• How culture informs hospice music therapy: a critical interpretive synthesis

      DeFeo, Nicholas J. (2017-05)
      This systematic review investigates hospice music therapy and the role culture plays in informing clinical practice. Due to the emphasis on cultural, contextual understanding in this review, the exploration of end-of-life care through qualitative inquiry, and the transformative nature of the implications yielded by the study, a critical interpretive synthesis was chosen as the best suited form of review. Studies in interdisciplinary fields of end-of-life care were also considered. The SUNY New Paltz library database Proquest was utilized in order to search articles from the following databases: CINAHL, PsycINFO, MEDLINE, VOICES, The Australian Journal of Music Therapy, and The New Zealand Journal of Music Therapy. The American Music Therapy Association (AMTA) research database was also utilized in order to collect research articles from the Journal of Music Therapy and Music Therapy Perspectives. Exactly 10 studies met inclusion criteria. Results of this study indicated eight themes relevant to culturally-sensitive practice in hospice music therapy: perception of death and dying, appropriate level of sensitivity, spirituality/religiosity, expression of grief, family dynamics, legacy/life review, perceived role of music therapist, and perceived role of music. The themes presented in this study bolster the argument that culturally informed practice is crucial to effective implementation of music therapy. Implications for future music therapy research, education and training, and direction for treatment are discussed.
    • A music therapy program proposal for pediatric palliative care in hospice

      Fini, Alexa Marie (2022-05)
      The purpose of this proposal is to provide a framework for Hudson Valley Hospice to add music therapy as a treatment option for the children and adolescents they serve. Pediatric palliative care is a rapidly expanding field in American healthcare (Hildenbrand et al., 2021 ). The majority of pediatric palliative care programs in the United States do not meet practice standards set forth by The American Academy of Pediatrics. This means current pediatric palliative care programs are not providing patients and families with 24-hour availability and staffing that includes physicians, nurses, social workers, and chaplains (Rogers et al., 2021). Additionally, the lack of clinical units, funding, and the field's ever-changing nature have a negative impact on pediatric palliative patients' and their families' care needs.
    • The use of lullabies in hospice music therapy

      Lawrence, Samantha (2019)
      The purpose of this paper is to examine the use of lullabies as an intervention in hospice music therapy. A 15-question survey was electronically disseminated to board-certified music therapists (MT-BCs) with clinical experience working as music therapists in the hospice setting. Potential participants were located through the Certification Board for Music Therapists (CBMT) database. A total of 86 participants responded to the survey, and the data from 82 of the participants was analyzed. Participants indicated that they use all four methods of music therapy and many different types of music experiences as a lullaby intervention in hospice music therapy. Hospice music therapists use lullaby interventions as indicated by a variety of patient/family needs. The most common needs were those related to comfort/relaxation (73.17%), pain/discomfort (60.98%), and anxiety (57.32%). These correlate to the most common intended outcomes of lullaby intervention in hospice music therapy, which are increasing relaxation/comfort (76.83%), decreased stress and anxiety for patients and/or families (74.39%), and decreasing pain/pain perception (37.80%). Participants indicated in an open-ended question their opinions about how using lullabies differs from other hospice music therapy interventions. Themes of how these interventions differ include comfort and relaxation, family and familiarity, and meeting specific patient needs. Results of this survey indicate that music therapists are using lullaby interventions in the hospice setting to meet the needs of hospice patients and their families.