‘Music therapeutic caregiving’ (MTC), when caregivers sing for or together with persons with dementia (PWDs) during caring situations, has been suggested as a way to reduce PWDs’ behavioral and psychological symptoms of dementia (BPSD). An intervention was designed to elucidate what influences MTC might have on PWDs and their caregivers. The aim was to describe professional caregiverś experiences of caring for PWDs during morning care situations without and with MTC. Group interviews were conducted, and a qualitative content analysis was performed. Two themes were revealed. The first (without MTC), Struggling for care in communion, encompassed four sub-themes: Hampered communication; Physical and mental struggle with aggression; Struggling with ethical demands; and The reward — consolation and love. The second theme (with MTC), Consolidating care in communion, encompassed two sub-themes: awakening cooperation, and feeling of well-being. The authors conclude that MTC could be used to help caregivers provide improved care.
Acton, G.J., Yauk, S., Hopkins, B.A., & Mayhew, P.A. ( 2007). Increasing social communication in persons with dementia . Research and Theory for Nursing Practice, 21(1), 32-44.
2.
Almvik, R., Rasmussen, K., & Woods, P. ( 2006). Challenging behaviour in the elderly-monitoring violent incidents. International Journal of Geriatric Psychiatry, 21(4), 368-374.
3.
Almvik, R., Woods, P., & Rasmussen, K. ( 2007). Assessing risk for imminent violence in the elderly: The Broset Violence Checklist. International Journal of Geriatric Psychiatry, 22(9), 862-867.
4.
Astrom, S., Karlsson, S., Sandvide, A., Bucht, G., Eisemann, M., Norberg, A., & Saveman, B. ( 2004). Staff’s experience of and the management of violent incidents in elderly care. Scandinavian Journal of Caring Sciences, 18(4), 410-416.
5.
Brown, S., Götell, E., & Ekman, S. ( 2001). ‘Music therapeutic caregiving: The necessity of active music-making in clinical care. Arts in Psychotherapy , 28, 125-135.
6.
Buhr, G.T., & White, H.K. ( 2007). Difficult behaviors in long-term care patients with dementia . Journal of the American Medical Directors Association, 8(3 Suppl 2), e101-113.
7.
Clair, A.A. ( 2002). The effects of music therapy on engagement in family caregiver and care receiver couples with dementia. American Journal of Alzheimer’s Disease and Other Dementias, 17(5), 286-290.
8.
Clair, A.A., Mathews, R.M., & Kosloski, K. ( 2005). Assessment of active music participation as an indication of subsequent music making engagement for persons with midstage dementia. American Journal of Alzheimer’s Disease and Other Dementias, 20(1), 37-40.
9.
Cohen Mansfield, J., & Parpura Gill, A. (2007). Bathing: A framework for intervention focusing on psychosocial, architectural and human factors considerations. Archives of Gerontology and Geriatrics, 45(2), 121-135.
10.
Côte Arsenault, D., & Morrison Beedy, D. (2005). Focus on research methods. Maintaining your focus in focus groups: Avoiding common mistakes. Research in Nursing and Health, 28(2), 172-179.
11.
Edvardsson, D., Winblad, B., & Sandman, P.O. ( 2008). Person-centred care of people with severe Alzheimer’s disease: Current status and ways forward. Lancet Neurology , 7(4), 362-367.
12.
Ferri, C.P., Prince, M., Brayne, C., Brodaty, H., Fratiglioni, L., & Ganguli, M., et al. (2005). Global prevalence of dementia: A Delphi consensus study. Lancet, 366(9503), 2112-2117.
13.
Finkel, S.I. ( 2001). Behavioral and psychological symptoms of dementia: A current focus for clinicians, researchers, and caregivers. The Journal of Clinical Psychiatry, 62, 3-6.
14.
Finkel, S.I. ( 2003). Behavioral and psychologic symptoms of dementia. Clinics in Geriatric Medicine, 19(4), 799-824.
15.
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician . Journal of Psychiatric Research, 12(3), 189-198.
16.
Götell, E. ( 2003) Singing, background music and music-events in the communication between persons with dementia and their caregivers. Available at: http://diss.kib.ki.se/2003/91-7349-613-148/ (accessed 26 August 2009).
17.
Götell, E., Brown, S., & Ekman, S. ( 2002). Caregiver singing and background music in dementia care . Western Journal of Nursing Research, 24(2), 195-216.
18.
Götell, E., Brown, S., & Ekman, S. ( 2003). Influence of caregiver singing and background music on posture, movement, and sensory awareness in dementia care. International Psychogeriatrics, 15(4), 411-430.
19.
Götell, E., Brown, S., & Ekman, S. ( 2009). The influence of caregiver singing and background music on vocally expressed emotions and moods in dementia care: A qualitative analysis . International Journal of Nursing Studies, 46, 422-430.
20.
Graneheim, U.H., Isaksson, U., Ljung, I.M., & Jansson, L. ( 2005). Balancing between contradictions: The meaning of interaction with people suffering from dementia and ‘behavioral disturbances’ . International Journal of Aging and Human Development, 60(2), 145-157.
21.
Graneheim, U.H., & Lundman, B. ( 2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112.
22.
Herrmann, N., & Gauthier, S. ( 2008). Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease. Canadian Medical Association Journal , 179(12), 1279-1287.
23.
Hogan, D.B., Bailey, P., Black, S., Carswell, A., Chertkow, H., & Clarke, B., et al. (2008). Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy mild to moderate dementia. Canadian Medical Association Journal, 179(10), 1019-1026.
24.
Lundstrom, M., Astrom, S., & Graneheim, U.H. (2007). Caregivers’ experiences of exposure to violence in services for people with learning disabilities . Journal of Psychiatric and Mental Health Nursing, 14(4), 338-345.
25.
Matteau, E., Landreville, P., Laplante, L., & Laplante, C. ( 2003). Disruptive vocalizations: a means to communicate in dementia ? American Journal of Alzheimer’s Disease and Other Dementias, 18(3), 147-153.
26.
Morgan, D.G., Crossley, M.F., Stewart, N.J., D’Arcy, C., Forbes, D.A., Normand, S.A., & Cammer, A.L. ( 2008). Taking the hit: Focusing on caregiver ‘error’ masks organizational-level risk factors for nursing aide assault. Qualitative Health Research, 18(3), 334-346.
27.
Normann, H.K., Asplund, K., Karlsson, S., Sandman, P., & Norberg, A. ( 2006). People with severe dementia exhibit episodes of lucidity . A population-based study. Journal of Clinical Nursing, 15(11), 1413-1417.
28.
Onishi, J., Suzuki, Y., Umegaki, H., Nakamura, A., Endo, H., & Iguchi, A. ( 2005). Influence of behavioral and psychological symptoms of dementia (BPSD) and environment of care on caregivers’ burden. Archives of Gerontology and Geriatrics, 41(2), 159-168.
29.
Polit, D.F., & Beck, C.T. ( 2008). Nursing research: Generating and assessing evidence for nursing practice8th edn. Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins.
30.
Pulsford, D., & Duxbury, J. ( 2006). Aggressive behaviour by people with dementia in residential care settings: A review. Journal of Psychiatric and Mental Health Nursing, 13(5), 611-618.
31.
Remington, R., Abdallah, L., Melillo, K.D., & Flanagan, J. ( 2006). Managing problem behaviors associated with dementia. Rehabilitation Nursing, 31(5), 186-192.
32.
Skovdahl, K., Kihlgren, A.L., & Kihlgren, M. ( 2003a). Dementia and aggressiveness: Video recorded morning care from different care units. Journal of Clinical Nursing , 12(6), 888-898.
33.
Skovdahl, K., Kihlgren, A.L., & Kihlgren, M. ( 2003b). Different attitudes when handling aggressive behaviour in dementia - narratives from two caregiver groups. Aging and Mental Health, 7(4), 277-286.
34.
Small, J.A., Gutman, G., Makela, S., & Hillhouse, B. ( 2003). Effectiveness of communication strategies used by caregivers of persons with Alzheimer’s disease during activities of daily living . JSLHR: Journal of Speech Language and Hearing Research, 46(2), 353-367.
35.
The Swedish Council on Technology Assessment in Health Care (SBU). (2008). Dementia - Caring, Ethics, Ethnical and Economical Aspects - A Systematic Review (SBU report, Vol. 3). Mölnlycke: Elanders Infologistics Väst AB.
36.
Vink, A.C., Birks, J.S., Bruinsma, M.S., & Scholten, R.J.P. (2007). Music therapy for people with dementia. Cochrane Database of Systematic Reviews (COCHRANE DATABASE SYST REV).
