Evidence Based Practice Paper


Nurses who are mostly involved in home visitation therapies and treatments have preferred the application of music therapy on older patients with Alzheimer’s disease. The reasons behind this are not particularly hard to discern given the fact that music therapy remains an effective intervention technique in handling the symptoms of dementia. Older people demonstrate high levels of agitation and anxiety often manifested in a lot stress and lack of self-control. The explanations provided by a number of research articles towards the effective role of music and music therapy include the effect of music on attention.

Agitation leads to severe disturbances in the quality of life of people with Alzheimer’s disease and their carers (Lawlor, 1995). It is well known that the incidences of dementia and older people’s medical complications are steadily rising due to the partial increase in the average life expectancy observed over the past century (Miller, 2008). During the recent past, different research articles abide to the fact that there is need to adequately meet the physical, psychological and social needs of the older people. Research evidence, heath care givers, affected family members and a number of medical reports point to one fact that music and music therapy may have a unique effect on people with dementia, and more specifically on those with probable diagnosis of dementia of the Alzheimer’s type (DAT) (Wigram, Pedersen & Ole Bonde, 2002).

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Article I Support of Music Therapy on Older Patients with Alzheimer’s

“The recent qualitative review of literature in the area of music and music therapy and dementia published on this topic suggest that music and music therapy is an effective intervention for maintaining and improving active involvement, social, emotional, and cognitive skills” (Lehrer, Woolfolk & Sime, 2007). In addition to the above, music and music therapy are also effective in the reduction of behavioral problems in individuals with dementias (Lehrer, Woolfolk & Sime, 2007). The role of these present qualitative analysis on this topic have been done with the view of understanding the quality of these studies and carry out a deep analysis on how their methodological approaches influenced the effectiveness of the therapy.

One interesting article that has demonstrated immense support for the effectiveness of music therapy on older patients with Alzheimer’s is Relaxingmusic at mealtime in nursinghomes: effects on agitatedpatients with dementia. Journal of Gerontological Nursing. 31, 1. By Hicks-Moore, S.L. (2005). Hicks-Moore (2005), in his study has successfully presented a comprehensive and relevant academic, theoretical as well as empirical review of literature in his study. Through the analysis of 30 patients- both male and female aged 65 and above with severe cognitive impairments, Hicks-Moore has managed to open up a Pandora box that in an intervention nursing area that needs more concerted research. In the analysis of the background to the study, he has first presented early studies as well as more recent information that are coherent with this article. A literature search was carried out on observations, role of different types of music and “phenomenology research methods’. This author has abided with the findings of other researchers on this topic. The authors began by demonstrating the need to incorporate the element of a phenomenological approach to the study that could have an in-depth exploration of problems to be addressed in what he termed as “Seeing things up close” – using the philosophy of Husserl as a base.

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Relevant demonstrative capacity and in-depth analysis on this topic is manifested by Hicks-Moore (2005) to demonstrating connections to other academic works on the topic. In this endeavor, he have achieved the relevance of this study to the current demands in understanding the problems older people with Dementia go through due to the complications of this medical problem always presented in the form of agitation and anxiety. Recent studies have focused on the need to exploring strategies aimed at reducing the effect of Dementia and Alzheimer’s on older residents through the application of music and music therapy.

I have made groundbreaking discoveries and learnt a cocktail of lessons on the effect of music therapy on older patients with dementia and Alzheimer’s disease. These include the fact that research can affect knowledge development on the following levels: factual, concepts, hypotheses, empirical generalizations, theoretical generalizations, and paradigms. The knowledge development based upon an analysis of the literature on this form of therapy can help transform the general life of older adults and prevent medical complications associated with Dementia and Alzheimer’s.

I strongly believe that the studies in this area contribute to knowledge development on a factual level. This is because of the application of assessments to evaluate the role of music in reducing the levels of pain and anxiety on older residents. The knowledge availed to the field of medical care for the older residents by the articles and literatures have expanded my knowledge in this form of nursing therapy and contributed significantly to knowledge development and the need for further research. The patient or population in this study as illustrated above was composed of 30 male and female aged above 65 and suffering from severe cognitive impairment. The intervention in this study was the paradigm of interpretative and positivistic that majored on the effects of Effect of music on agitated elderly residents with dementia. The comparison was based on the Application of Cohen Mansfield Agitation Inventory to gather data. Last. The outcomes pointed out one fact that abided with other literatures on the same topic that music therapy is an effective form of therapy on people with dementia, and more specifically on those with probable diagnosis of dementia of the Alzheimer’s type (DAT)

In conclusion, I totally agree with the recommendations of this author. This is because this area of study forms a rich nursing intervention area that demands more research to lessen the pain and anxiety of Alzheimer’s and dementia patients. Furthermore, various paths should be explored and more research funds allocated towards this endeavor.

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