Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-25T05:55:07.009Z Has data issue: false hasContentIssue false
  • English
  • Français

Music in the nursing home: hitting the right note! The provision of music to dementia patients with verbal and vocal agitation in Dutch nursing homes

Published online by Cambridge University Press:  24 October 2008

E. R. van der Geer ,
A. C. Vink ,
J. M. G. A. Schols  and
J. P. J. Slaets
E. R. van der Geer*
Affiliation:
Department of Nursing Home Medicine, Radboud University Nijmegen, The Netherlands and Stichting tanteLouise, Bergen op Zoom, The Netherlands
A. C. Vink
Affiliation:
University Medical Centre Groningen, University of Groningen, the Netherlands; ArtEZ School of Music, Enschede, The Netherlands; and KenVak Research Centre Art Therapies, The Netherlands
J. M. G. A. Schols
Affiliation:
Department of General Practice, FHML, Maastricht University, The Netherlands and Department Tranzo, Tilburg University, The Netherlands
J. P. J. Slaets
Affiliation:
Department of Internal Medicine, University Medical Centre Groningen, University of Groningen, The Netherlands
*
Correspondence should be addressed to: E.R. van der Geer, MD, Department of Nursing Home Medicine, 117 VPHG, Radboud University Nijmegen, Medical Centre, PO Box 9101, NL-6500 HB Nijmegen, The Netherlands. Phone: +31-243618834. Email: [email protected].
Get access

Abstract

Background: The study aims to provide insight into the type of music being offered in Dutch nursing homes to patients with both dementia and verbal and vocal agitation. It also investigates the degree to which the music offered corresponds to the musical preferences of the nursing home residents.

Method: Using random sampling, 20 nursing homes were selected to participate in this study. Within these homes, semi-structured interviews were conducted with nursing home physicians (n = 17) and other nursing home care providers (n = 20). Each interview focused on up to three psychogeriatric residents with verbal and vocal agitation. In total, 51 residents were discussed in the interviews.

Results: For each resident, the frequency of music, the type of music being offered, and the degree of correspondence between the music being offered and the resident's preferences varied. In almost all cases, music was being offered in the communal living room during the mid-morning coffee and the afternoon tea, while music was only infrequently offered to residents during meals. However, this music was not tailored to the preferences of the residents. During patient-centered care activities in the early morning and before sleep, when offered, the music was generally tailored to the preferences of the resident(s).

Conclusion: Music is frequently played in nursing homes to patients with dementia who have verbal and vocal agitation. When offered to a group of residents, the music tends not to be tailored to the preferences of the residents. However, when offered individually, musical preferences are generally taken into account.

Keywords

verbal and vocal agitationdementiamusicnursing home
Type
Research Article
Information
International Psychogeriatrics , Volume 21 , Issue 1 , February 2009 , pp. 86 - 93
Copyright
Copyright © International Psychogeriatric Association 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ayalon, L., Gum, A. M., Feliciano, L. and Areán, P. A. (2006). Effectiveness of nonpharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia. Archives of Internal Medicine, 166, 2182–2188.CrossRefGoogle ScholarPubMed
Baarda, D. B. and Goede, M. P. M. de (1995). Methoden en Technieken. Houten: p/a Educatieve Partners Nederland bv.Google Scholar
Bright, R. (1986). The use of music therapy and activities with demented patients who are deemed “difficult to manage.” Clinical Gerontologist, 6, 131–144.Google Scholar
Camp, C. J., Cohen-Mansfield, J. and Capezuti, E. A. (2002). Mental health services in nursing homes: use of nonpharmacologic interventions among nursing home residents with dementia. Psychiatric Services, 53, 1397–1404.CrossRefGoogle Scholar
Clark, M. E., Lipe, A. W. and Bilbrey, M. (1998). Use of music to decrease aggressive behaviors in people with dementia. Journal of Gerontological Nursing, 24 (7), 10–17.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. (2001). Nonpharmacologic interventions for inappropriate behaviours in dementia: a review, summary, and critique. American Journal of Geriatric Psychiatry, 9, 361–381.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. (2003). Nonpharmacologic interventions for psychotic symptoms in dementia. Journal of Geriatric Psychiatry and Neurology, 16, 219–224.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. and Werner, P. (1997). Management of verbally disruptive behaviors in nursing home residents. Journal of Gerontology: Medical Sciences, 52A6, M369–377.Google Scholar
Cohen-Mansfield, J., Marx, M. S. and Rosenthal, A. S. (1989). A description of agitation in a nursing home. Journal of Gerontology: Medical Sciences, 44, M77–84.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Werner, P. and Marx, M. S. (1990). Screaming in nursing home residents. Journal of the American Geriatrics Society, 38, 785–792.Google Scholar
Dröes, R. M., Lange, J. C. M. de, Vink, A. C. and Finnema, E. J. (2001). Psychosociale therapieën. InJonker, C., Verhey, F. R. J. and Slaets, J. P. J. (eds.), Alzheimer en andere vormen van dementie (pp. 236–249). Houten: Bohn, Stafleu, Van Loghum.Google Scholar
Gerdner, L. A. (2000). Effects of individualized versus classical “relaxation” music on the frequency of agitation in elderly persons with Alzheimer's disease and related disorders. International Psychogeriatrics, 12, 49–65.CrossRefGoogle ScholarPubMed
Gerdner, L. A. and Swanson, E. A. (1993). Effects of individualized music on confused and agitated elderly patients. Archives of Psychiatric Nursing, 7, 284–291.Google Scholar
Koger, S. M. and Brotons, M. (2000). Music therapy for dementia symptoms (Cochrane Review). The Cochrane Library, 4, CD001121.Google Scholar
Kok, R. M. and Verhey, F. R. J. (2001). Medicamenteuze behandeling van gedragsproblemen. In Jonker, C., Verhey, F. R. J. and Slaets, J. P. J. (eds.), Alzheimer en andere vormen van dementie (pp. 226–235). Houten: Bohn, Stafleu Van Loghum.Google Scholar
Kooij, C. van der (1998). Ontwikkeling zorgkundige vaardigheid in de omgang met dementerende ouderen. Apeldoorn: IMOZ.Google Scholar
Kunik, M. E. et al. (2007). Documentation, assessment, and treatment of aggression in patients with newly diagnosed dementia. Alzheimer Disease and Associated Disorders, 21, 115–121.CrossRefGoogle ScholarPubMed
Lange, J. de, Dröes, R. M., Finnema, E. and Kooij, C. v.d. (1999). Aansluiting bij de belevingswereld. Effectieve zorg voor dementerenden. Alzheimer Magazine, 16–19.Google Scholar
Ragneskog, H., Kihlgren, M., Karlson, I. and Norberg, A. (1996). Dinnermusic for demented patients: analysis of video-recorded observations. Clinical Nursing Research, 5, 262–277.CrossRefGoogle ScholarPubMed
Ragneskog, H. and Kihlgren, M. (1997). Music and other strategies to improve the care of agitated patients with dementia. Scandinavian Journal of Caring Sciences, 11, 176–182.CrossRefGoogle ScholarPubMed
Reisberg, B., Ferris, S. H., de Leon, M. J. and Crook, T. (1982). The Global Deterioration Scale (GDS) for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139.Google Scholar
Sink, K. M., Holden, K. F. and Yaffe, K. (2005).Pharmacological treatment of neuropsychiatric symptoms of dementia. JAMA, 293, 596–608.CrossRefGoogle ScholarPubMed
Spira, A. P. and Edelstein, B. A. (2006). Behavioral interventions for agitation in older adults with dementia: an evaluative review. International Psychogeriatrics, 18, 195–225.CrossRefGoogle ScholarPubMed
Vink, A. C. (2000). The problem of agitation in elderly people and the potential benefit of music therapy. In Aldridge, D. (ed.), Music Therapy in Dementia Care (pp. 102–118). London: Jessica Kingsley Publishers.Google Scholar
Vink, A. C., Birks, J. S., Bruinsma, M. S. and Scholten, R. (2003). Music therapy for people with dementia. The Cochrane Database of Systematic Reviews, 4, Art. No.: CD003477.pub2. DOI: 10.1002/14651858. CD003477.pub2.CrossRefGoogle Scholar
Zuidema, S. U., van der Meer, M. M., Pennings, G. A. and Koopmans, R. T. (2006). Prevalentie van probleemgedrag bij een groep dementerende verpleeghuispatiënten. Tijdschrift voor Gerontologie en Geriatrie, 37, 19–24.CrossRefGoogle Scholar
Zuidema, S., Koopmans, R. and Verhey, F. (2007). Prevalence and predictors of neuropsychiatric symptoms in cognitively impaired nursing home patients. Journal of Geriatric Psychiatry and Neurology, 20, 41–49.Google Scholar