Music Therapy Pediatric Room

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

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

Terminal Illness Improvision Improvision Song-writing Song-writing Guided imagery Guided imagery

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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