Collaboration in Medical Music Remedy


One of many surprising blessings from all that has occurred over the previous 12 months has been the period of time to myself. I’m not speaking concerning the time spent self-quarantining. I’m speaking concerning the variety of months I’ve been capable of independently return to the roots of music remedy. There are at all times surprising advantages to being pressured to cease and cut back your load – even when that wouldn’t be your first alternative within the second. The first accountability that was out of the blue faraway from my workload a 12 months in the past was serving as an internship supervisor. A lot of my day-to-day work for the previous few years has been in offering supervision and coaching to interns, usually overlapping in timelines and set on a reasonably steady loop. With our internship indeterminably paused, I out of the blue discovered myself with so. a lot. time. I completely get pleasure from having interns, however when an intern is continually at your facet, {many professional} alternatives and experiences both get missed or given to the coed. One in every of these alternatives was in constructing new or stronger relationships with different disciplines at our hospital and co-treating often.

My private philosophy of music remedy is that it really works finest along with others; whether or not that’s the consumer themselves, a household, or a remedy staff. At our hospital, we attempt to supply our interns as many alternatives as attainable to co-treat with our extremely various multidisciplinary staff. One of many drawbacks to this nevertheless, is that interns are nonetheless studying. When you might have newbies main the best way, co-treating doesn’t at all times go the best way it was anticipated. We’re extremely fortunate to be a instructing hospital the place nearly all of the employees get pleasure from instructing others and are due to this fact extremely affected person. To not point out, our extremely gracious sufferers and households.

For the primary time in awhile, co-treating returned to it’s stablest collaboration between professionals. Out of the blue, I used to be making frequent morning calls to arrange scheduled occasions to work with completely different disciplines in our collaborative approaches to affected person care. Many occasions these calls led to a domino have an effect on the place Bodily Remedy (PT) may need coordinated with Occupational Remedy (OT), and OT needed me to overlap with PT, however earlier than Youngster Life (CL), and after Respiratory Remedy (RT). However don’t overlook that the Hospital Schoolteacher (HST) wants to attach with the affected person and household after the medical staff has rounded and earlier than PT begins. If that seems like a fairly packed schedule for a pediatric affected person it actually is, however that could be a regular day in a lot of the hospital setting. What is especially highly effective about this sequence of occasions is that music remedy belongs. It’s not the afterthought self-discipline that squeezes in someplace, however is as an alternative a thoughtfully deliberate a part of the remedy plan for the day.

So, how do you soar from being a brand-new staff member, attempting to advocate for the beginning of a program to being a known as, consulted, and scheduled a part of the remedy staff?

By constructing relationships.

Half 1: Music Remedy and Nursing

In case you had been to prioritize any explicit relationship to construct within the hospital setting, it ought to positively begin along with your nurses. Identical to with some other area or self-discipline, sure sorts of personalities are drawn to completely different areas of the hospital. Sure specialities and acuities require distinctive skillsets. Determining what sorts of individuals are drawn to sure models/scientific areas is a superb first place to start out in figuring out every unit’s tradition. For instance, it’s most likely not shocking to study that nurses within the neonatal intensive care unit are extraordinarily protecting. They care deeply about their infants and take care of them with such gentleness and compassion it’s as in the event that they these infants are their very own. Unsurprisingly, they will take a little bit of convincing that their child won’t expertise hurt when left within the palms of others.

Nurses discover the small print and the medical staff seems to be to them for the ins and outs for a way their sufferers are responding. Nurses are sturdy advocates. If one thing is just not proper with their affected person, they communicate up. They name; they inquire; they resolve. They take delight of their sufferers’ successes they usually grieve for the challenges and losses. Nurses reduce their boundaries in order that their sufferers really feel snug figuring out who’s taking good care of them so intimately.

Nurses can develop into your primary fan – however solely after they witness and expertise the complexity and dedication of your work. Nurses usually are not going out of their option to skeptically query you or stop you from doing all of your job. They’re defending their affected person. As a substitute of offering training about what you might be there to do along with your affected person, ask them how they assume the affected person is doing. What have they observed? What may the affected person profit extra from? What do they assume the affected person wants proper now? Incorporate the nurses’ perspective and experience into your advocacy for using music remedy with this affected person.

Invite the nursing employees in. Supply to assist them with no matter they had been planning on doing with the affected person slightly than instantly selling your targets/goals. One in every of my favourite methods to collaborate with nursing within the NICU notably is aiding with hands-on-care. At scheduled occasions of the day, nurses present all of their care without delay to restrict the quantity of occasions the toddler is touched, stimulated, and prevented from sleep. Marvel why a nurse appears irritated that you’re offering music remedy presently? Maybe it’s since you got here half-hour after hands-on-care was accomplished and now the newborn has been prevented from a nap. A lot of NICU music remedy could be offered in collaboration with hands-on-care – even when meaning you might be singing to a child whereas their diaper is modified, dressings are modified, websites are cleaned, and many others. How does music remedy assist throughout hands-on time? How usually does hands-on care develop into a lot much less tense for child and nurse as a result of MT was there to assist everybody?

What else is nice about this collaborative time, you would possibly now be asking? As a rule, there are scientific conditions that come up unexpectedly that permit you and the nurse to bond. Only a few weeks in the past, I used to be offering assist throughout hands-on when an toddler’s gastrostomy (g)-tube fell out. That’s proper – it simply merely fell out. The nurse was actually caught off guard and had my additional two palms not been there already offering hand-over-hand motion with child to “The Itsy Bitsy Spider,” the state of affairs would have been even messier than it already was. I ended up offering help for an extra half hour to this nurse who in any other case would have been scrambling for assist or to finish all the pieces independently, however all of the extra stressfully. Now, this explicit nurse and I’ve this story as a shared second that we now have referenced since then and have a stronger affiliation with each other.

In the end, we now have shared reminiscences which have began a basis for a relationship.

We’re all people, no matter our self-discipline and our coaching. Oftentimes the medical setting is extremely intimidating – particularly for brand new music therapists or these new to this inhabitants. I’ve discovered that one of the best advocates for music remedy within the hospital setting are those that have immediately felt their very own work supported and have been capable of witness the optimistic responses due to the collaboration. Moreover, get to know them for extra than simply their nursing work and share particulars about your self. When nurses know you as an individual, it’s so a lot more durable for them to say no your advocacy or rationale for the work you intend to do with their affected person. They belief you as an individual and due to this fact will belief you to additionally care for their affected person.

However don’t fear – should you want them, they may solely be within the room subsequent door.