Music Therapy Music Therapy

Pediatric RoomPediatric Room

The PlayroomThe Playroom

The playroom is a very interactive place for The playroom is a very interactive place for children going through hospital procedures to children going through hospital procedures to relax in.relax in.

Research has shown that children who play for Research has shown that children who play for at least thirty minutes a day have less anxiety at least thirty minutes a day have less anxiety than others who don’t receive active playthan others who don’t receive active play

The whole point of the playroom is to bring The whole point of the playroom is to bring some sort of normalcy to the child’s lifesome sort of normalcy to the child’s life

Music Therapy GoalsMusic Therapy Goals

-improve self expression-improve self expression

-increase verbalization-increase verbalization

-reduce fear and anxiety-reduce fear and anxiety

-alleviate physical discomfort-alleviate physical discomfort

-teach relaxation-teach relaxation

-assist with coping skills-assist with coping skills

-provide a normal environment-provide a normal environment

Terminal IllnessTerminal Illness

ImprovisionImprovision Song-writingSong-writing Guided imageryGuided imagery

BedsideBedside

Help to manage physical discomfort by Help to manage physical discomfort by musical stimulationmusical stimulation

Headphones can be used to drown out outside Headphones can be used to drown out outside noises during bedside proceduresnoises during bedside procedures

ChemotherapyChemotherapy

Music received during chemotherapy Music received during chemotherapy treatments has been proven to lesson the side treatments has been proven to lesson the side effects such as nauseaeffects such as nausea

In this particular study by Standley, those who In this particular study by Standley, those who were given music during treatment said they were given music during treatment said they would ask for music againwould ask for music again

Pain ManagementPain Management

Music can help to distract away from musicMusic can help to distract away from music Combine music with imagesCombine music with images

SongwritingSongwriting SingingSinging Instrument playingInstrument playing Musical gamesMusical games

Name that tuneName that tune Play how you feelPlay how you feel

SongwritingSongwriting

Fill in the blankFill in the blank Re-write lyricsRe-write lyrics Choose own lyrics to preexisting melodyChoose own lyrics to preexisting melody Create entirely new pieceCreate entirely new piece

Invasive Medical ProceduresInvasive Medical Procedures

Dressing changesDressing changes ShotsShots Bone marrow aspirationsBone marrow aspirations Heel sticksHeel sticks Hypodermic injectionsHypodermic injections

Types of InterjectionTypes of Interjection

Intraopertively: during procedureIntraopertively: during procedure Music aids as a distractionMusic aids as a distraction

Preoperative: before procedurePreoperative: before procedure Music helps to relax patientMusic helps to relax patient

QuestionsQuestions

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

Surgical AreaSurgical Area

Mostly used prior to surgery, or after surgeryMostly used prior to surgery, or after surgery Music is suggested to be chosen by the patientMusic is suggested to be chosen by the patient Loudness helps to make outside noises less Loudness helps to make outside noises less

noticeablenoticeable Headphones help to create a louder, surround Headphones help to create a louder, surround

sound qualitysound quality Patient selected headphonesPatient selected headphones

Pre-surgeryPre-surgery

Help alleviate tension or anxietyHelp alleviate tension or anxiety Help to facilitate learning relaxation Help to facilitate learning relaxation

techniquestechniques Should be the focus of attentionShould be the focus of attention Half hour before surgeryHalf hour before surgery

Should last until child has been transferred to Should last until child has been transferred to surgical roomsurgical room

Post-SurgeryPost-Surgery

Used to promote restUsed to promote rest Pre-optive and post-optive music can be the Pre-optive and post-optive music can be the

samesame Should have sedative characteristicsShould have sedative characteristics Use music 12-48 hours after surgery when Use music 12-48 hours after surgery when

pain is the most intensepain is the most intense

For Parents-A Relaxation ProgramFor Parents-A Relaxation Program

Therapist should just provide a listening portfolio and Therapist should just provide a listening portfolio and directions on how to listen to help relaxdirections on how to listen to help relax

Degree of Relaxation Depends on Degree of Relaxation Depends on Source of musicSource of music Duration of listeningDuration of listening

Many sources of stressMany sources of stress Sleep deprivationSleep deprivation Loud noiseLoud noise WorryWorry

Computerized Music Therapy Computerized Music Therapy Assessment in PediatricsAssessment in Pediatrics

Computer-based Music Perception Assessment Computer-based Music Perception Assessment for Children (CMPAC)for Children (CMPAC) CD that allows for children to make their own CD that allows for children to make their own

choiceschoices A menu appears with popular musical recordingsA menu appears with popular musical recordings The Child clicks on the picture, and a song plays The Child clicks on the picture, and a song plays

that corresponds with the picturethat corresponds with the picture Preference can be seen by the amount of time the Preference can be seen by the amount of time the

child spends on a particular song and how many child spends on a particular song and how many times a specific picture is selectedtimes a specific picture is selected

TestingTesting

This program was tested on a group of This program was tested on a group of children ages 4-7 in an educational settingchildren ages 4-7 in an educational setting

They were given 10 minutes to listen to They were given 10 minutes to listen to whatever they wantedwhatever they wanted

This time slot was not found to be sufficient This time slot was not found to be sufficient enough, 15 minutes is suggestedenough, 15 minutes is suggested

This program is used to help the therapist pick This program is used to help the therapist pick the appropriate music for each individual childthe appropriate music for each individual child

MASAMASA

Music Attentiveness Screening AssessmentMusic Attentiveness Screening Assessment Used to evaluate the child’s ability to concentrate for Used to evaluate the child’s ability to concentrate for

a period of time on a music taska period of time on a music task Two games: Two games:

C is for CookieC is for Cookie Listen for cookie and if heard, put a cookie in the jarListen for cookie and if heard, put a cookie in the jar

Whole New WorldWhole New World Distinguish who is singing and hold up the appropriate dollDistinguish who is singing and hold up the appropriate doll

SCRIBESCRIBE

Simple Computer Recording Interface for Simple Computer Recording Interface for Behavioral EvaluationBehavioral Evaluation

A computer software program that records A computer software program that records frequency and duration of observed eventsfrequency and duration of observed events

BibliographyBibliography

Wolfe, D.E., & Jellison, J.A. (1995). Wolfe, D.E., & Jellison, J.A. (1995). Interviews with preschool children about Interviews with preschool children about music videos. music videos. Journal of Music TherapyJournal of Music Therapy,,2323, , 265-285.265-285.

Wolfe, D.E., & Waldon, E.G. Wolfe, D.E., & Waldon, E.G. Music Therapy Music Therapy and Pediatric Medicine: A guide to Skill and Pediatric Medicine: A guide to Skill Development and Clinical InterventionDevelopment and Clinical Intervention . .