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Deb Bartlett • May 10, 2018

Music Making a Difference at Shepherd's Care

After members of the Shepherd’s Care Foundation board saw Alive Inside two summers ago, they decided to fundraise for a music in care initiative to support seniors.

Krysta Inch, Therapeutic Service Manager at Shepherd’s Care Foundation, says she wanted to learn more, so she and two others attended a Level 1 Music Care Training offered by Room 217 in Edmonton. Krysta says what she learned was invaluable. A music in care committee was struck, and she felt compelled to share what she’d learned in Music Care Training. “There is so much more music opportunity then providing music through headphones for individuals, like what was presented in the Alive Inside,” Krysta shared.

Since then, a number of initiatives have blossomed at Shepherd’s Care that are bringing music to the lives of a wide range of residents.

The board wanted staff to broaden their understanding, and agreed for an exclusive training of 30 Shepherd’s Care staff. Krysta says they wanted to empower those champions who wanted to use music in their care. They hired a music therapist for eight weeks last summer, and purchased Room 217’s Pathways Singing Program (designed for dementia). She loves the program because it’s simple to use, and even students have been shown how to lead a session.

Krysta says the reaction to Pathways has been amazing. “It’s ridiculous. I can’t believe how much they love this (program). They love her (Briar Boak, the singing host).”

They love her so much, the rec staff started putting Pathways on in common areas between 2:45 and 3:15. Why? “We’d identified that that was a key time where some residents were experiencing falls. That’s shift change time, and when staff were charting and reading notes, there were falls taking place in the home. Krysta says falls have reduced during this identified time frame “It’s an effective tool for us,” she says.

Shepherd’s Care has also created music in care resource carts that are portable. The carts have a TV and DVD player, the Pathways set, and other music resources. They’re small enough for one-to-one visits for residents who are socially isolated, she says, but can easily be adapted for groups.

Shepherd’s Care has also started large singalong groups that regularly draws 50-60 people. That program is running in several care areas, and draws a range of residents from those who are fully independent to those with severe dementia.

Technology, too, is changing how they’ll be bringing music into the lives of residents. Krysta says they are getting iPads, and Apple music, so they’ll have access to “massive amounts of music.” Residents will be able to see and hear the music at the touch of a finger.

The homes have also invested in music carts, containing a number of instruments. Krysta says they’re mostly percussion instruments that enable residents to play as a group, or to accompany live entertainers when it’s suitable.

Their music in care initiative also includes the training of all rec leaders to lead drum circles, rather than paying someone to come in and facilitate the circles in the homes. The leaders learned the history and purpose of drumming, and they’ll be leading 30 minute sessions.

Krysta says staff are also creating music moments. When staff see another team member use music in the care of residents, they write it out and submit it in a draw. The goal is to recognize people who are using music in care. The champions were special pins that identify them as a music leader in the home.

A next step at Shepherd’s Care is using music therapy with goal-driven programs, to further the good work that’s already being done.

Since these initiatives have begun, Shepherd’s Care has been using RAI MDS tools to track outcomes. They’ll be able to show the board how music has made a difference in the lives of their residents.

“We know it’s making a difference,” Krysta says. “This is real.”

Deb Bartlett is the resource lead for Room 217 Foundation. By profession, she is a journalist who has worked in community newspapers in the GTA for 30 years. If you have a story to share about how music has affected your caregiving, email dbartlett@room217.ca.

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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