ROLE OF MUSIC THERAPY IN DEMENTIA
Dementia is “a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning.” The most common type of dementia is Alzheimer's disease. Vascular dementia, Lewy body dementia, and frontotemporal dementia are also common.
The most pronounced effects of dementia are on memory and visual-spatial. Some psychological and behavioral problems include aggression, agitation, depression, wandering, restlessness, and trouble eating or swallowing.
Treatment of dementia:
The essential clinical feature of dementia is behavioral symptoms affecting patients and their caregivers. Available pharmacologic treatments used to treat behaviors have little benefit and significant risks. Due to increased risk of mortality associated with these drugs FDA has issued warnings against their use especially in elderly patients. The Dementia Action Alliance encourages nonpharmacological and behavioral treatment as first-line therapy.
Nonpharmacologic treatments may include a general approach like patient activity programs, and communication and task simplification skills, or a targeted approach where patient-specific behavior is identified and modified such as eliminating conditions contributing to a specified behavior. Some of the nonpharmacological therapies include music therapy, art therapy, reality orientation, aromatherapy, and cognitive behavioral