1. NBHPC ASPNB Conference April 24, 2014 Presented by Bev Foster, ED Room 217 Foundation

4. Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

6.  IDENTITY

7.  FEELINGS/SENTIMENTS music as containment in PC Deborah Salmon – 1999

8.  IDENTITY  FEELINGS/SENTIMENTS  WORDS

9.  IDENTITY  FEELINGS/SENTIMENTS  WORDS  MOODS Music improves QoL in persons who are dying Russell Hilliard – 2003, 2004

10.  IDENTITY  FEELINGS/SENTIMENTS  WORDS  MOODS  LONGINGS, HOPES – universal truths

11. Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

13.  INTERPERSONAL  INTRAPERSONAL What sorts of connections were made between Naomi and Gladys? What sorts of connections were made within Gladys?

14.  Communication, interaction  Intimacy “one person” in sync  Helps to mirror movements  Provides emotional safety because of familiar songs  Making music together  Repetitive motion (responsive behavior) redirected into meaningful communication

15.  Repetitive motion becomes entrained with music and makes meaning and sense  Reconnection with “self”  Elicits appropriate and rhythmically timed response in song  Carryover effect?

16.  Comfort – music’s consoling power reaching deep into psyche, beyond words  Attachment – communicative potential of music may continue unimpeded by verbal losses  Inclusion – music is incomplete without PWD’s contribution  Occupation – music-making encourages participation, concentration, imagination, skill  Identity – experience of self in dynamic relationship with another

19.  PAIN DISTRACTION – Cochrane Review, 2008  ANTIEMETIC  SLEEP PROMOTION

20.  PAIN DISTRACTION  ANTIEMETIC  SLEEP PROMOTION  RELATIONSHIP COMPLETION Ira Byock, 2004 (I love you, thank you, will you forgive me, I forgive you, good bye) Amy Clements-Cortes, 2009 Music enhances relationship completion

21.  PAIN DISTRACTION  ANTIEMETIC  SLEEP PROMOTION  RELATIONSHIP COMPLETION  LEGACY Music as part of dignity therapy protocol Chochinov, 2005

22.  PAIN DISTRACTION  ANTIEMETIC  SLEEP PROMOTION  RELATIONSHIP COMPLETION  LEGACY  GRIEF WORK Music and mourning tasks Joy Berger, 2008

23.  PAIN DISTRACTION  ANTIEMETIC  SLEEP PROMOTION  RELATIONSHIP COMPLETION  LEGACY  GRIEF WORK  CAREGIVERS

24. www.room217.ca caring for the whole person with music

26. WORKSHOPS KEYNOTES CONCERTS

28. 1. Bridgepoint Health Collaboration 2. Music Care Delivery in Long Term Care 2 phase study 3. Conceptualizing Music Care – 10 domains

29.  35,000+ units of designed music delivered across Canada (12 albums, 3 DVDs)  5 national conferences, 200+workshops  84 R2R sites across Canada – results  Music Care conceptualization

33. 4. DYNAMIC NOT FORMULAIC Lean on me when you’re not strong I’ll be your friend, I’ll help you carry on For it won’t be long ‘til I’m gonna need Somebody to lean on

35.  Relax and pay attention to the breath  Hum one tone and think of it as home  Move to neighbouring notes slowly  Hum each note sensibly flowing softly in between  Explore melody, finding what is soothing  Repeat melodies with simple words – lullabies, prayers “I am here with you”, “I love you”, “peace my child”, “there is no need to fear”  Listen deeply to pace, pause, texture and breath  Allow for silence