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Bev Foster • October 14, 2015

The Pathways Singing Program for Memory Care

I am pleased to announce that the Pathways Singing Program for Memory Care is now available from the Room 217 Foundation. Pathways is a singing program that enhances the quality of life and care for people living with dementia. Pathways provides hundreds of hours of meaningful and interactive programming for persons living with dementia. It is an opportunity to strengthen relationships among all care partners and is ready-to-use. And the best thing of all, you don’t have to be a musician to facilitate this program!

Pathways is comprised of a video series of 13 30-minute episodes led by an expert singing host; activity booklets with 325 accompanying activation ideas; online training comprised of six short tutorials. There is a bonus audio CD for each episode including the Pathways theme song, breathing music, and instrumental and vocal tracks of each song in that specific episode.

Participants are invited into a singing experience that is non-threatening, warm and respectful. Pathways is a ready-to-use music care resource that can be facilitated by singers or non-singers. Pathways may be used in various settings like long term care, retirement homes, complex continuing care, hospitals, day programs, Alzheimer support groups, hospices, and private homes.

In the spring of this year, Room 217 conducted a beta test (see related 3 minute video) in 30 sites that provide memory care programs. These early testing results (see report here) indicated that Pathways increased responsiveness and socialization in participants living with dementia as well as reduce behaviours.

Facilitators commented: “Everything is here to do our job.” “They want to do Pathways again and again and that is welcome news for an activity aide.” “Every time, it’s been a success! Residents are singing, tapping their toes, engaging in conversation, clapping with Briar [the singing host].” “I love that it is ready to go. It’s animated. It’s engaging. It’s moving and not dull.”

Participants themselves like the program. Joyce says “When I sing, I live the words. I like all of it.” Ethel comments “I like this program. It’s entertaining. It’s good for the mind. For the brain.” Philis says “I like it all. I feel better. Have fun. Enjoy myself. I laugh and carry on. You know what I mean?”

And family caregivers appreciate the program. “I learned things about mom that I didn’t know before because it brings back memories.” “The effect is that we feel closer. We enjoy each other’s company. It allows for natural expression of affection.”

Music, and in particular singing, is effective in persons with dementia for a number of reasons. Singing memories are processed and stored in different place in the brain that speech. So in dementia, singing memories and musical recognition like pitch and rhythm may not be lost. Songs are often associated with feelings which may trigger memories. Music’s reach is effective through the whole dementia trajectory, from early stages until end of life.

Pathways videos use captivating and colourful images which enhance background information and song content. ( See sample of Europe Collection here.) The videos along with the activities make Pathways a stimulative, multi-sensory opportunity, with opportunities to engage gross and fine motor skills, reminiscence, cognition, visual acuity and play.

It is my personal hope that Pathways will provide hours of enjoyment and pleasure for thousands of people, and that relationships among care partners will be strengthened through making music together.

Learn more about the Pathways program, or visit our resource store for purchase information

Bev Foster is the Executive Director of the Room 217 Foundation, an organization dedicated to music and care. She is an experienced, performer, songwriter and music educator. Compelled by their own caregiving situation, Bev and her husband Rob, founded the Room 217 Foundation in 2009. Bev speaks and writes extensively on the power of music, especially in complex care or life limiting situations. Her passion for music enhancing quality of life and care is contagious.

By Shelley Neal March 8, 2024
I initially trained with MUSIC CARE to work with Seniors in Long Term Care who were experiencing dementia and Alzheimer’s Disease. This is the path I travelled with my mom. My training with Music Care and Room 217 supported capacity building in selecting music that was played on my harp or chosen recorded music. The music centered on the care of the individual and their specific needs. My job was to determine the individual’s specific and select music to address these needs. The music selected helped to build community, support sleep, talk about life experiences, create a background landscape of sound, support connection to decrease isolation and loneliness, as well as coming alongside people dying. My training with Music Care helped me understand how to support people “where they were” physically, emotionally, and spiritually. Through using beat, tempo, melody, and timbre, I could cater the music and desired support required for individuals or small groups. My profession is teaching. I am a special education teacher and use music in my primary teaching as a method for learning, practicing language skills, transmitting information about science studies or math equations, as well as having fun and creating our own songs. My teacher toolkit married exceptionally well with the knowledge and skills provided by the Music Care Certification training. Recently, my work with students has involved individual programming for the medically fragile children and the palliative children. I use music (repeating the chorus several times) to engage and connect with the kiddos. We use music to "talk" about feelings (our communication is through eye gaze, eye blinks, and squeezing hands), and content material. I use music to enjoy our relationship of being together. At times, due to medication for seizures, my little ones can be very sleepy. I increase the tempo, engaging in tapping the beat on her hands and using silly action songs. The giggles and wiggles make it magical. I also use music to tell stories (my students have CVI, cortical vision impairment, so visual perception is difficult). This helps the child to engage in the story arch and adventures. Music is my conduit for reaching out and being with the students. Recently, I had the sacred journey of visiting one of my children in ICU at Sick Kids. I was invited to come to say "goodbye". A dear friend who was an ICU nurse in a different department told me (AKA, insisted) that I bring my harp with me. I wasn't sure if this would be appropriate for the family. However, with the permission of the mom, I bravely packed my harp up and took it to the Unit. It was a beautiful evening of talking with their mom and dad about how special their child was in my life. I played the kiddo's favorite songs and then ended with "The More We Get Together". The little one opened their eyes and stared at me. We hugged, and I left. They passed the next morning. I consider this time to be a sacred gift. Music Care Certification has given me the confidence and toolset to work alongside people and to journey together. It is a time a beautiful, difficult, or sacred time that I have been honoured to participate in.  Thank You
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