Increased quality of life
Expression of feelings and emotions (both verbally and nonverbally)
Facilitate feelings of personal meaningfulness
Minimization of physical distress
Alleviation of terminal agitation/restlessness
Decrease emotional distress
Decrease feelings of isolation/rejection
Increase feelings of closeness, acceptance, and intimacy
Increase range of coping mechanisms
Decrease nausea and vomiting
Increase perceived quality of life
Gain a sense of spiritual support
Resolve family conflict/relational stress
Increase self esteem/self acceptance
Assist family members/loved ones in their interaction with patient
Provide bereavement follow up
Regain a sense of control
Music Therapy Relaxation Techniques (MTRT)
Songs as a life review stimulus
Use of nature/environmental sounds
Planning memorial services with music
Music and massage
Leaving legacy through musical gifts (song collage, patient written songs, etc.)
Patient Progression in Hospice Music Therapy Program
Referral: the music therapy program is referral based; only referred patients will be seen by the music therapist. Any member of the interdisciplinary team can refer a patient for a music therapy evaluation. This is done when a Music Therapy referral document is filled out by the team member and then given to the music therapist. A clinical reason for the referral must be included in the document.
Evaluation: the music therapist will complete the evaluation form which includes the patient’s musical background, his/her psychological and cognitive status, his/her response to music, and the expressive ability of the patient. The music therapist will identify the patient/family/caregiver’s need(s) and devise treatment goals to fulfill that need(s).
Treatment Planning: the music therapist designs therapeutic interventions to meet the need(s) of the patient set within his/her strengths, culture, and faith. Live music is usually used since research shows that it is more beneficial to the patient.
Implementation and Evaluation: the music therapist will implement the treatment with a frequency that would be most beneficial for the patient and reevaluate to ensure that music therapy continues to be an effective form of treatment for the patient.
Documentation: each intervention is documented at the conclusion of each session, referencing the patient’s physical status and observable, measurable outcomes of the music therapy intervention(s). Music therapists are trained to document the patient’s positive response to the music therapy while also showing decline related to his/her illness.
Services Offered by Music Therapy:
Individual music therapy sessions
Procedural support music therapy
Family music therapy sessions
Group music therapy session (ie. bereavement, staff support, etc)
Staff support: the music therapist on the interdisciplinary team will give the other members of the team access to different services for their patients as well as provide direct staff support.
Libraries: collections of musical references (CD’s, books, sheet music, research, etc) and instruments can be developed for use by families, staff, and volunteers.