.5 ExpandSlowly increase thenumber of residents participating in your program. Expand to othertimesofday,shiftsandcareneeds.Thegoalforparticipantsisanytimeaccesstotheirmusic.
Communicationiskeytothesuccessofyourprogramexpansion.Besuretohaveregularteamcheck-ins:
• Among staff
• Between management and staff
• Just-in-time teaching for staff who may need extra assistance
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STEP FOUR: Launch Your Program Organization-Wide
Nowthatyou’vecompletedyourpilottest,you’rereadytoexpandyourMusic &Memoryprogramthroughoutyourentireorganization.Intheprocess,learn fromdatayou’recollectingtoimproveprogramresults:
4.1 Takeyourprogramorganization-wide
4.2 Promotetheprogram
4.3 TracktheProgram’sProgressandRefine
4.1 Take Your Program Organization-WideNowthatyou’reprovidingpersonalizedplaylists for those inyourcare, it’s time to tellothersaboutit!Yourgoalistoengageyourcolleagues,familiesandmoreparticipantsinaprogramthateveryonecansupport.
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Let Everyone Know!
Launch your Music & Memory program organization with a kick-off celebration foradministration,familiesandstaff.SharetheHenryvideoandplaymusicfromyourownfavoriteplaylists.Makeitafestiveeventtogivetheprogramvisibility.Playmusic.Servefood.SharetestimonialsfromyourownHenrys.Akick-offpartywillsignaltheprogramasasite-wideteameffortandgiveafeel-goodboosttoeveryoneinvolved.
Announce at all staff meetings. Show theHenry clip. Talkabout yourown in-houseHenrymomentswherethemusichasbeensuccessfulforparticipants.Discusstherangeofusesandbenefits.Talkthroughthelogisticsofstorage,charginganddocumentation.Leteveryonehandlethemusicdevicesotheyarecomfortablewithit.Regularweeklyormonthly teammeetingswillhelpyour teamsustain theMusic&Memoryprogramviagroupproblemsolvingandsharedsuccesses.
Introduce to families and residents.Writeletterstofamilies,discussincareplanmeetingsandincludeinyouradmissionsprocess.DiscussatResidentandFamilyCouncilmeetings.IntroducingMusic&MemorytofamiliesiseasywithourLetter to Family,foundintheResourcessectionoftheCareCommunity.UsethiscustomizabletemplatealongwithourCustomizable Marketing Flyertoinformthemabouttheprogramandexplainthatitisofferedatnofurthercost.Invitetheirinvolvementintheprocessofdiscoveringmusicalfavoritesfortheirfamilymembers.
4.2 Promote the ProgramPromote on your website.Letpeopleknowyouofferthisasaserviceforthoseinyourcare,andthatyouwelcomedonationsofequipment,purchasedmusicandcashgifts.BesuretoincludeyourMusic&MemoryCertifiedlogoprominentlyonyourwebpage!
Share news on your promotional materials and social media. Some MUSIC & MEMORY® CertifiedCareOrganizationshaveevencreatedFacebookpagestosharetheirownHenryvideos.
Invite local media to feature your successes.We’vefoundthatlocalmediaareopentopresentapositivestoryaboutthebenefitsofMusic&Memory.Sharingyourprogram’ssuccesseswiththecommunityisagreatwaytogetpeopleinvolvedinyourorganizationandmakecontributionstoyourMusic&Memoryprogram.
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4.3 Track Program and RefineWithyourprogramupandrunning,youcanbegintheprocessoftrackingitsystem-wideandrefiningwherenecessary.Thereareanumberofmeasurestotrackandevaluatesoyoucanmakeimprovements.Amongtheobservationsyoumighttrackatregularintervalsforallparticipantsviaelectronicdataentry:
• Didlisteningtotheplaylisthaveameasurableimpact?
• Whatwastheirreaction?
• Howlongdidtheparticipantlisten?
• Howoftendidtheylisten?
• Anyreductioninmedications?
• Anymeasurableweightgain?
• Anychangeinparticipationintherapies?
• Atwhattimeofdayismusicthemosteffective?
Herearesomemoreissuestoconsiderasyoudevelopyourstrategyformeasurementandevaluation:
Determine what you want to track and how you want it to relate to your other data. Forexample:
• Look at residents triggering for off-label use of antipsychotics tosee ifanywould benefit from Music & Memory. Make this part of your overall Quality Assurance/PerformanceImprovementmeetingandyourworkonanyperformanceimprovementprojectsorat-risk/QualityAssurancemeetings.
• For those with weight loss,wouldpersonalizedmusichelpbeforemeals?
• For those in pain,wouldithelpeasetheirdistress?
• For those more isolated and aloof,willmusicsparkmoresocialengagement?
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Improve accuracy of documenting distress episodes.Youmayrealizethatyouarenotfullytrackingtheextenttowhichindividualsrejectcareorexpressdistress,becauseitisso“normal”thatstaffdon’tdocumenteveryinstance.Whenyoutrackandtrendtoidentifyusesofthemusicplayer,youcanimproveyourdocumentationasyounotehowoftentheseepisodesoccurandthenhowthepersonalizedplaylistdecreasesincidencesofdistress.ThiscanbeanopportunitytotrackhowMusic&Memoryishelpingyourorganization.
Integration into care planning.Howwillbestusesofpersonalizedplaylistsbecapturedinthecareplan?Howwilltheplaylistsbeconsideredasaninterventionwhenaddressinggoalsofcare?Usepersonalizedplaylistsforparticipantsreviewedduringat-riskmeetingsondistressedbehaviors,weightloss,painorfalls.Considerusingthemusicduringmedicalproceduressuchasdialysisortripstothehospital,whentheplaylistcanbecalmingfortheresident,or justpriortomeals.Usepersonalizedplaylists forparticipantswhoaredying,andfortheirfamilies.
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STEP FIVE: SustainStepFivewillteachyoubestpracticesforsustainingandgrowingyour Music&Memoryprograminthelong-term.
5.1 Sustain your team
5.2 Workwithvolunteers
5.3 Fundraisetoexpandyourprogram
5.4 Build community connections
5.5 Stay connected through the Care Community
5.1 Sustain Your TeamOngoingtraining—bothforexistingstaffandnewemployees—isessentialforlong-termstabilityandexpansion.SoisaleadershipcommitmenttointegratingMusic&Memoryintoinitiativestomeetorganizationalgoals.
Integrate Music & Memory into New and Ongoing Employee Training
• Training should be integral to new employee orientation and trainingforstaffatalllevels,includingleadership.
• Educate staff and build enthusiasm with in-service training.Firstleadershipteamandthendirectcarestaffshouldseeatleast“Henry”or,evenbetter,Alive Inside.(Championsmaycomefromanydepartment!)
• All employees should be aware of the program.
• The more staff who are involved, the better able your program will be able to weather any challenges,includingchangesinstafforleadership.
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Dealing with Staff Turnover
IttakesadedicatedimplementationteamtopassalongalltheyhavelearnedaboutMusic&Memoryprogramparticipantsandtheiruseofpersonalizedmusictoensurethatplay-listsarecurrentandeffective.
• MakeMusic&Memorypartofyouradmissionsprocess.
• Individualizecare.
• Fostercriticalthinkingandcollaborativeproblem-solving.
• Communicateviaregularcheck-insamongstaffandmanagement.
• Celebrate success .
Tohelpwithknowledgetransferwhenthereisstaffturnover,we offer newly hired staff at MUSIC & MEMORY® Certified Care Organizations the opportunity to attend our Certification Webinar free of charge.ThoseinterestedinattendingorsendingstaffcanfindregistrationinstructionsintheTrainingsectionoftheCareCommunity.Forquestions,email carequestions@musicandmemory .org .
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5.2 Work with Volunteers
Connect with High Schools, Colleges and Universities - and Reach Out to Active Seniors
Manyofourcertifiedcareorganizationsbenefitfromtalented,committedstudentinternsand volunteers.Music &Memory projects have providedmeaningful experiences that inspirestudentsandkeepvolunteerscomingback.Olderadultvolunteersbringextensiveskillsetsandastrongworkethictoyourorganization.AllcanhelptoexpandcommunityconnectionsandbuildsupportforyourMusic&Memoryprogram.
Your organization may already have a well-established internship program with area collegesanduniversities.IntegrateMusic&Memoryintotheirengagements.Highschoolandcollegeservicegroupsarealsoasourceofvolunteerswhobringenergyandenthusi-asmtoyourprogram,aswellasopportunitiesforintergenerationallearningandsharing.
Volunteersofallageswithmusicalbackgrounds,organizationalskillsoragiftfortalkingwithelderscanplayakeyroleinprogramset-upandongoingimplementation.WehavefoundthatMusic&Memoryprojectsareamagnetfordrawingqualified,dedicatedvolun-teers.VisittheCareCommunitytoaccessallofourVolunteerResources.
Suggested Projects for Interns and Volunteers
Therearemanywaysthatinternsandvolunteerscanhelpyoutosetupanddevelopyourpersonalizedmusicprogram.ThesearesomeprojectsthatMUSIC&MEMORY®CertifiedCareOrganizationshavefoundtobemostbeneficial:
• Establish a music library .
• Researchparticipants’musicfavoritesandsetuppersonalizedplaylists.
• Createsystemformanagingmusicdevices.
• Teachparticipantstousemusicdevicesandheadsets.
• Educatefamilymembers.
• Spendtimesharingthemusicwithparticipants.
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Tips for Working with Volunteers
Herearefirststepstotakewhenthevolunteersarrive:
• Orientvolunteerstothebuildingtomakethemfeelcomfortableintheirsurroundings.
• Partnervolunteerswithamemberofthestaffteam.
• Emphasizetheimportanceofsanitizinghandsbeforeworkingwithequipmentandparticipants.
• Providethemwithappropriatebackgroundonthetypesofbehaviorsandwhattoexpectwhenworkingwithparticipants.
• Emphasizetheimportanceofaqualitymusiclibraryandatrulypersonalizedplaylist.
• Providethemwithface-to-faceintroductionstotheirassignedindividuals.
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5.3 Fundraise to Expand Your ProgramThereareasmanywaystoraisefundstoexpandyourprogramasyourimaginationallows.Hereareafewtried-and-trueapproachesthathaveworkedwellforourMUSIC&MEMORY® CertifiedCareOrganizations:
Razoo® for Music & Memory
AnumberofourvolunteershavehadrealsuccessusingthisonlineplatformforfundraisingandcollectingmusicdevicesforMusic&Memory.Pairyouronlinecampaignwithyoureventsandotheractivities.We’vesummarized thebasicsteps inourquick-startguide, Using Razoo® to Create Your Own Music & Memory Fundraiser.You’llfindtheguideintheCare Community Resources.
Other Care Community Fundraising Resources
Wecontinuouslyaddnewbest-practicesresourcestotheCareCommunity.Herearethreeofourmostpopularforfundraising:
• Digital Music Device Donation Drive Guide: All you need to know to run asuccessfuldriveforgentlyusediPodsandothermusicdevices.
• Customizable Music & Memory Announcement Flyer:Adddetailsforyourcareorganizationtothisprofessionallydesignedflyertemplate,printanddistribute!
• Music & Memory Certified Logo:Usethislogoinallprintedpromotional materials,onyourwebsiteandsocialmediatoletfamiliesandpotentialdonorsknow that yours is a MUSIC & MEMORY®CertifiedCareOrganization.
• Music & Memory Appreciation Wall:Erectaplaquetorecognizethelocal businessesandfamilymembersthatcontributetoyourfundraiser.
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5.4 Build Community ConnectionsThoseinyourcarearen’ttheonlyoneswhobenefitfromMusic&Memory’spersonalized music program. Their families benefit, too—from seeing participants feeling happier,moreaware,moresocialandconnected.Sharingmusicalfavoritescreatesnewopportu-nitiesformeaningfulconversationsandawaytodiscoverorrediscoverimportantmemo-ries.Whenfamilymembershelptoidentifymostlovedmelodies,theyoftenfeelastrongsenseofpersonalsatisfaction,beingabletomakeasignificantdifferenceintheirlovedone’squalityoflife.
Families Can Be Your Most Enthusiastic Advocates
So it’s no wonder that families can become some of yourmost important allies and advocatesforexpandingyourMusic&Memoryprogram.Whenyouarereadytoseek additionalfundingformoremusicdevicesandheadphones,expandedmusicresourcesandothermaterials,herearesomewaystoengagefamiliesinyourefforts:
• Engage supportive family members in conversationstoexplainhowthose inyourcarehavebenefitedfrompersonalizedmusic.Encouragethem,ifthey arecomfortable,tosharevideosofthoseinyourcareexperiencingthemusic. Atwo-minutevideoofaparticipantawakeningtomusicalfavoritescanbeoneofthemostpowerfulwaystoconveythebenefits.
• Invite enthusiastic family members to tell their stories to your organiza-tion’s Board of Trustees or Directors.
• Work with your Development Departmenttoapproachfamilymembersfor financialcontributions.
• Ask family members if they have ideas about how to reach out to the commu-nityforadditionalsupport.Familiesmayhaveconnectionstolocalbusinesses,servicegroups,religiousorganizations,schoolsandcollegecampuses,newsmedia,philanthropicfoundationsandmore.Theymayworkforcompaniesthathave corporatematchingforcharitablegiftsorcommunitygrantprograms.
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How to Build Bridges to Your Community
Engagingfamiliesisonewaytoconnecttothecommunity.Yourorganization’sgoverningBoardandVolunteerAuxiliary,ifoneexists,aretwootherimportantresourcestotapforhelptoexpandyourMusic&Memorypersonalizedmusicprogram.
Asmentionedabove,sharingstoriesabouthowindividualshavebeenpositivelyaffectedbylisteningtotheirmusicalfavoritesisoneofthemosteffectivewaystogainsupport.Videosmakeahugeimpact—especiallyifyouhaveastorylikeHenry’stotell,specifictoanindividualinyourownorganization.
Communitysupportcanbetappedinavarietyofways.Hereareafewideastogetyoustarted:
• Show “Alive Inside: A Story of Music and Memory”:theaward-winning documentarythatmakesacompellingcaseforthebenefitsofpersonalizedmusic.
• Gain board support throughanincreasedbudgetallocation,personalcontributionsfromindividualboardmembers,orconnectionstocommunityresources.
• Involve local small businesses inafundraisingauction.
• Invite local mediatodoafeaturestoryonyourMusic&Memoryprogram.
For Additional Support
Care Community and general information: carequestions@musicandmemory.org
Webinar Training and registration: webinars@musicandmemory.org
Membership renewal: renewals@musicandmemory.org
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5.5 Stay Connected Through the Care CommunityThe MUSIC & MEMORY®CareCommunityisyouronlineconnectionforMusic&Memoryresources,support,peerdiscussiongroups,trainingandmarketingvideos,andthelatestnewsaboutourpersonalizedmusicprogram:
• Discountedequipment.
• Newstafftraining.
• Certificatesofcompletion.
• ConnectwithpeersinInteractiveCommunityForums.
• Resources library .
• Online training courses .
• Marketingandin-servicetrainingvideos.
• Accessfreedownloadsof1000+oldradioshowsanddonatedclassicmusic.
• Trackyouraccountstatus,includingyourrenewalduedate.
• Completeoursurveytokeepyourcontactinfoupdatedandtellus yourlatestparticipantstats.
TolearnallthefeaturesandbenefitsoftheCareCommunity,viewtheCare Community Quick Start Video.ThisvideoisavailableintheVideossectionoftheCareCommunity.
Wehopeyou’vefoundthisguidehelpful!Pleasesendusyourcommentsandsuggestionsforhowtomakeitevenbetter.Writeusatcarequestions@musicandmemory .org .
© 2018 Music & Memory, All Rights Reserved
MUSIC & MEMORY IMPLEMENTATION GUIDE
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6.0 ACTION PLAN WORKSHEETS
6.1 STEP ONE Action Plan Worksheet — Activate a High-Functioning Team
Action Item Who’s Responsible Target Date Completed
Access Care Community andinviteteam
Downloadand/orprintMUSIC& MEMORY®ImplementationGuide and Action Plan Worksheets
Assigntasks(ex:techsavvystaff/ volunteerstobuildplaylists)
Schedule team meetings (monthly/weekly).Includeadministratorsandnursingstaff.
© 2018 Music & Memory, All Rights Reserved
MUSIC & MEMORY IMPLEMENTATION GUIDE
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6.2 STEP Two Action Plan Worksheet — Prepare
Action Item Who’s Responsible Target Date Completed
Orderequipment
Hands-onstaffaccessonline iTunes training
Downloadand/orprintkeyprogramdocumentsfromCareCommunity
Createorganization-owned iTunes account
Identifyequipmentstoragearea forpilot
Labelmusicdevicesandheadphones
Identifypilotparticipants
Getpermissions
© 2018 Music & Memory, All Rights Reserved
MUSIC & MEMORY IMPLEMENTATION GUIDE
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6.3 STEP THREE Action Plan Worksheet — Pilot Your Program
Action Item Who’s Responsible Target Date Completed
Workone-to-onewithpilotparticipantstodiscoverfavoritemusic
Purchase/obtain needed music
Createplaylistsforpilotparticipants
Loadplayliststomusicdevices;printtwocopiesofplaylistandfile
Testandreviseplaylistswithpilot participantsandreviseplaylists ifnecessary
Useformstotrackimpact(careplan)
© 2018 Music & Memory, All Rights Reserved
MUSIC & MEMORY IMPLEMENTATION GUIDE
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6.4 STEP FOUR Action Plan Worksheet — Launch Your Program Organization-Wide
Action Item Who’s Responsible Target Date Completed
Takeyourprogramorganization-wide!Launchcelebrationand/orannounce atstaffmeetings
PromoteMusic&Memoryprogram inmarketingmaterials,website, and social media . Add Music & Memory Certifiedlogotowebsitetopromoteyourprogram
Createorganization-widesystem fordocumentingimpactand trackingandrefiningprogram. (Sampleassessmenttoolsavailable inCareCommunity)
Determinetimeframeforadding newparticipants.Continuetoadd newparticipantsandnewapplicationsofmusic
© 2018 Music & Memory, All Rights Reserved
MUSIC & MEMORY IMPLEMENTATION GUIDE
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6.5 STEP FIVE Action Plan Worksheet — Sustain
Action Item Who’s Responsible Target Date Completed
Sustainyourteambytrainingnewstaff.Contact carequestions@musicandmem-ory .orgwithnewstaffinformation
Integrate Music & Memory into new andongoingemployeetraining
Identifyandimplementstrategies to build team commitment across yourorganization
Optional:Recruitandtrainvolunteerstosupportandsustainyourprogram
Fundraisetoexpandyourprogram
Identifyandimplementstrategiestobuild bridges to your community and participants’families
Stay connected to Music & Memory through the Care Community
17 West 17th Street, Fl. 7, New York, NY 10011 | Phone: (212) 602-1331
www.musicandmemory.org
“What songs bring you back?”
GET THE MUSIC & MEMORYSM ADVANTAGESteps to Implementation for Maximum Benefit
A Nursing Home Leader’s Guide
Visit musicandmemory.org for more info.
www.facebook.com/MusicAndMemoryMusic and Memory on YouTube
© 2016 Music & Memory, All Rights Reserved
“What songs bring you back?”
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
2
Music & Memory’s personalized music program is a field-tested, proven method to enhance quality of care while meeting key strategic objectives:
• Boost quality ratings.
• Strengthen competitive edge.
• Reduce antipsychotic use.
• Improve regulatory compliance.
• Foster teamwork across all departments.
• Improve staff retention and morale.
• Provide high quality, person-centered care.
Take the Path to a Five-Star Rating
Align Music & Memory with your organization’s strategic goals to gain a competitive edge.
• Build Census: Personalized music is an innovative program that attracts families and demonstrates commitment to person-centered care.
• Strengthen Family Engagement: Sharing favorite music and reminiscing enhances family visits and encourages referrals.
• Use Personalized Music as an Effective Nursing Intervention:
- Increase residents’ mobility, function and appetite.
- Reduce falls, agitation and antipsychotic use.
- Engage staff in critical thinking and problem solving, and improve staff morale.
- Implement a performance improvement project.
• Position Your Organization for Quality Awards and Competitive Partnerships
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
3
Keys to Success
• Build a team approach that involves all departments and systems to increase program success, with leadership in charge of implementation.
• Start small with pilot tests and solicit staff feedback before launching building-wide.
• Improve quality with consistent assignments, so staff know residents well.
• Integrate music into care planning for effective nursing interventions.
• Encourage good communication and teamwork among staff and between staff and management.
• Adopt a high involvement approach to performance improvement, with staff closest to resident supported and encouraged to use trial-and-error to find best practices for each individual.
• Assess progress via frequent team check-ins at morning stand-up, in rounding and through quick huddles to evaluate progress, trouble-shoot and improve.
• Measure and evaluate to boost effectiveness.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
4
5 Steps to MUSIC & MEMORYSM Implementation
Step 1: Activate a High Functioning Team
Identify staff champions who love music, are comfortable with technology and eager to take assignments. Members and roles may include:
• Administrator runs meetings, sets goals and action plans, keeps on track.
• Director of nursing oversees all personalized music nursing interventions for use 24/7 and documentation of use, linked to care planning and quality assurance.
• Social services identifies residents who would benefit and work with families.
• Activities complete individualized assessments for music, initially load the music and periodically add music to keep it fresh.
• Maintenance assists with storage and charging stations.
• Tech-savvy staff help with loading music and making playlists.
• MDS coordinator integrates personalized music into care planning.
• QA coordinator integrates Music & Memory into QAPI and QA activities.
• Unit manager and champion CNAs provide essential feedback about resident response to music and help to identify preferences.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
5
Step 2: Prepare
Have everything in place before launching your pilot test program. Get the team off to a good start:
• Show the Henry video. Talk about the wide array of uses and benefits.
• Outline the steps for preparation that need to be addressed to launch.
• Determine who will participate in MUSIC & MEMORY℠ Certification training. Areas your team will need to address that are covered in the training include the following:
- How to select a dedicated computer;
- How to create an iTunes library, create playlists and load the music;
- Best practices for charging iPods;
- Alternatives for storage and what is most effective for your set-up;
- Managing iPods when resident is listening to music;
- Who will most benefit from the program;
- Who will discuss the program with resident and/or family;
- Who will create and manage playlists.
• Make preliminary plans.
• End your meeting with an action plan for who will do what by when.
• Give team members access to the Music & Memory Care Community website to access resources related to their assignments.
Keys to Success
Use Music & Memory’s Resources: No need to recreate the wheel! Direct team members to the Music & Memory Care Community website for resources such as assessment forms, letters to families, policies, marketing materials and more.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
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Step 3: Pilot Test
By testing personalized music with a few residents at a time, you can figure out use and logistics on a small scale.
u Identify Participants
• Select residents who will have the greatest likelihood of success, with potential for significant benefits and few downsides.
• Choose the unit where you have best chance of success because staff work well together and are open to new ideas.
• Choose residents who are consistently cared for by staff who know just how to approach them.
• Identify staff who are enthusiastic about using Music & Memory for their residents.
u Use the Pilot to Test Key Aspects of the Program
• Best times and uses of iPod for each resident. Ask the unit manager and CNA to identify tough times of day in caring for this resident—morning care, showers, meals, shift change, range of motion, family visits, settling down at night—and experiment with the iPod at each of these times.
• How best to relieve agitation. Observe and track when and for how long to use the iPod. Look for the window of time before agitation becomes too severe for personal-ized music to have a positive impact.
• Efficient documentation. Make this as easy as possible. Figure out what you want to capture, as well as how. What goes on the CNA assignment sheet? In the nurses’ notes? Capture the optimal uses of personalized playlists. Use language that doesn’t box you into specific times. For example, “Use iPod as needed to help prevent or relieve distress with morning care.”
• Integration into care planning. How will best uses of personalized playlists be captured in the care plan? How will the playlists be considered as an intervention when addressing goals of care? Use personalized playlists for residents reviewed during at-risk meetings on distressed behaviors, weight loss, pain or falls. Consider using the music during medical procedures such as dialysis or trips to the hospital, when the playlist can be calming for the resident. Use personalized playlists for residents who are dying, and for their families.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
7
• Easy storage and access. To maximize use, equipment should be readily accessible in a location where staff do not have to leave the patient. Consider pouches or bags attached to the wheelchair, or hung on a hook in the day room or resident’s room. Charge iPods when resident is sleeping. Add the iPod to end-of-shift check.
• Respecting listener’s need for privacy. Create a sign, such as a musical note, indicat-ing when a resident is listening to personalized playlist. Place on the resident’s door, in their room, on the bag holding the equipment, on the CNA assignment sheet and/or on the EMR kiosk that CNAs use for charting.
u Expand
• Slowly increase the number of residents and staff engaged in Music & Memory to collect necessary feedback in order to finalize decisions about participation, storage, accessibility and documentation.
• Expand to other times of day, shifts and care needs.
u Communicate Via Regular Check-ins
• Among staff: Make sure the charge nurse and Certified Nursing Assistant discuss iPod uses during the shift. Pass information along at shift change so that the incoming shift knows how long the resident has been listening, any benefits, and warning signs that listening time may have reached its limit.
• Between management and staff: Meet with the unit and staff in the pilot to see how it’s going. How are residents enjoying the music? Is the storage and accessibility working? Are they running into any issues with use? How’s the documentation?
• Just-in-time teaching: Staff who are unfamiliar with the iPod may hesitate to use it. Show them how. Talk through the range of uses, and help staff sort out good times for use. If there are logistical barriers, such as iPods storage location, figure out with staff what arrangements would work better.
u Develop Policies
• Essentials include use, storage, sanitation, documentation and care planning.
• Draw from the Music & Memory Care Community resources. There are a wealth of sample forms and policies that you can adapt.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
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Keys to Success
• Playlist must be individualized to each resident. For residents with dementia who have lost short term memory, make a playlist based on their years from age 12-26. Music & Memory has resources for determining musical preferences even when the resident cannot tell you.
• Gauge the resident’s response to the music. Use a splitter to listen to the music to see which songs are the most evocative.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
9
Step 4: Launch
u Take Your Program Building-wide
• Let everyone know!
- Make it a festive launch “celebration” to give the program visibility. Play music. Have food. Share testimonials from your own Henrys.
- Announce at all staff meetings: Show the Henry clip. Talk about your own in-house Henry moments where the iPod has been successful for your residents. Discuss the range of uses and benefits. Talk through the logistics of storage, charging and documentation. Let everyone handle the iPod so they are comfortable with it.
- Add to new employee orientation: Cover the same areas with newly hired staff.
- Introduce to families and residents: Write a letter to families, discuss in care plan meetings, and include in your admissions process. Discuss at Resident and Family Council meetings.
- Include on your website: Let people know you offer this as a service for residents, and that you welcome donations of equipment, purchased music and cash gifts.
u Measure and Evaluate
• Determine what you want to track and how you want it to relate to your other data. For example:
- Look at residents triggering for off-label use of antipsychotics to see if any would benefit from Music & Memory. Make this part of your overall Quality Assurance/Performance Improvement I meeting and your work on any performance improvement projects or at-risk/Quality Assurance meetings.
- For residents with weight loss, would personalized music help before meals?
- For residents in pain, would it help ease their distress?
- Use Music & Memory to make sure that residents get all their therapy minutes. Time goes by faster in therapy when they are exercising to the music.
• Improve accuracy of documenting distress episodes. You may realize that you are not fully tracking the extent to which residents reject care or express distress, because it is so “normal” that staff don’t document every instance. When you track and trend to identify uses of the iPod, you can improve your documentation as you note how often these episodes occur and then how the iPod decreases incidences of distress. This can be an opportunity to track how M&M is helping your organization.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
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Step 5: Sustain
u Engage Community Support
• Share your successes. Local media love positive human interest stories. This is a great vehicle for good community relations.
• Make an ask. As more residents and families see the benefits of Music & Memory, they will request personalized music, which will increase demand for new music for your iTunes library and more iPods. At community events and presentations to service clubs, show the Henry clip, and talk about the wide array of uses and benefits you have seen. Share stories from your home, and enlist the help you need. Everyone loves to help with something this positive.
- Get more iPods. Solicit from community service organizations, families and others looking to give gibs. Many iPods are sitting in drawers. Schools, scouts, civic organi-zations, and employees may have used ones to donate.
- Get help loading music into iTunes library. This is a time-consuming process that young volunteers can do easily.
- Create play lists. This can be a special entryway into caregiving for young volun-teers who can get to know residents in a positive context.
- Promote M&M in your newsletter and on your web-site.
- Offer a family special. In marketing to families, agree on a “price” if a family wants to purchase a set-up for a Loved-One.
u Use Music & Memory as a Springboard for Meeting Organizational Goals
• Individualize care. As staff track-and-trend to zero-in on best times to use personalized music, they will get to know each resident better. Using knowledge of how music can help, individualize care in other ways, such as changing the approach or timing of care.
• Foster critical thinking and collaborative problem-solving. Music & Memory is an uplifting way to engage staff in performance improvement processes. Build on the energy it unleashes, to engage staff in new improvement efforts.
• Enhance monthly data review. Review minute usage at monthly Leadership meetings; report quarterly to Medical Staff Meetings.
• Celebrate success. Using data gathered, share success (reduced antipsychotic usage, fewer falls, fewer incidents of agitation, improved family satisfaction surveys) across your organization.
© 2016 Music & Memory, All Rights ReservedProduced by B&F Consulting for MUSIC & MEMORY through grant from the Retirement Research Foundation
to Brown University’s Center for Long-Term Care Quality & Innovation.
STEPS TO IMPLEMENTATION TO MAXIMIZE BENEFITS
11
Keys to Success
• Implement Music & Memory in a way that engages everyone and you will reap the benefits for your residents and your entire community.
Special thanks to The Retirement Research Foundation for funding
Brown University’s Center for Long-Term Care Quality & Innovation
to support B&F Consulting’s work with the following nursing homes
who piloted implementation of Music & Memory to identify these steps:
Bayberry Commons, Pascoag, R.I.
Chestelm Health & Rehabilitation Center, East Haddam, Conn.
Fall River Jewish Home, Fall River, Mass.
Laurel Ridge Health Care Center, Ridgefield, Conn.
Saint Elizabeth Manor, Bristol, R.I.
Southington Care Center, Southington, Conn.
For more information, visit musicandmemory.org
160 First StreetPO Box 590
Mineola, New York 11501
musicandmemory.org
©2018 MUSIC & MEMORY® | All Rights Reserved 1
PREPARING FOR MUSIC & MEMORY® CERTIFICATIONHow to Launch a Successful MUSIC & MEMORY® Program
There’s more to setting up Music & Memory than downloading songs onto a few devices. Our comprehensive system will help you to create a successful personalized music program for your organization. Here’s what you need to know to get the most out of our training.
April 2018
“What songs bring you back?”
©2018 MUSIC & MEMORY® | All Rights Reserved 2
A Quick OverviewWelcome to MUSIC & MEMORY®, and thank you for bringing personalized music to those in your care. Grounded in extensive neuroscience research about how our brains respond to music, tested and proven in MUSIC & MEMORY® Certified Care Organizations, our personalized music system has helped thousands of residents, clients, patients, and the staff who care for them.
Here’s why: Musical memory is profoundly linked to emotions, stored deep in the brain. While Alzheimer’s and other dementias damage ability to recall facts and details, the connections between a favorite song and memory of an important life event remain intact—even an event that occurred long ago—until late stages of the disease. Hearing beloved music and recalling associated memories can also help individuals cope with pain in all its forms as well as other cognitive, physical and emotional conditions.
Benefits of MUSIC & MEMORY®
Personalized music has many benefits and can be used as a strategic intervention to meet goals for individuals and caregivers. Personalized music:
• Provides a means of communication and self-expression when verbal language abilities are diminished. Individuals become more engaged with those around them.
• Can replace confusing environmental stimuli with something understandable, redirecting the participant from boredom or distress with a soothing, familiar experience. It can decrease agitation and provide a distraction from fear and anxiety. Because individuals are calmer and less agitated when listening to their musical favorites, sundowning is often reduced or eliminated. The music can decrease wandering during mealtimes and restlessness.
• Offers an enjoyable, fulfilling activity for persons on dialysis, on ventilator or bed-bound. The experience of pain can be eased.
• Gives pleasure to persons with advanced dementia—often those most difficult to reach. Family and staff are able to connect in a more meaningful way with residents, clients and patients around music and memories.
• Boosts staff morale and enable staff to be more person-centered. Individuals are more cooperative, attentive and willing to accept care.
• Provides a valuable tool for the effort to reduce reliance on anti-psychotic, anti-anxiety and anti-depressant medications.
• Reduces falls and hospital readmissions.
• Travels easily with the individual throughout transitions of care.
Not Just for Nursing HomesWe have a lot of experience with how personalized music improves quality of life for people in nursing homes. But there are many other care settings where the Music & Memory program can make a huge difference, including hospitals, assisted living, memory care, home care, adult day services, behavioral health, physical and occupational therapy, palliative care, hospice and community organizations.
©2018 MUSIC & MEMORY® | All Rights Reserved 3
To get the most out of your Music & Memory training, we recommend completing these 5 key steps before attending the Certification Webinar:
Step 1: Educate Yourself Learn more about Music & Memory’s process and the benefits of personalized music by joining one of our regularly scheduled Preparing for Certification webinars. Attendees will discover what the program is, why it’s important, benefits, associated costs, best practices and how to get the most from future certification training. Preparing for Certification is free and open to the public. Click here to view our webinar schedule and register.
In addition, here are materials to help you learn more:
• Documents: Why Get Certified? & Music & Memory Benefits and Strategic Uses
• Video: ‘Henry’ Viral (14M views): click to view
• Video: Leadership – Get the Music & Memory Advantage: click to view
• Video: Nursing Assistant Introduction to Music & Memory: click to view
Be sure to share these resources and what you’ve learned with your colleagues, so that everyone involved understands the goals and benefits of certification
Step 2: Gain Support & Engage LeadershipThe success of your program ultimately depends on everyone’s active involvement. Support from administration and clinical leadership is an essential first step for a successful launch.
A great way to engage your management team is to share the Henry video. Use this as the basis of an informative discussion about Music & Memory and the benefits of personalized music. Draw on our resources to help you make the case. We also recommend sharing the Leadership video, above, with management, which addresses organizational benefits of the program and best practices for implementation.
Step 3: Identify Program Champions and Select Your TeamBuild an interdisciplinary team for maximum impact. We recommend you assemble your team prior to participation in training. Whether your organization is large or small, it’s essential to choose the right people to champion and run your program. Where staffing allows, we recommend that teams include interdepartmental staff with a mix of roles and responsibilities to ensure success and sustained growth.
Small organizations should involve staff who are both enthusiastic about the program and well organized. For larger organizations, we suggest that you include an administrator, a clinical leader such as Director of Nursing, and three other staff members from various departments — including nursing assistants, social services, physical and speech therapists, music therapists, marketing professionals, dietitians and housekeeping — who will be responsible for ensuring Music & Memory’s implementation.
©2018 MUSIC & MEMORY® | All Rights Reserved 4
Consider including volunteers and interns in the training. They are often among the most enthusiastic participants and can help jumpstart Music & Memory with research and playlist creation. Students, especially, can build deep intergenerational connections with participants that benefit all.
Step 4: Secure Funds for Equipment and Laptop ComputerNOTE: The costs below do not include the cost of certification. Visit our Pricing & Equipment page online to determine your organization’s cost of training, which is based on the total number of clients you serve. Learn more. Whether your organization is funding the program or you’re fortunate to be awarded a grant to help offset some or all start-up costs, this information will be helpful.
Once you’ve decided who will participate in your program launch (about ten participants is a good start for larger organizations), it’s important to secure funds for the program. Plan to spend about $80-100 per person for equipment. This includes music devices, headphones and splitter cables. Music & Memory does not provide equipment, but offers discounts on some equipment to our certified organizations, so we recommend waiting until after the webinar to make purchases.
In addition, you’ll also need a relatively new, dedicated laptop computer to hold your iTunes library. A laptop is the best choice for flexibility when working with participants and their families to select appropriate music. You will need a CD reader to download popular tracks from original CDs.
Step 5: Sign up for Training and Plan Your Set-upWith your team in place, you’re ready to take part in the Certification training. Build enthusiasm in advance with a screening of the Henry video at an all-staff in-service training.
MUSIC & MEMORY® Certification consists of two 90-minute live webinars plus an online iTunes Training course for those who will be creating the playlists and managing equipment. The online course is available 24/7 and can be completed in about an hour. For a complete breakdown of topics covered during the webinar, visit our What’s Included page.
Once certified, you and your team will have unlimited access to training, resources, videos and support via our Care Community website. In addition, your organization will be listed on our website and interactive map for prospective clients and volunteers for one year.
And now you’re ready to get the most out of your MUSIC & MEMORY® Certification Training! We look forward to seeing you there!
If you have questions after registering, please email: carequestions@musicandmemory.org.
The Care Community is your one-stop shop for Music & Memory resources and support. Certified organizations get the most out of the Care Community with the following recommendations:
Watch the Care Community Quick Start Video The Care Community Quick Start Video provides a basic overview of the Care Community, including where to find latest news, resources, videos and additional trainings. This brief but concise video is a great first-stop for those new to the Care Community or in need of a refresher. Download Key Implementation Documents We've collected the most essential resources for your organization under Key Implementation Documents in the Resources section of the Care Community. These include documents mentioned during our certification webinar, such as the MUSIC & MEMORY® Implementation Guide, Introduction Letter to Family, the Music Assessment Questionnaire, and more. These key documents are handy for organizations at all stages of implementation and provide the building blocks for sustaining your program moving forward.
Access Additional Training Modules & Topic Call Recordings Music & Memory offers free additional online training modules and Topic Call recordings for certified organizations. Trainings include the MUSIC & MEMORY® iTunes Training for staff working with playlist creation; Leadership Introduction to MUSIC & MEMORY® demonstrating the management perspective on how Music & Memory enhances care; and the CNA-focused Direct Care Staff Introduction to MUSIC & MEMORY®. These trainings provide best practices, testimonials and footage of Music & Memory in action. Take advantage of these training modules and recordings to enrich your team's implementation of Music & Memory. Explore! Don't forget to look around and explore more of the resources the Care Community has to offer! Check in regularly for updates and the latest Music & Memory-related best practices and recommendations. These and other resources are available in the MUSIC & MEMORY® Care Community, free for certified organizations. Log in today and make the most of your Music & Memory program. Not a member of the Care Community? Email us at carequestions@musicandmemory.org.
How to Get the Most Out of the Music & Memory® Care Community
Strengthen Your Team! Send Your Staff for Free
MUSIC & MEMORY® Training
Have you added any new staff members to your MUSIC & MEMORY® team recently? Keep your Music & Memory program going strong and register them for Certification training or one of our monthly training webinars.
Signing up for Music & Memory training is easy--and available at no additional cost following certification and annual renewal. To register, simply log in to the Care Community and click on the Training tab (watch this video to learn more). Once you register, you’ll receive an email with details. You can also email your request to: carequestions@musicandmemory.org. Don't forget to print certificates of completion in the Care Community, too!
MUSIC & MEMORY® Frequently Asked Questions
Certification:
1. Q: Will participants of this webinar receive a certificate?
A: Yes, your primary contact can generate certificates directly within the Care
Community. Go to the “Getting Started” tab.
2. Q: Where do we renew the certificate of participation?
A: There are no renewal of certificates of participation at this time.
3. Q: When you say certified, do you mean the organization or each participant?
A: It is the organization that is certified. However, individuals can receive
certificates that they have attended the webinar, but if they were to change
organizations to one where there is no M&M program, the organization would still
need to take the webinar to become certified.
4. Q: How will you know who is participating in each certification training?
A: M&M depends on the organization’s primary contact to identify who has
attended all three days so they can receive their digital certificate.
5. Q: How many people do we need on the Music & Memory implementation team?
A: A minimum of 3-5 interdisciplinary team members are needed to support a
successful and sustainable program long-term. More is better.
Equipment:
1. Q: If an organization loses any equipment, will the state replace it?
A:No, funding was only obtained for one set of equipment per organization.
2. Q: Is there a specific type of headphones that are recommended by
Music & Memory?
A: Our goal is to use headphones that sound great, are durable, and inexpensive.
We’ve tested many headphones and find that often headphones stop working in one
ear or become crackly in a matter of months. We prefer the Koss UR5 because it
comes with a lifetime guarantee, rarely breaks, sounds fine, and is less expensive
than most other headphones. You can find it on our Equipment list in the Care
Community Resources.
3. Q: How does it work with hearing aids?
A: Audiologists recommend removing hearing aids when listening to headphones.
However, sometimes hearing aids have Bluetooth built in and the sound can come
through the hearing aid (via a Bluetooth enabled device). In some cases an
audiologist consultation might be needed if the sound a person hears is scrambled
or unclear. Each person is different and requires your careful attention as to what
works best for them.
4. Q: What’s the best way to obtain program equipment??
A: After completing the Music & Memory Certification webinar or for program
expansion, certified organizations will be eligible to purchase program
equipment at a discount through our partnering vendors. See Equipment list.
5. Q: What considerations should there be when selecting a computer?
A: Be sure it is a relatively recent model so it can handle large audio files quickly
6. Q: How many GB do you recommend for iPods/SanDisk MP# player or other
music devices?
A: This is not too much of a concern because even the smallest storage holds many
songs. A 2 GB) device typically holds 200-400+ songs.
7. Q: Can you load more than one playlist onto a device?
A: Yes, with most devices, there is no limit.
8. Q: Can one song be in more than one resident's folder?
A: Yes.
Alive Inside:
1. Q: What are the rules about using the Alive Inside movie?
A: The filmmaker sets the pricing for the Alive Inside documentary. Not M&M. The
film is available for purchase on Amazon or at the M&M website at
http://www.theconnextion.com/musicandmemory/musicandmemory_index.cfm
Even buying the DVD, it comes with a license for use at home, but not to show
groups at work or larger screenings. A special license has been created giving M&M
certified organizations an Alive Inside license in perpetuity. This allows you to
screen the film for training purposes and for an unlimited number of in-house
showings for families and the community. It also provides a license for a one-time
screening at any-sized venue as a fundraiser. This has been enormously helpful in
securing additional funds for M&M programs with many organizations raising
thousands of dollars this way.
2. Q: What is Music & Memory’s connection to the Alive Inside Foundation?
A: Alive Inside is the documentary about Music & Memory. The Alive Inside
Foundation is an organization that was created by the filmmaker of Alive Inside and
has no connection to Music & Memory. Music & Memory is an evidence based best
practice for training nursing home staff and other elder care professionals, as well
as family caregivers, how to create and provide personalized playlists. Often, there
is confusion in the public's mind about the difference between the two
organizations.
Marketing and Fundraising:
1. Q: Do we need to request the fundraiser material directly, or will we get the
information when the Certification training is completed?
A: All such support materials are available in the Care Community website.
Fundraising and marketing materials and information are in the Promotional
materials folder under Resources.
2. Q: Do you have posters for fundraisers?
A: Yes. In Promotional materials folder in the Care Community website.
3. Q: When will we receive the PR tools for media?
A: Each organization’s primary contact will receive an invitation to join the Care
Community within 3-4 business days of the webinar. And then they, in turn, invite
members of your team to the Care Community with the same level of access to these
materials.
4. Q: How much are SanDisk MP3 players and other music players?
A: A SanDisk® Clip Jam MP3 Player is about $30 depending on vendor. Details are
provided in the Equipment listing.
Safety and Security:
1. Q: If a device gets lost, is there insurance on it and what would that cost?
A: Yes, Worth Avenue Group insures electronics, such as iPods/SanDisks.
https://www.worthavegroup.com/product/ipod-touch-insurance/
2. Q: What are ideas for locking up or what have other facilities done to keep them
safe?
A: See Resources documents in Care Community (including the Topic webinar
recording) re: Storage Solutions. Remember that easy access for staff is important.
Consider a bag to hold equipment that follows individual wherever they go
throughout the day.
3. Q: Back on the sterilization topic, how do you deal with sharing headphones--or
must new headphones be purchased each time a music device is moving to a
different resident?
A: Each facility received extra foam ear pieces so they can be easily removed and
replaced.
4. Q: What are suggestions for cleaning devices/infection control issues?
A: See Policies & Procedures folder in the Care Community website. There are
several options.
Participants:
1. Q: Does each bed get a music device or is it just for dementia residents?
A: It is up to you. Music & Memory hopes that you will provide each individual with
their own music device containing their personalized playlist unique to them. It
isn’t just for individuals with dementia. Anyone and everyone benefits. The idea is
to give an individual access to their music when they need it. This makes the
program person-centered. It isn’t an activity - it’s a tool to help achieve specific
outcomes.
2. Q: What if the resident does not like the headphones?
A: It is common for residents to refuse the headphones because it is unfamiliar.
What has worked most of the time is the gradual introduction of the headphones:
playing music on speakers at first and then close to the ear, and then touching the
ear for a few seconds and building from there over time.
3. Q: How long should you allow a resident to listen at a time?
A: Sometimes a resident has listened long enough in 30 minutes; sometimes they’re
fine for more than an hour. You need to observe their response. This is what makes
it person-centered. Based on the individual’s needs. After determining how often
and for how long they would benefit by listening, write it into the Plan of Care.
Being consistent is important. There is often a residual effect.
4. Q: Is it okay to give an individual an iPod or other music device loaded with just
one
genre of music? If you know they like Country or R&B?
A: A truly individualized playlist is the foundation of the Music & Memory program.
The level of personalization will affect your results. We are really short-changing
the individual if we give them generic music. The real benefits are only realized
with favorite songs by preferred artists.
HIPAA
1. Q: Are music playlists subject to HIPAA regulations?
A: No, playlists are not considered medical records and are exempt from HIPAA
regulations.
Care Community
1. Q: How do I login to the Care Community?
A: Active users can login to the Care Community anytime by visiting
musicandmemory.org/carecommunity. A user’s login is their email address. NOTE:
If you’re having issues accessing the Care Community, please email
carequestions@musicandmemory.org and let us know.
2. Q: Do I need an organizational email address to access the Care Community?
A: No, users can also be invited using their personal email addresses, though using
an email associated with the certified organization is optimal.
3. Q: How can I invite others to join the care community?
A: Primary contacts for MUSIC & MEMORY® Certified Care Organizations can invite
other staff members to the Care Community by clicking Invite Others in the Getting
Started dropdown menu.
4. Q: How do I obtain certificates of completion?
A: Primary contacts for MUSIC & MEMORY® Certified Care Organizations can
generate certificates of completion for every staff member that attended the Music &
Memory webinar by clicking Create Certificates in the Getting Started dropdown
menu.
5. Q: How do I obtain my free organization plaque?
A: MUSIC & MEMORY® Certified Care Organizations are entitled to one free
certification plaque for the organization (additional organization plaques can be
ordered at cost). Primary contacts for the Music & Memory program can access
directly in the Care Community by clicking Obtain Plaque in the Getting Started
dropdown menu.
6. Q: How do I find the documents I’m looking for in the Care Community?
A: Users can download documents and other resources by visiting the Resources
page. On the Resources page, users can select documents by category in the left side
menu, use the search bar for direct searches, or see the full list of documents by
clicking on Resource Index.
Helpful Links:
Care Community Login: www.musicandmemory.org/carecommunity
User Support: carequestions@musicandmemory.org
Care Community Overview Video: bit.ly/CareCommunityOverview
HOW TO CREATE A PERSONALIZED PLAYLIST
FOR YOUR LOVED ONE AT HOME
Visit musicandmemory.org for more info.
www.facebook.com/MusicAndMemoryMusic and Memory on YouTube
© 2014 Music & Memory, All Rights Reserved
“What songs bring you back?”
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
2
When someone you love struggles with Alzheimer’s, dementia, Parkinson’s or another form of cognitive or physical impairment, it can be a tremendous challenge to communicate
This guide will help you to set up a personalized playlist for your loved one at home using
Grounded in extensive neuroscience research, our work with hundreds of individuals in
experience:
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
3
Contents
4 A Little Background
6 How to Set Up a Personalized Playlist
11 Personalized Playlists and Alzheimer’s
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
4
A Little Background
and other care settings how to set up personalized music playlists on iPods for those
reawaken residents, enabling them to feel like themselves again, converse, socialize and
iPods as well as new ones into nursing homes to provide personalized music for residents?
Since then, we have implemented iPod personalized music programs in hundreds of care
digital music players, headphones, music, training and support to qualifying facilities and
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
5
Alive Inside: A Story of Music and Memory, , one of
Alive Inside was screened at the Sundance
Favorite music or songs associated with important personal events can trigger memory of
activity and enables the listener to focus on the present moment and regain a connection
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
6
Musicophilia: Tales of Music and the Brain
on our website, which includes a
How to Set Up a Personalized Playlist
To create a personalized playlist, you’ll need three pieces of equipment:
from experience that iPods are the easiest to use and the most durable personal music
While you might assume that the easiest way to go about this is to pick artists and songs
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
7
What music did you listen to when you were young?
Did you sing at religious services? What were your favorite hymns or other religious music?
Do you still have any records or tapes that were favorites? What are they?
Who was your favorite performer, group, band or orchestra?
Who was your favorite classical composer?
What songs did you dance to at your wedding? high school prom?
can set up a variety of playlists, and you can also include other content, such as audio
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
8
Get to Know iTunes
Install & Update iTunes
Sharing & Managing Content
Syncing & Transferring Content
iTunes Cards & Codes
Again, if you are not comfortable setting up an iTunes account or the iPod, ask a friend or
to be involved with caring for your loved one when conversation or other interactions
described above, you can begin downloading the top 5 or 10 most popular songs of her or his favorite artists into your iTunes
Apple continuously updates iTunes; the links to tutorials, below, are current as of May 2015. However, If you find this a bit intimidating, pass along this step in to a friend or relative who is familiar with iTunes, who can help you get started.
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
9
user guide
day, for example, and a more relaxing playlist to help reduce anxiety or ease into sleep at
Whatever music and other media that you add to your iTunes account, we
a “best of” album collection, you’ll probably save money on more selections from your
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
10
iPod “doesn’t work,” but this is often due to a drained battery when the user falls asleep
loved one complains that he or she can’t hear anything, check the volume to be sure it’s
If your loved one uses hearing aides, test the headphones to see if they fit easily over the hearing aides. We’ve found that it may take some experimentation to see if your loved one is comfortable listening through the combination of hearing aides and headphones. If there is any concern about his or her ability to hear the music this way, consult with an audiologist.
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
11
pointers to keep in mind:
If your loved one needs to move into a care facility, we encourage you to make arrangements to take along his or her iPod and personalized music. Musical favor-ites can be a comforting presence in the midst of what is often a challenging and stressful transition. Work with the care facility staff to explain your loved one’s personalized music set-up and listening schedule, and involve them in helping to manage the iPod. If they have any questions, please direct them to our website, www.musicandmemory.org.
© 2014 Music & Memory, All Rights Reserved
HOW TO CREATE A PERSONALIZED PLAYLIST
12
Personalized music is a gift that keeps on giving, in a way that few other gifts can, at this
160 First StreetPO Box 590
Mineola, New York 11501
musicandmemory.org
MUSIC & MEMORYsm Music Assessment Questionnaire Listener’s Name: Age: Date: Where did you grow up? Native Language: Do you have a favorite type of music? (use music matrix for examples of genres. Try to get as specific as possible) What music did you listen to when you were young? Who was your favorite performer, group, band, orchestra? Did you sing at religious services? What denomination and what part of the country? (i.e., Roman Catholic, Lutheran, Methodist, Baptist, Jewish) Favorite hymns or other religious music? Did you enjoy going to Broadway shows or musicals? Did you have favorite TV shows or movies? (theme songs from shows or movie soundtracks can elicit responses) Do you remember going to see live music (rock, symphony, ballet, jazz, polka, clubs?) Do you like to dance? What type of dance? (i.e., salsa, ballroom, swing, disco, square dance, polka, line) Do you have a favorite classical music composer? What songs did you dance to at your wedding? High school prom? Were you in the armed services? What branch, years and where did you serve? Do you still have any records, tapes, CDs that were favorites? Where can I find them? Can you hum any favorite songs? (can use Shazam to identify the song if you don’t know it) Other Notes:
©MUSIC & MEMORY℠ | All Rights Reserved
TOOLS FOR THE MUSIC DETECTIVE
SONG SELECTION TOOL FOR PARTICIPANTS WHO ARE NON-VERBAL Song selection and playlist creation for program participants who are non-verbal can be challeng-ing. Often times, there may be no family member to consult. These instances are where your Music Detective tools really come into play. Following are some suggestions:
4 Begin this process by checking the birth date of the program participant. An individual’s core mu-sic window is typically from the ages of 15 to 25. It could begin earlier if they were listening to the music of older siblings. Their records may include details of the family structure.
4 Did the individual serve in a branch of the armed forces?
4 Is there an indication of religious denomination included in their records?
4 Search their records for any other clues.
4 Next, using your laptop that houses your music library, play selections from iTunes and watch for changes in body language to each song.
4 Eye movement may change
4 You may notice tapping of hands or feet to the beat of a song
4 When you detect a positive reaction, note the artist and song. Then select the 5 or 6 most popular songs for that artist to add to the playlist.
4 You may be able to work with a number of participants at one time. Bring them together and use this same process. Have everyone sit in a semi-circle so that you can observe their reactions and facial expressions.
4 Create a grid on your page. List the names of all individuals across the top. Write artists and songs down the side. When you note a positive reaction, write the song/artist on the left side and put an “X” (check mark) in a box next to the song and under that individual’s name.
Note: The quest for perfection is important to a great Music Detective. How successful you are will affect responses from the program participant, assessments and case studies.
Top Ten Songs 1925 through 1945
1925 Artist Song Title
1 Ben Bernie Sweet Georgie Brown
2 Vernon Dalhart The Prisoner's Song
3 Bessie Smith St. Louis Blues
4 Ma Rainey See See Rider Blues
5 Marion Harris Tea for Two
6 Eddie Cantor If You Knew Susie (Like I Knew Susie)
7 Al Jolson All Alone
8 Ernest Van Stoneman The Titanic
9 Gene Austin Yes Sir! That's My Baby
10 Isham Jones Remember
1926 Artist Song Title
1 Gene Austin Bye Bye, Blackbird
2 George Olsen Always
3 Al Jolson
When the Red, Red Robin Comes Bob-
Bob-Bobbin' Along
4 Jan Garber Baby Face
5 Paul Whiteman The Birth of the Blues
6 Al Jolson I'm Sitting On Top of the World
7 Paul Whiteman Velencia
8 Vincent Lopez Always
9 Ben Bernie Sleepy Time Gal
10 Gene Austin Five Foot Two, Eyes of Blue
1927 Artist Song Title
1 Hoagy Carmichael Stardust
2 Gene Austin My Blue Heaven
3 Frankie Trumbauer Singin' the Blues
4 Jack Smith Me & My Shadow
5 Bix Beiderbecke In a Mist
6 Gertrude Lawrence Someone to Watch Over Me
7 Blind Willie Johnson Dark Was the Night, Cold Was the Ground
8 Sophie Tucker & Ted Lewis Some of These Days
9 Ben Bernie Ain't She Sweet?
10 Guy Lombardo Charmaine
1928 Artist Song Title
1 Jimmie Rodgers T For Texas (Blue Yodel No.1)
2 Helen Kane I Wanna Be Loved By You
3 Duke Ellington Black & Tan Fantasy
4 Paul Robeson Ol' Man River
5 Al Jolson Sonny Boy
6 Louis Armstrong West End Blues
7 The Carter Family Wildwood Flower
8 Pinetop Smith Pinetop's Boogie Woogle
9 Al Jolson My Mammy
10 Bertolt Brecht Mack the Knife
1929 Artist Song Title
1 Eddie Cantor Makin' Whoopee
2 Fats Waller Ain't Misbehavin'
3 Ethel Waters Am I Blue?
4 Cliff Edwards (Ukelele Ike) Singin' in the Rain
5 Charley Patton Pony Blues
6 Nick Lucas Tip Toe Thru' The Tulips With Me
7 Louis Armstrong When You're Smiling
8 Rudy Vallee & His Connecticut Yankees Honey
9 Bob Haring & His Orchestra Pagan Love Song
10 Guy Lombardo Sweethearts On Parade
1930 Artist Song Title
1 Ben Selvin Happy Days Are Here Again
2 Harry Richman Puttin' on the Ritz
3 Ruth Etting Ten Cents a Dance
4 Don Azpiazu & his Havana Casino Orchestra The Peanut Vendor
5 Paul Whiteman Body & Soul
6 Duke Ellington Three Little Words
7 Rudy Vallee & his Connecticut Yankees Stein Song (University of Maine)
8 Ted Lewis & his Orchestra On the Sunny Side of the Street
9 Roy Ingraham Chant of the Jungle
10 Nat Shilkret Dancing With Tears in My Eyes
1931 Artist Song Title
1 Cab Calloway & his Cotton Club Orchestra Minnie the Moocher
2 Ted Lewis & his Orchestra Just a Gigolo
3 Duke Ellington Mood Indigo
4 Wayne King Dream a Little Dream of Me
5 Bing Crosby Out of Nowhere
6 The Mills Brothers Tiger Rag
7 Isham Jones Stardust
8 Guy Lombardo Goodnight Sweetheart
9 Bing Crosby At Your Command
10 Wayne King Goodnight Sweetheart
1932 Artist Song Title
1 Fred Astaire & Leo Reisman Night & Day
2 Bing Crosby Brother, Can You Spare a Dime?
3 Rudy Vallee & his Connecticut Yankees Brother, Can You Spare a Dime?
4 Louis Armstrong All of Me
5 Bing Crosby & The Mills Brothers Dinah
6 Bing Crosby Please
7 Ted Lewis & his Orchestra In a Shanty in Old Shanty Town
8 Duke Ellington It Don't Mean a Thing (If It Ain't Got That Swing)
9 George Olsen Lullaby of the Leaves
10 Guy Lombardo Paradise
1933 Artist Song Title
1 Ethel Waters Stormy Weather (Keeps Rainin' All this Time)
2 Duke Ellington Sophisticated Lady
3 Dick Powell Gold Digger's Song (We're in the Money)
4 Bing Crosby You're Getting to Be a Habit
5 Bing Crosby Shadow Waltz
6 Paul Whiteman Lover
7 Eddy Duchin Did You Ever See a Dream Walking
8 Ray Noble Love Is The Sweetest Thing
9 George Olsen The Last Round-Up
10 Guy Lombardo The Last Round-Up
1934 Artist Song Title
1 Benny Goodman Moon Glow
2 Leo Reisman Continental (You Kiss While You're Dancing)
3 The Sons of the Pionnees Tumbling Tumbleweeds
4 Paul Whiteman Smoke Gets in Youre Eyes
5 Duke Ellington Cocktails For Two
6 Ray Noble The Very Thought of You
7 Bing Crosby Love in Bloom
8 Guy Lombardo Winter Wonderland
9 Bing Crosby June in January
10 Fats Waller Honeysuckle Rose
1935 Artist Song Title
1 Fred Astaire Cheek to Cheek
2 The Carter Family Can the Circle be Unbroken (Bye & Bye)
3 Eddy Duchin Lovely to Look at
4 Shirley Temple On the Good Ship Lollipop
5 Ray Noble Isle of Capri
6 Bing Crosby Silent Night, Holy Night
7 Cole Porter You're on the Top
8 Patsy Montana & The Prairie Ramblers I Want to Be a Cowboy's Sweetheart
9 Fred Astaire Top Hat, White Tie & Tails
10 Bing Crosby Red Sails in the Sunset
1936 Artist Song Title
1 Bing Crosby Pennies From Heaven
2 Fred Astaire The Way You Look Tonight
3 Benny Goodman Goody Goody
4 Billie Holiday Summertime
5 Benny Goodman Glory of Love
6 Leadbelly Goodnight, Irene
7 Robert Johnson Cross Road Blues
8 Shep Fields & his Rippling Rhythm Orchestra Did I Remember?
9 Fats Waller It's a Sin to Tell a Lie
10 Tommy Dorsey Alone
1937 Artist Song Title
1 Benny Goodman Sing, Sing, Sing (With a Swing)
2 Count Basie One O'Clock Jump
3 Bing Crosby Sweet Leilani
4 Fred Astaire They Can't Take That Away From Me
5 Duke Ellington Caravan
6 Tommy Dorsey Marie
7 Ella Fitzgerald Goodnight, My Love
8 Shep Fields & his Rippling Rhythm Orchestra That Old Feeling
9 Guy Lombardo It Looks Like Rain in Charry Blossom Lane
10 Guy Lombardo September in the Rain
1938 Artist Song Title
1 Artie Shaw Begin the Beguine
2 The Andrews Sisters Bei Mir Bist Bu Schoen
3 Ella Fitzgerald A-Tisket A-Tisket
4 Bob Hope & Shirley Ross Thanks for the Memory
5 Roy Acuff Wabash Cannonball
6 Fred Astaire Change Partners
7 Benny Goodman Don't Be That Way
8 Bunny Berigan I Can't Get Started
9 Bing Crosby I've Got a Pocketful of Dreams
10 Bing Crosby You Must Have Been a Beautiful Baby
1939 Artist Song Title
1 Judy Garland Over the Rainbow
2 Glenn Miller Moonlight Serenade
3 Kate Smith God Bless America
4 Billie Holiday Strange Fruit
5 Coleman Hawkins Body & Soul
6 The Ink Spots If I Didn't Care
7 Larry Clinton Deep Purple
8 Martha Tilton And the Angels Sing
9 Will Glahe & his Orchestra Beer Barrel Polka (Roll out the Barrerl)
10 Shep Fields & his Rippling Rhythm Orchestra South of the Border (Down Mexico Way)
1940 Artist Song Title
1 Glenn Miller In the Mood
2 Artie Shaw Frenesi
3 Tommy Dorsey & Frank Sinatra I'll Never Smile Again
4 Cliff Edwards When You Wish Upon a Star
5 Bing Crosby Only Forever
6 The Ink Spots We Three (My Echo, My Shadow, & Me)
7 Glenn Miller The Woodpecker Song
8 Jimmy Dorsey The Breeze & I
9 Glenn Miller When You Wish Upon a Star
10 Jimmie Davis You Are My Sunshine
1941 Artist Song Title
1 Glenn Miller Chattanooga Choo Choo
2 Sammy Kaye Daddy
3 Artie Shaw Stardust
4 Billie Holiday God Bless the Child
5 Jimmy Dorsey Amapola (Pretty Little Poppy)
6 Jimmy Dorsey Green Eyes
7 The Andrews Sisters Boogie Woogie Bugle Boy
8 Duke Ellington Take the 'A' Train
9 Glenn Miller Elmer's Tune
10 Jimmy Dorsey Maria Elena
1942 Artist Song Title
1 Bing Crosby White Christmas
2 Glenn Miller (I've Got a Gal In) Kalamazoo
3 Jimmy Dorsey Tangerine
4 Glenn Miller Moonlight Cocktail
5 Harry James Sleepy Lagoon
6 Kay Kyser (I Got Spurs That) Jingle, Jangle, Jingle
7 Glenn Miller A String of Pearls
8 Woody Herman Blues in the Night
9 Benny Goodman Jersey Bounce
10 Alveno Rey Deep in the Heart of Texas
1943 Artist Song Title
1 The Mills Brothers Paper Doll
2 Al Dexter & his Troopers Pistol Packin' Mama
3 Dick Haymes You'll Never Know
4 Harry James I've Heard That Song Before
5 Harry James I Had the Craziest Dream
6 Tommy Dorsery & Frank Sinatra There are Such Things
7 Glenn Miller That Old Black Magic
8 Bing Crosby Sunday, Monday, or Always
9 Bing Crosby & his Connecticut Yankees As Time Goes By
10 Benny Goodman Taking a Chance on Love
1944 Artist Song Title
1 Bing Crosby Swinging On A Star
2 Bing Crosby & The Andrews Sisters Don't Fence Me In
3 Bing Crosby I'll Be Seeing You
4 Jimmy Dorsey Bosame Mucho (Kiss Me Mucho)
5 Dinah Shore I'll Walk Alone
6 Ella Fitzgerald & The Ink Spots Into Each Life Some Rain Must Fall
7 Ella Fitzgerald & The Ink Spots I'm Making Believe
8 The Mills Brothers You Always Hurt the One You Love
9 Bing Crosby Too-Ra-Loo-Ra-Loo-Ra
10 Bing Crosby I Love You
1945 Artist Song Title
1 Les Brown & Doris Day Sentimental Journey
2 The Andrews Sisters Rum & Coca-Cola
3 Perry Como Till the End of Time
4 Les Brown My Dreams are Getting Better All the Time
5 Johnny Mercer On the Atchison, Topeka, & the Santa Fe
6 Harry James It's Been a Long, Long Time
7 Bing Crosby & Carmen Cavallaro I Can't Begin to Tell You
8 Sammy Kaye Chickery Chick
9 Johnny Mercer Ac-cent-tchu-ate the Positive
10 Vaughn Monroe There! I've Said it Again
They Can't Take That Away From Me
It Looks Like Rain in Charry Blossom Lane
You Must Have Been a Beautiful Baby
Beer Barrel Polka (Roll out the Barrerl)
South of the Border (Down Mexico Way)
We Three (My Echo, My Shadow, & Me)
(I Got Spurs That) Jingle, Jangle, Jingle
Into Each Life Some Rain Must Fall
You Always Hurt the One You Love
My Dreams are Getting Better All the Time
On the Atchison, Topeka, & the Santa Fe
©MUSIC & MEMORY℠ | All Rights Reserved
TOOLS FOR THE MUSIC DETECTIVE
Genre-based vs Individualized Playlists
Songs we heard growing up create a pathway to the story of our lives! There is nothing quite like that one particular song that played at your wedding, the specific song that your dad sang when you were a child, or the song that gets you singing in your car, even though you didn’t think you were especially fond of that music group!
When we are creating playlists for MUSIC & MEMORY℠ participants we want to find the specific music that really connects to them as an individual. Studies are showing that more brain neurons are fired if we hear a preferred song and, therefore, more function is realized.
4 Country? “Yes, but I don’t like Willie Nelson and prefer Tennessee Ernie Ford, except I like Willie’s ‘On The Road Again’ because that reminds me of my husband!”
4 Opera? “Love it! But, not Pavarotti, rather the Spanish songs by Andrea Bocelli. I sang with many big bands in Mexico when I was young.”
4 Remember the Rat Pack days? “Just not really into Sinatra but adore the Italian songs of Dean Martin. It takes me back to my younger days……”
4 Grew up in the Big Band era? “Sure, Benny Goodman was always on the radio, but I mostly loved to listen to music with my kids. They were teens in the 60’s and Janis Joplin’s music was always on the turntable playing in our house. The kids used to make me dance with them. It was fun!”
4 Lived in Manhattan in the 40’s? How about jazz? “Yes, but my family is Jewish, so we listened to a lot of Yid-dish songs also. We would spend the summers in the Catskills.”
We want to reach deeply held memories, going beyond the general to the specific. We want to make the best effort to truly connect to each individual’s personal life experience. It’s more than just music for music’s sake, it’s transformative.
Are you working with a program participant who would rather listen to talk radio productions like the Great Detectives of Old Time Radio or Amos & Andy? The high production and sound effects are enough to send you on a journey!
Genre or era based music is a great option to provide enjoyment to the general audience. It’s also a great place to start discovering the preferred music for an individual who is non-verbal. However, Music & Memory’s approach of taking this to the highest level, by going beyond general music offerings, has yielded unmatched benefits and by-products that were never anticipated.
www.musicandmemory.org
!
©120131Music1&1Memory,1All1Rights1Reserved
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Congratula*ons,on,comple*ng,your,Music,&,Memory,cer*fica*on,training!,With,your,help,,we,
can,make,the,healing,power,of,personalized,music,universally,available,to,elder,care,residents,
and,clients,who,are,struggling,with,a,wide,range,of,cogni*ve,and,physical,impairments.
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care,facility,with,the,help,of,student,interns,and,volunteers.,Time,is,a,precious,resource,for,
busy,elder,care,professionals.,Interns,and,volunteers,can,play,an,essen*al,role,in,helping,you,to,
build,out,your,Music,&,Memory,program,,especially,in,the,ini*al,,*meDintensive,stages,of,
researching,resident,music,preferences,,crea*ng,a,music,library,,developing,policies,and,
procedures,,and,training,staff.,
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involvement.,Interns,and,volunteers,can,help,lay,the,groundwork,and,provide,a,bridge,between,
program,setDup,and,ongoing,implementa*on,at,your,care,facility—jumpDstar*ng,your,efforts,to,
experience,the,many,benefits,of,personalized,music.
Contents
3,,,,Culture,Change,Through,Personalized,Music
3,,,,How,Interns,and,Volunteers,Add,Value,to,Your,Music,&,Memory,Program
4,,,,Suggested,Projects,for,Interns,and,Volunteers
4,,,,Establish,a,Music,Library
5,,,,Research,Residents’,Music,Favorites
5,,,,Create,System,for,Managing,iPods
6!!!!Develop,Policies,and,Procedures,for,Personalized,Music,Program
6,,,,Teach,Residents,to,Use,iPods,and,Headsets
7,,,,Educate,Family,Members
7!!!!Develop,and,Implement,Staff,Training,Program
8,,,,Assess,Program,Effec*veness
8,,,,Raise,Funds,and,Build,Community,Support
9,,,,Crea*ng,a,Successful,Internship,or,Volunteer,Experience,
10,,Making,the,Transi*on,to,Staff,Ownership
10,,Case,Studies
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Culture(Change(Through(Personalized(Music
Grounded,in,extensive,neuroscience,research,about,how,our,brains,respond,to,music,,tested,
and,proven,in,hundreds,of,Cer*fied,Music,&,Memory,Care,Facili*es,,our,personalized,music,
system,has,helped,thousands,of,residents,,clients,and,the,staff,who,care,for,them.,Researchers,
from,the,Canadian,Atlan*c,Ins*tute,on,Aging,sum,up,our,program’s,benefits,this,way:
• Those,who,have,been,silent,or,less,communica*ve,may,begin,to,talk,and,become
more,social.
• Those,who,have,been,sad,and,depressed,oeen,feel,happier.
• Those,who,have,been,less,mobile,may,become,more,physically,ac*ve.
The,experience,for,many,of,Music,&,Memory’s,cer*fied,facili*es,has,been,transforma*ve.,The,
social,environment,is,calmer,and,more,congenial,,families,are,happy,to,find,their,loved,ones,
more,engaged,,and,care,professionals,like,you,are,able,to,spend,more,quality,*me,with,each,
individual.,In,short,,Music,&,Memory’s,personalized,music,system,is,an,important,tool,for,
promo*ng,culture,change,in,elder,care,facili*es.,
How(Interns(and(Volunteers(Add(Value(to(Your(Music(&(Memory(Program
Many,of,Music,&,Memory’s,cer*fied,care,facili*es,benefit,extensively,from,talented,,
commifed,interns,and,volunteers,who,help,with,tasks,ranging,from,interviewing,residents,
about,musical,favorites,and,establishing,music,libraries,to,crea*ng,policy,guidelines,and,raising,
funds,for,program,expansion.
Music,&,Memory,projects,have,provided,meaningful,experiences,that,inspire,interns,to,pursue,
careers,in,the,elder,care,field,and,keep,volunteers,coming,back,for,more.,Music,is,so,loved,by,
so,many,that,this,work,brings,its,own,joy,to,those,who,give,their,*me,to,make,music,more,
accessible,to,individuals,who,have,lost,touch,with,the,outside,world.
Many,of,Music,&,Memory’s,cer*fied,care,facili*es,have,wellDestablished,internship,programs,
with,area,colleges,and,universi*es.,Interns,are,oeen,graduate,students,in,social,work,,but,may,
also,come,from,the,fields,of,health,care,administra*on,,rehabilita*on,therapy,,music,therapy,
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and,other,related,disciplines.,If,your,facility,does,not,yet,have,such,an,arrangement,,we,
encourage,you,to,explore,your,op*ons.,Students,in,the,helping,professions,are,always,looking,
for,meaningful,internship,experiences,,and,college,internship,placement,offices,will,assist,with,
screening.
Volunteers,with,musical,backgrounds,,organiza*onal,skills,or,a,gie,for,talking,with,elders,can,
play,a,key,role,in,program,setDup,and,ongoing,implementa*on.,We,have,found,that,Music,&,
Memory,projects,are,a,magnet,for,drawing,qualified,,dedicated,volunteers,who,will,give,
generously,of,their,*me,to,help,with,the,many,tasks,of,crea*ng,and,maintaining,personalized,
playlists.
Suggested(Projects(for(Interns(and(Volunteers
There,are,many,ways,that,interns,and,volunteers,can,help,you,to,set,up,and,develop,your,
personalized,music,program.,Here,are,some,projects,that,Music,Memory’s,cer*fied,care,
facili*es,have,found,to,be,most,beneficial:
Establish(a(Music(Library
Goal:!Create!a!well,organized,!computer,based!music!library!with!varied!content!that!mirrors!
residents’!personal!music!preferences.
The,heart,of,your,Music,&,Memory,program,is,your,music,library—the,repository,of,the,best,of,
your,facility’s,exis*ng,music,collec*on,,music,purchased,through,iTunes,,gies,from,donors,and,
other,resources.,Organizing,your,facility’s,music,,researching,and,acquiring,addi*onal,music,,
and,sehng,up,your,iTunes,library,as,your,resource,for,personalized,playlists,is,a,great,project,
for,an,intern,or,volunteer,who,loves,to,create,systems,and,focus,on,details.,
Recommended,Quali*es,and,Skills:
• A,passion,for,perfec*on,in,finding,the,right,music,for,each,individual
• Enjoys,researching,music,*tles,online,and,onsite
• Understands,iTunes,and,can,organize,iTunes,library,using,music,downloads,and,CDs
• Logical,,analy*cal,mind
• DetailDoriented
• Computer,savvy
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Research(Residents’(Music(FavoritesGoal:!Discover!residents’!musical!favorites!through!interviews!with!residents,!family!members!
and!staff!to!develop!personalized!playlists.!Conduct!follow,up!interviews!to!keep!playlists!
updated.
The,discovery,process,is,essen*al,to,crea*ng,each,resident’s,personalized,playlist,and,a,very,
meaningful,way,to,gain,an,apprecia*on,of,each,individual,as,a,whole,person.,Interns,and,
volunteers,who,are,thoughjul,,compassionate,listeners,can,conduct,these,interviews,with,
residents,and,family,members,to,learn,more,about,personal,history,and,the,music,that,is,*ed,
to,cherished,memories.,This,research,will,guide,playlist,development.,As,your,program,
becomes,wellDestablished,,interns,and,volunteers,can,followDup,with,residents,to,determine,if,
there,are,other,selec*ons,they,would,like,to,include,in,their,playlists,,to,keep,the,music,fresh,
and,engaging.
Recommended,Quali*es,and,Skills:
• Excellent,communica*on,skills;,thoughjul,listener
• Comfort,with,interviewing;,oral,history,research,a,plus
• Compassion,for,and,interest,in,elders
• Empathy
• Adept,at,noteDtaking,or,recording,comments,for,retrieval,and,followDup
Create(System(for(Managing(iPods
Goal:!Adapt!Music!&!Memory!guidelines!for!iPod!storage,!distribuFon,!safety!and!hygiene!to!set!
up!a!system!the!meets!specific!needs!of!residents!and!staff.
Every,care,facility,has,its,own,needs,,constraints,and,requirements,for,managing,residents’,
digital,music,equipment.,You,will,need,to,develop,a,prac*cal,system,for,storing,and,distribu*ng,
the,iPods,and,headphones,,maintaining,good,hygiene,with,equipment,,dealing,with,breakage,
and,replacement,of,damaged,items,,and,minimizing,thee.,Interns,and,volunteers,can,help,to,
adapt,the,guidelines,from,your,Music,&,Memory,cer*fica*on,training,to,the,specific,
circumstances,of,your,facility,,set,up,the,system,and,troubleDshoot.
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Recommended,Quali*es,and,Skills:
• Analy*cal,mind;,wellDorganized
• Crea*ve,approach,to,problemDsolving
• Detail,oriented
• Enjoys,developing,systems
• Good,listener;,able,to,communicate,with,administrators,and,staff,,and,to,incorporate,their,
ideas,into,solu*ons
Develop(Policies(and(Procedures(for(Personalized(Music(Program
Goal:!Adapt!Music!&!Memory!guidelines!for!program!implementaFon!to!needs!and!
requirements!of!care!facility.
What,is,the,process,for,crea*ng,new,playlists?,Who,has,access,to,your,music,library?,Who,is,
responsible,for,keeping,track,of,iPods,and,headphones?,These,are,but,a,few,of,the,ques*ons,
that,your,team,will,need,to,answer,as,you,develop,your,Music,&,Memory,program.,Interns,and,
volunteers,can,work,with,administrators,to,research,and,drae,policies,and,procedures,,drawing,
on,the,guidelines,you,received,in,your,cer*fica*on,training,,to,create,a,wellDorganized,
approach,to,your,program.
Recommended,Quali*es,and,Skills:
• Excellent,wri*ng,and,oral,communica*ons,skills
• Good,listener;,works,well,with,administrators,and,staff,to,gain,their,input
• WellDorganized;,analy*cal
• Detail,oriented
• Proficient,with,Word,or,similar,wri*ng,soeware;,able,to,lay,out,text,clearly,,organize,content,
in,a,format,that,is,easy,to,skim
Teach(Residents(to(Use(iPods(and(HeadsetsGoal:!Help!residents!learn!how!to!access!their!favorite!music,!as!well!as!proper!use!and!storage!
of!iPods!and!headsets.
Residents,oeen,need,help,learning,how,to,use,and,care,for,their,iPod,Shuffles.,Depending,on,
their,status,,staff,may,manage,this,for,them,,but,more,able,individuals,can,master,the,
equipment,with,some,training.,Interns,and,volunteers,who,are,pa*ent,and,enjoy,teaching,can,
fill,this,need.
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Recommended,Quali*es,and,Skills:
• Understands,use,and,care,of,iPod,Shuffle,and,headset
• Excellent,oral,communica*ons,skills
• Empathe*c,and,pa*ent
• Loves,to,teach;,can,adapt,explana*on,to,needs,and,abili*es,of,the,individual
Educate(Family(MembersGoal:!Serve!as!liaison!with!families!of!residents!to!educate!them!about!the!personalized!music!
program!and!gain!their!buy,in!and!support.
Family,support,is,very,beneficial,for,the,success,of,your,personalized,music,program.,Interns,
and,volunteers,can,help,to,introduce,the,program,to,family,members,,explaining,how,it,works,
as,well,as,the,benefits.,This,can,be,accomplished,in,oneDtoDone,mee*ngs,and,through,
presenta*ons,to,groups,such,as,a,Family,Council.
Recommended,Quali*es,and,Skills:
• Excellent,interpersonal,skills
• Strong,communicator,,can,adapt,explana*on,to,the,needs,and,abili*es,of,the,individual
• Empathe*c,and,pa*ent
• Understands,details,of,the,iPod,program,as,well,as,the,benefits,of,personalized,music,,as,
explained,in,Music,&,Memory,resource,material
• Some,firstDhand,experience,working,with,residents,and,their,iPods
Develop(and(Implement(Staff(Training(ProgramGoal:!Create!teaching!materials,!conduct!presentaFons!and!training!sessions!to!familiarize!staff!
with!goals!of!program,!use!and!care!of!iPods.
For,your,program,to,succeed,,staff,need,to,understand,the,benefits,of,personalized,music,,
know,how,and,when,to,use,the,iPods,with,residents,,and,develop,a,sense,of,ownership,and,
commitment.,This,requires,an,ongoing,training,program.,Interns,and,volunteers,can,work,with,
administrators,to,develop,staff,training,materials,,conduct,training,sessions,and,teach,staff,on,
the,floors,how,to,use,and,care,for,the,equipment.,
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Recommended,Quali*es,and,Skills:
• Excellent,oral,and,wrifen,communica*ons,skills
• Good,listener;,works,well,with,administrators,and,staff,to,gain,their,input
• WellDorganized;,analy*cal
• Detail,oriented
• Clear,and,confident,presen*ng,to,a,group
• Loves,to,teach;,can,adapt,explana*on,to,needs,and,abili*es,of,the,individual,
• Proficient,at,Word,,PowerPoint,or,similar,wri*ng,and,presenta*on,soeware
Assess(Program(EffecNveness(Goal:!Develop!and!implement!evaluaFon!system!to!assess!program!effecFveness!in!terms!of!
desired!outcomes,!such!as!improved!resident!quality!of!life!or!decreased!use!of!anF,psychoFcs.
We,hear,from,many,Music,&,Memory,cer*fied,care,facili*es,how,personalized,music,
transforms,the,lives,of,residents,and,social,environment,for,the,befer.,We,are,also,receiving,
more,reports,that,our,program,helps,facili*es,significantly,reduce,the,use,of,an*Dpsycho*cs,
and,other,behavior,management,drugs.,Interns,and,volunteers,can,work,with,administrators,to,
iden*fy,assessment,tools,,collect,data,and,analyze,results,to,provide,important,quan*ta*ve,
measures,of,progress,toward,improving,quality,of,life.
Recommended,Quali*es,and,Skills:
• Experience,with,research,design,,survey,tools,,data,collec*on,and,analysis
• Excellent,oral,and,wrifen,communica*on,skills
• Good,listener;,works,well,with,administrators,and,staff,to,gain,their,input
• WellDorganized;,analy*cal
• Detail,oriented
• Proficient,in,Word,,Excel,,PowerPoint,,or,similar,soeware
Raise(Funds(and(Build(Community(Support
Goal:!Assist!development!and!communicaFons!professionals!to!raise!funds!for!addiFonal!
equipment,!create!and!implement!an!iPod!donaFon!drive,!and!raise!community!awareness!and!
good!will!for!the!personalized!music!program.
Interns,and,volunteers,are,a,great,resource,for,helping,to,raise,money,for,your,personalized,
music,program.,Working,with,your,organiza*on’s,development,and,communica*ons,
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professionals,,they,can,create,and,run,fundraising,campaigns,and,iPod,dona*on,drives,,help,to,
write,grants,,and,assist,with,public,rela*ons,outreach,efforts.,This,is,an,excellent,way,to,grow,
your,program,as,well,as,build,awareness,and,support,among,families,and,the,community,at,
large.,Download,our,free,guide,,How!to!Run!an!iPod!DonaFon!Drive,,for,ideas.
Recommended,Quali*es,and,Skills:
• Excellent,oral,and,wrifen,communica*ons,skills
• WellDorganized
• Detail,oriented
• Strong,interpersonal,skills;,enjoys,working,with,the,public
• Team,player
• Fundraising,and/or,public,rela*ons,experience,a,plus
CreaNng(a(Successful(Internship(or(Volunteer(Experience
The,best,internship,or,volunteer,experiences—for,both,you,and,the,student,or,volunteer—are,
defined,by,these,quali*es:
1) A,clearly,defined,project,with,specific,goals,,objec*ves,and,desired,outcomes
2) Work,that,is,important,to,your,organiza*on,and,meaningful,to,the,individual
3) Guidance,and,support,,not,microDmanagement
4) Opportunity,and,encouragement,to,develop,a,sense,of,responsibility,and,ownership,
of,the,project
5) Construc*ve,,twoDway,feedback;,a,sense,of,partnership
At,one,of,our,Music,&,Memory,cer*fied,care,facili*es,,the,Mayo,Clinic,Health,System’s,skilled,
nursing,facility,in,Osseo,,Wisconsin,,former,Nursing,Home,Administrator,Angela,Bulger,
describes,the,key,to,success,this,way:,,
“Be,willing,to,allow,your,interns,[and,volunteers],to,explore,and,ask,ques*ons.,Give,them,a,lot,
of,autonomy.,Work,it,out,this,way,and,they,will,take,great,pride,and,own,their,projects.”
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Making(the(TransiNon(to(Staff(Ownership
While,interns,and,volunteers,can,provide,significant,support,for,sehng,up,and,helping,to,
maintain,your,Music,&,Memory,personalized,music,program,,longDterm,success,depends,on,
staff,buyDin,and,involvement.,Significant,culture,change,can,only,take,place,when,everyone,is,
commifed,to,the,program.
From,our,most,successful,Music,&,Memory,cer*fied,care,facili*es,,we,have,learned,that,the,
greatest,posi*ve,outcomes,are,achieved,by,organiza*ons,that,include,everyone,,from,the,CEO,
to,housekeeping,staff,,in,the,process,of,incorpora*ng,personalized,music,into,the,lives,of,every,
resident.,Administrators,,staff,,residents,and,family,members,all,have,important,roles,to,play.
We,encourage,you,to,treat,your,student,interns,and,volunteers,as,key,members,of,a,facilityD
wide,team,effort,to,bring,Music,&,Memory’s,personalized,music,program,to,your,residents.,
Please,feel,free,to,share,your,ques*ons,and,successes.,We,look,forward,to,hearing,from,you,
and,learning,from,you.
Case(Studies
You’ll,find,illustra*ons,of,the,ideas,discussed,in,this,guide,in,these,stories,from,our,Music,&,
Memory,blog:,
Internships
For,Student,Interns,and,Nursing,Home,Administrators,,Music,&,Memory,is,a,WinDWin
VolunteersMusical,Detec*ves:,A,Tale,of,Two,Music,&,Memory,Volunteers
SystemSwide(Culture(ChangeFor,Ontario’s,Schlegel,Villages,,an,iPod,for,Every,Resident,is,the,Goal
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(Print on letterhead and mail to all family members with your new Marketing Flyer developed from our template. Flyer should be professionally printed onto slick, poster/flyer type paper – not photocopied. This is a professional marketing tool.) Dear Family Member: We are excited to bring Music & Memory certification to ______________________ for the benefit of our residents, family members, employees and community. This exceptional, personalized music program is rapidly sweeping our nation and is grounded in extensive neuroscience research. Its purpose is to enhance quality of life and promote culture change in long-term care environments. The enclosed flyer includes many of the benefits. Music can transport an individual to another place and time, often unlocking fond memories from our youth or special events in our lives. Specific artists and songs are the key to Music & Memory’s success. Individual, personalized playlists are created and downloaded to iPods. In addition, books, radio shows, faith-based messages, personal messages from family members, and other media can also be downloaded. This certification has been made possible due to the generosity of __________________ _____________________________________________________________.
Our certification process will initially provide music for a limited number of residents. Ultimately, the Music & Memory program will be expanded to include all residents who wish to participate. There is no fee for participating in this program. Family members will be invited and encourage to get involved in helping to create their loved one’s personalized playlist. This will be an ongoing opportunity for you and your loved one to take a musical journey together. We will be depending upon our residents and family members to help us begin creating our music library by gifting original CD’s of well known artists. We do adhere to recording industry guidelines by following iTunes rules and usage terms and conditions. In addition, we will be purchasing music from iTunes to expand our music library. It is an honor to serve our residents, family members and community.
Sincerely,
_____________________________
MUSIC DEVICE ASSIGNMENT SHEET
Device # Resident Room # Date Started Reviewed for Change (Date)
1 2 3 4 5 6 7 8 9 10 11 12 13141516171819202122232425262728293031
Device # Resident Room # Date Started Reviewed for Change (Date)
32333435363738394041424344
454647484950
Device Changed (Date)
Device Changed (Date)
Create a custom flyer with the followingsimple steps
Introducing MUSIC & MEMORY® at
As a MUSIC & MEMORY® Certified Care Organization, we are proud to offer the powerful benefits of personalized music as part of our continuing effort to provide the highest quality care.
WHAT IS MUSIC & MEMORYSM?
Grounded in extensive research, Music & Memory helps people living with a wide range of cognitive and physical challenges to find renewed joy in life through musical favorites. Our team is trained to develop personalized playlists, delivered through iPods, a key element in the individual’s plan of care.
HOW DOES PERSONALIZED MUSIC MAKE A DIFFERENCE?• Beloved music helps to reduce depression and anxiety and can also moderate pain.
• Musical favorites tap deep memories and can improve quality of life.
• Participants are happier, more social and receptive to care and family visits.
• Personalized music can help to reduce reliance on anti-psychotic, anti-depressant and pain medications.
WHO CAN PARTICIPATE?Anyone can benefit from the power of listening to musical favorites. As we build our program, we will be able to offer it to all who are interested. Often effective for a variety of impairments and disorders:
• People with Alzheimer’s and other forms of dementia• Individuals who are bed-bound, on dialysis or ventilators• People with chronic pain• Those receiving hospice care
You can help! Please support our MUSIC & MEMORY program and give new life to someone you love:
For more information, please visit musicandmemory.org or
“Despite the enormous sums of money spent on mood- and behavior-altering medications that are often not particularly effective, nothing compares to these iPods when it comes to improving quality of life.”
—Tony Lewis, President and CEO, Cobble Hill Health Center, Brooklyn, N.Y.
Introducing MUSIC & MEMORY® at
As a MUSIC & MEMORY® Certified Care Organization, we are proud to offer the powerful benefits of personalized music as part of our continuing effort to provide the highest quality care.
WHAT IS MUSIC & MEMORYSM?
Grounded in extensive research, Music & Memory helps people living with a wide range of cognitive and physical challenges to find renewed joy in life through musical favorites. Our team is trained to develop personalized playlists, delivered through iPods, a key element in the individual’s plan of care.
HOW DOES PERSONALIZED MUSIC MAKE A DIFFERENCE?• Beloved music helps to reduce depression and anxiety and can also moderate pain.
• Musical favorites tap deep memories and can improve quality of life.
• Participants are happier, more social and receptive to care and family visits.
• Personalized music can help to reduce reliance on anti-psychotic, anti-depressantand pain medications.
WHO CAN PARTICIPATE?Anyone can benefit from the power of listening to musical favorites. As we build our program, we will be able to offer it to all who are interested. Often effective for a variety of impairments and disorders:
• People with Alzheimer’s and other forms of dementia• Individuals who are bed-bound, on dialysis or ventilators• People with chronic pain• Those receiving hospice care
You can help! Please support our MUSIC & MEMORY program and give new life to someone you love: For more information, please visit musicandmemory.org or OrganizationURL.org
“Despite the enormous sums of money spent on mood- and behavior-altering medications that are often not particularly effective, nothing compares to these iPods when it comes to improving quality of life.”
—Tony Lewis, President and CEO, Cobble Hill Health Center, Brooklyn, N.Y.
Organization Name Here
STEP 1: CHOOSE THE TEMPLATE FOR THE APPLICATION THAT YOU FEEL MOST COMFORTABLE WITH.
We have provided the following templates: Adobe Acrobat (PDF), Microsoft Word and Adobe In-Design. To customize the PDF file directly, you will need the full version of Abobe Acrobat Pro, not just the Acrobat Reader. Alternately you may choose to update the Word or In-Design files.
STEP 2: INSERT YOUR LOGO TO THE RIGHT OF THE MUSIC & MEMORY LOGOInsert a JPEG, Tiff, PNG, or EPS file. Files need to be high resolution (300 dpi at actual size). Logos used on your website are normally not high resolution and will not look sharp when printed. Adjust the size of your logo file as needed so that’s about the height of the Music & Memory logo.
STEP 3: ADD YOUR ORGANIZATION’S NAME TO THE VIOLET HEADLINE BAR AND YOUR URL OR PHONE NUMBER TO THE CALL TO ACTION LINE AT THE BOTTOM OF THE FLYERSample was set using the font DIN but you may also use Arial if DIN is not available.
STEP 4: SAVE YOUR AND PRINT YOUR FILE
Add your logo. A 2.25 inch wide x 1 inch high, high resolution JPG will work well.
Add your company name here. Type should be set in DIN Medium Alternative, 26pts if available. Arial Regular can also be used as an
Add your url or phone number to this call to action line. Type should be set in DIN Bold Alternate or Arial Bold, 11pts in orange.
Insert Organization Name Here
Insert organization url here.
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