Embedded Files
Reschke-Hernandez, A. (2021). The Clinical Practice Model for Persons with Dementia: Application to Music Therapy. University of Kentucky, Lexington, KY, USA.
Reschke-Hernandez shows how application of The Clinical Practice Model for Persons with Dementia can be used across disciplines working with people with Major Neurocognitive Disorder, though, specifically, with music therapy as an intervention. Although there has been research on the impact of such mitigations as music therapy, the model and article provides needed evidence-based structure for using music therapy. The article documents how the model's various behavior intervention categories (Cognition, Attention, Familiarity, Audibility, Structure, and Autonomy) can each launch specified music therapy strategies. Reschke-Hernandez points out that there is no guarantee that one will work, so that is why she uses a plus and minus system. This model will be applicable for several of the components of my project, for example, the music lessons classes with dementia residents, providing multiple means of representation, and also the plans for more advanced movement/dance opportunities. It will also work with sing-along times that are done.
Strainchamps, A. (Host). (2019, August 17). Music On Your Mind [Audio podcast episode]. In To The Best of Our Knowledge. Wisconsin Public Radio. https://www.npr.org/podcasts/388466288/to-the-best-of-our-knowledge.
The episode provides an overview of the impact of music on the brain of older adults. The episode hosts interview a wide array of people such as the well known Oliver Sacks. One part that is particularly relevant to my project discusses how music can specifically target the "waiting" sensation among older adults with dementia, looking for the tools to unlock their skills. At my community, this period manifests with sundowning in late afternoon to early evening-- this is when I plan to specifically offer the music devices for behavior management. However, with the holistic therapeutic dementia programming structure we are implementing at the community, the idea of finding something to empower residents to organize and use locked skills is timely. The podcast also mentions music can give residents a sense of giving back to their larger community.
Sanchez, A, Maseda, A. , Marante-Moar, M.P., De Labra, C., Lorenzo-Lopez, L., and Millan-Calenti, J.C. (2016). Comparing the Effects of Multisensory Stimulation and Individualized Music Sessions on Elderly Peope with Severe Dementia: A Randomized Controlled Trial. Journal of Alzheimer's Disease.
This article is extremely revealing in that, surprisingly, structured, multisensory stimulation, when done right, garnishes as much, or more, positive results for people with severe dementia as individualized music sessions, according to a documented examination. This is particularly relevant for my community as we have been trying to get away from a television focus, in part, for the over-stimulation factor of the screen sounds and visuals, replacing it with more hands-on engagement options. We have also found that smaller group division is better than trying to do stuff in large groups. I will be interested to try and develop some of these ideas from this article for the residents need at my community. I have also been interested in setting up some sensory areas, using more touch, smell, and sound opportunities. With this music project, I would love to be able to utilize some of these sensory options with a music theme.
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