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Bev Foster • December 19, 2018

New Sounds in Palliative Care

The effects of my family singing around Dad as he was dying has inspired me to help other families support loved ones with music. Music becomes an important accompaniment through an end of life journey. I see it as a valuable psychosocial and spiritual tool, enhancing connection and communication, strengthening relationship completion, and offering existential meaning and support. These outcomes help to inform performance methodology and production values of Room 217’s music care Collection series.

Collection 1 is a mix of familiar music designed for whole family care. Using a gentle ribbon of two to four “colours” of sound, the music ebbs and flows, is paced around the 60 beats per minute mark to entrain with resting heart rate. Collection 2 increases the breadth of universally familiar western songs from various genres like country, jazz, inspirational, and Broadway.

Over the past decade, the sounds of the 12 albums in Collections 1 & 2 have resonated in hospice, palliative care, long-term care rooms, and in private homes across the country. Whether delivered by CD, itunes or a streaming service, the Room 217 brand of comfort music has been used by professional and family caregivers to accompany thousands of Canadians in their end of life journey.

This year, we have begun to produce two new collections that will help meet expanding needs of palliative and end of life care in Canada. We are planning to launch both collections in April 2020 at the Hospice Palliative Care Ontario conference.

Collection 3 is all about diverse sounds. While we may not meet every culture in this collection, we are using universal ethnically inclusive sounds like the oud, sitar, native flute, shokahachi, zheng, kalimba and panpipes. In this collection, it will be the timbre – colour – of these sounds, rather than songs, that are associative. We are creating improvisational soundscapes, performed in collaboration with expert musicians of various cultures. Our talented creative leads, Aaron Lightstone & Justin Gray , are developing a production process that includes a cultural discovery process with master musicians and palliative care experts. Together they determine meaningful soothing sounds within a cultural context. As themes emerge, soundscapes will be created, and albums will be named.

Collection 4 is for the boomers. Boomers notoriously have a strong relationship to music and are now populating end of life settings as both care receivers and caregivers. There are thousands of potential songs for these six albums, so a process of song selection has been critical. Over the past year, we have engaged in surveys and focus groups with Room 217 stakeholders to determine song lists. Veteran producer Carmon Barry and performer/arranger Aidan Mason join me on the creative team for this collection. Watch for these upcoming albums:

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Road Trip Favourites
Music to take you back to those wide-open roads, car sing-a-longs and thumb tapping on the steering wheel.

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Heart & Soul
From Memphis to Motown, soul music expresses itself through the deep roots of gospel, R & B and blues. The emotional impact of these songs is profound.

[IMAGE] Dance Songs
Music, milkshakes and fries. These are the songs you picked from the jukebox and danced to. That you bopped and shimmied to.
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Songs of courage and hope
Songs can change you and keep you going during life’s struggles. They can help us face an illness or help us die.

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60's folk scene music
Coffeehouses, beat poetry, flower power, protests, and 6 strings. These are the acoustic sounds of the ‘60s.

[IMAGE] Pop and rock from the UK
Mop top, Liverpool, mini-skirts – lots of the great stuff came from the British Invasion of pop music.

We’re excited to expand the Room 217 music library with 12 new albums to touch more lives and reach into more rooms with the healing power of music. To date, we have raised 20 per cent of production costs. Because we are responding to the need for diversity in music for palliative care, Room 217 encourages financial support from a variety of cultural groups. If you would like more information on how you or your organization can be involved in helping us with either of the new Collections, contact Deb Bartlett dbartlett@room217.ca.

Bev Foster, MA, BEd, BMus, ARCT, AMus, is the Founder and Executive Director of the Room 217 Foundation, an organization dedicated to music and care. She is an experienced musician and educator who speaks and writes extensively on the power of music, especially in life limiting situations.

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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