Music Nursing Intervention

Music Therapy is used for many reasons and can be helpful in many ways. Music has been proven to be a therapeutic service to people because it’s helped people to contain themselves and even express themselves through the music that they listen to. This treatment is beneficial to many humans because it’s a good way to help one’s emotions without any medication (American Music Therapy Association). For example, music is used to treat pain and reduce stress. In Amy Novotney’s article about music therapy, she says, “The beep of ventilators and infusion pumps, the hiss of oxygen, the whir of carts and the murmur of voices as physicians and nurses make rounds — these are the typical noises a premature infant hears spending the first days of life in the neonatal intensive care unit (NICU). While the sounds of such life-saving equipment are tough to mute, a new study suggests that some sounds, such as lullabies, may soothe pre-term babies and their parents, and even improve the infants' sleeping and eating patterns, while decreasing parents' stress (Pediatrics, 2013)” (Novotney). Another example of how music is a reliable therapeutic resource is for people with autism. In Catherine Ulbricht’s article, she states that “People who have autism spectrum disorders often show a heightened interest and response to music. This may

Music therapy has proven beneficial to patients with cancer most notably the psychological and physical end-results. More than one million people in the United States get cancer each year (cancer.org). Most have heard or know of someone who has had cancer and the stories of the chemo radiation therapy that goes along with it. Imagine the emotions that one feels when diagnosed with cancer. The patient is ultimately suffering from the whole ordeal physically and emotionally. Music interventions are employed to “alleviate symptoms and treatment side effects in cancer patients” (Cochrane review).

Not only does music affect thought, but it also benefits health. Students usually study in quiet, relaxed surroundings while listening to serene music. Classical music can steady a fast heartbeat and a slower heartbeat induces relaxation. Exercise plays a critical role in maintaining good health, and relaxing music can be favorable to this. Music reduces muscle tension, resulting in a better work out. Scientists performed controlled studies using adult males who were around twenty-five years old. Blood samples were taken before and after treadmill running. The experiment found that with the presence of music, “heart rate, blood pressure, and lactate secretion in the brain were significantly lower” . The results proved that music

Gate control theory was first described in 1965 by Melzack and Wall. (Gate Control Theory. 2012). The gate control theory recognizes that stimuli other than pain pass through the same gate. (DeWit, S., Stromberg, H., & Dallred, C. 2017, p.124). The gate control theory states that when the gate is open, pain sensation is allowed through; when the gate is closed, pain is blocked. (DeWit, S., Stromberg, H., & Dallred, C. 2017, p.141). The theory relates to nursing practice in several ways: two type of nerve fibers – small-diameter and large-diameter – carry pain stimuli, activity in small-diameter nerve fibers open the gate, and activity in large-diameter closes it, increase in anxiety open the gate, and decrease in anxiety closes it. Fear that pain will not be controlled may increase pain intensity, and knowing pain is being controlled reduces pain. (DeWit, S., Stromberg, H., & Dallred, C. 2017, p.124). Pain is a “neuromatrix” where pain is a multidimensional experience, which stimuli are influenced by experience, cultural learning, and

Intended Audience: My ideal audience for this speech would be those of any age that will be willing to try the power of music.  The topic would also be beneficial to a larger group as in doctor, nurses, and anyone in the medical field whom help patients with pain or stress.

The effect of music on postoperative pain and anxiety was studied on an orthopedic unit in a central Florida hospital (Allred, Byers, & Sole, 2010). The authors clearly identified the problem many total knee arthroplasty patients experience after surgery is moderate to severe postoperative pain and increased anxiety. Throughout the introduction of the study, it was stressed the importance and need for this research to be conducted. The authors discussed the effects of inadequately treated pain and how health care professionals, including nursing, should make it a priority in a patient’s treatment plan (Allred et al., 2010). Several references were provided supporting the issue

music while bathing is proven to help settle the patient down to give them the proper care that

For this example, we develop the question: In a pre-procedure setting, does listening to music help reduce the level of anxiety for adult patients undergoing a stressful procedure? The question falls into the clinical therapy category because it seeks to answer the question about the effectiveness of music. To find best practice, we search literature databases for recent experimental or quasi-experimental studies that are appropriate to the question (LoBiondo-Wood & Haber, 2014-a). The following articles show examples of research that examine the relationship between music and anxiety. Kim, Evangelista, and Park (2015) conducted an integrative review and meta-analysis that finds music intervention has a positive effect on reducing anxiety for patients on hemodialysis. Mohammadi, Mirhagher, Torabi, Mirsane, and Moradi (2014) conducted and randomized quasi-experimental study that shows a significant decrease in physiological parameters and anxiety levels in the trial group when compared to the control group. Thompson, Moe, and Lewis (2014) conducted a quasi-experimental study that finds a significant decrease in anxiety for patients who listen to music before surgery. It shows that the higher the level of anxiety, the greater the benefit from the

The therapeutic and healing properties of music have been recognized throughout history. Rothrock (2011) stated that music is recognized as a way to decrease the physiologic and behavioral anxiety found in most surgical patients. Anxiety is a powerful emotion that can trigger physiological responses, cause stress, increase pain sensation and delay wound healing (Upton, 2014). Surgeons often prescribe medication to relieve anxiety preoperatively without consideration of an alternative intervention. Complementary interventions such as music therapy can provide a level of distraction, thus promoting a reduction in anxiety level (Comeaux, & Steele-Moses, 2013).

Music can change mood, have stimulant or sedative effects, and after physiologic process such as heart rate and breathing.

Music is composed of sounds intertwined with melody and rhythm that can have powerful effects on a person. It can help people focus on tasks or calm the mind. Research has shown that music has beneficial effects on the mind, body, and health of a person. A journal article by Rastogi, Solanki, and Zafar (2013) refers, on the contrary, to:

In order to relieve patients, nurses are often required to administer risky sedation medication which has equally disturbing side effects that include vomiting, hypotension, respiratory depression, and much more. And yet, something as inexpensive as music has yet to be truly tested as a non-pharmacological therapy for these situations. For the most part, music’s healing power has the ability to become a method of distraction and promote peace through reducing sympathetic nerve control, which involves respiration rates, muscle tension, and gastric activity (Austin 2010). After all, it seems to be promising in neutralizing the anxiety based symptoms associated with sedation or ventilation which could lead to a breakthrough in holistic

The mind is greatly impacted by music by showing healthful changes (www.bellaonline.com/articles/). Doctors now use music for their patients’ treatments in order to help them stay healthy (www.bellaonline.com/articles/). Heart patients acquired the same benefits from listening to classical music for thirty minutes as they did from anti-anxiety medication (www.bellaonline.com/articles/). Musical therapy has been used to help people with heart problems, which worked quite effectively. (www.bellaonline.com/articles/). People who have had migraines frequently, were trained to use music and relaxing procedures to reduce their headaches. Studies have also shown that music helps students with their intelligence levels (www.bellaonline.com/articles/). A majority of students had higher test scores than others because they listened to Mozart before their exam. People who listened to classical music for an hour and a half while revising manuscripts increased their accuracy by 21% (www.bellaonline.com/articles) (Mish 725.).

Pain, increased weakness, decreased intake of food and fluid, altered breathing patterns are some physical symptoms often experienced by the terminally ill (Kouch, 2006 as cited in Leow, Drury & Poon, 2010). Treating pain in the terminally ill is very important and challenging for nurses. Therefore, it is important to use both pharmacologic and nonpharmacological methods to reduce pain. The ability of nurses to use music therapy as a nonpharmacological method to manage pain in the terminally ill is a phenomenon of great importance to nursing. Terminally ill in this literature refers to patients with cancer that have six months or less to live and patients that are hospice or are undergoing palliative care. This literature revealed that using a multivariate analysis of covariance (MANCOVA), significantly less posttest pain was reported in the music versus the control group. Cancer patients that listened to soft music in addition to using analgesics experienced increased compared to those using analgesics alone (Huang, Good, & Zauszniewski, 2010). Furthermore, statistical difference was noticed between the groups for mood level and oxygen saturation during live saxophone performance (Burrai, Micheluzzi, & Bugani, 2014). In addition, this research indicated that music may have a more positive effect on females and elderly than younger and more educated males (Chan, Chung, Chung, & Lee, 2008). The

Music during surgery was first introduced in the early 20th century as a complementary therapy with anaesthesia (Light, Love, Benson, & Trier Morch, 1954). They argued that music distracted the patient from the fear of surgery and complemented analgesia effect with the use of nitrous oxide, which ultimately effected, the pain suffered by the patients..