Music Therapy During Post Operative Abdominal And Thoracic Patients

Purpose: The purpose of this speech is to persuade my audience that music can be used to help with stress as well as pain.  I want my audience to see that the use of music in everyday life is good for the mind, body and soul.  My central idea is that music is what can be used in the medical field as therapy use for pain, stress relief and in everyone’s everyday life.

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 therapy is not a new idea. In fact, it’s been used in thousands of civilizations throughout history. The Incan nation thought that a soul was connected to the gods through music and it determined the health, success, and future of every living thing (Stobart et al, 26). But most every nation, from Africa, to Asia, to Europe, has had a history of music being used as a healing tool. There is evidence of music therapy leading to an increase in emotional functions and motor control skills (Warner et al, 15).

Due to the extensive procedures surrounding treatment, patients often experience a variety of physical and psychological symptoms and side effects that negatively impact their quality of life and ability to cope with and manage an illness. Providing a choice of music during a receptive music therapy session may not only distract the patient from negative affective states, but also may provide a sense of autonomy and control over a patient 's immediate environment. The purpose of the essay was to determine whether receptive music therapy can improve two general dimensions of emotional experience and pain in a single session for patients. The guiding research question was: Will participants experience improved positive affect following a music therapy session? In my opinion ,I think the answer is yes. music therapy definitely have a positive effect on patients.

Reducing pain among terminally ill persons is a nursing phenomenon of great importance. In this evidence based paper, terminally ill refers to patients with cancer that have six months or less to live and patients that are in hospice or undergoing palliative care. Pain, weakness, decreased intake of food and fluid, and altered breathing patterns are some physical symptoms often experienced by the terminally ill (Leow, Drury & Poon, 2010). Treating pain in the terminally ill is very important and challenging for nurses. Therefore, it is important for nurses to use both pharmacologic and nonpharmacological methods to reduce patient pain. Music therapy is one specific non pharmacological intervention nurses can use to manage pain in the terminally ill. The purpose of this paper is to write an empirically based literature review related to the effects music therapy has on reducing pain in the terminally ill.

This article focuses on hospice patients. Hospice provides music therapy to patients and they often prefer it over other therapy’s. “Patients expect multiple benefits from music therapy, including emotional and spiritual support, support coping with pain, and an opportunity to express feelings. (Burns, 225) Study approved by Purdue University focused on patients physical, emotional and spiritual comfort in their last days. Also keeping in mind length of stay gender, marital status, home care and visitors. These could all effect the mood rather than just the music therapy. “Anxiety and pain are common reasons for referral to music therapy; however, research supporting the use of music therapy to decrease anxiety and pain is equivocal.” (Burns, 229) In conclusion, family’s did not notice a change in pain or anxiety and through research there was no significant change within the hospice

Therapeutic use of music is also extremely effective at reducing the everyday aches and pains that humans experience. Slow and methodical music slows the brain waves and helps the muscles in our body to relax, reducing muscle pain (Coleman). A significant amount of today’s population also experiences depression in some shape way or form and music therapy has been proven to be one of the most successful ways to help patients cope with depression. “Individual music therapy combined with standard care is extremely effective for lowering [depression] among working age people,” says Professor Christian Gold at the University of British Columbia (Paddock). “Music therapy is so effective because it allows patients to express their feelings in a safe way,” mentions Elizabeth Fawcett (MT-BC) (Peach). Hospital patients experienced consistently shorter and more pleasant stays when undergoing music therapy along with traditional treatment (Meyer).

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

Pain is an obvious consequence of injuries and surgery, but it is also a common symptom of ill health. A complex experience, with many variables that can influence the patient experience and interpretation. The various factors include age, gender, culture influences, social class, personality and emotional factors such as anxiety, fear and depression which do not necessarily increase the patient’s pain experience, but will affect their reaction to it.

Hilliard, R. E. "Music Therapy in Hospice and Palliative Care: A Review of the Empirical Data."

In the event of a burn, the patient undergoes severe pain that is often described as excruciating; therefore controlling pain through the use of music therapy is an important nursing strategy (Zwicker, 2010). Research has shown that pain and stress are interrelated, as stress in the form of anxiety, often heightens the perception of pain, and pain further exacerbates feelings of anxiety (Wentz & Warnock, 2010). Although the standard use of controlled pharmacological interventions helps alleviate some burn pain, it alone does not prove to be as effective as the combined use of pharmacological and non-pharmacological strategies. In fact, Miller et al. (1992) found that seventy-five percent of burn patients do not have effective pain relief with analgesics alone (as cited in Fratianne, Presner, Huston, Super, Yowler, & Standley, 2001). Introducing a non-pharmacological intervention, specifically music therapy, has been found to significantly reduce the

In an article by Vaajoki, Pietila, Kankkunen and Vehvilaimen-Julkunen (2010) the objective is to evaluate the effect of music therapy on pain distress and intensity after abdominal surgery. Vaajoki et al, begin by noting the positive effects of adjuvant music therapy for pain relief in surgery patients though limited research has been conducted specific to abdominal surgeries. They hypothesized patients receiving standard of care and music therapy report less pain intensity and distress than those who do not. The investigators used a prospective clinical study design, participants were randomized into the intervention (n = 83) and control groups (n = 85). The experimental group listened to 30 minutes of patient-selected music in addition to standard of care on day 1 and day 2 postoperatively. The control

Teach the use of listen to music or watch TV to draw away the patient’s attention on pain

Music intervention (MI) is a low-cost, non- invasive nursing intervention that is used to facilitate healing through pre-recorded music (Nilsson, 2011) and can be used for relaxation by acting as a pleasant stimulus to block out anxiety, fear and tension (Lindquist, Snyder & Tracy, 2014). Anxiety is thought to be an emotional response that can affect the cognitive abilities of an individual, causing mental and physical discomfort (Vaughn, Wichowski & Bosworth, 2007), and can be directly related to uncertainty about surgical procedures and various other personal factors that will be uniquely experienced by patients (Wakim, Smith & Guinn, 2010). Patients in acute settings awaiting surgical procedures often experience significant

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