Matching Items (7)
Description
Hospice Music Therapy is an established specialization area within the field of music therapy with significant empirical research confirming its efficacy. Much of the current research on hospice music therapy concerns the use of receptive music therapy and traditional counseling and psychotherapy techniques. According to a survey of people with terminal illness, the most common needs experienced are: pain management, support for autonomy to the fullest extent possible, psychosocial support, and spiritual support. Mindfulness and mindfulness based interventions have been linked to increased self-compassion, reduced stress, reduced anxiety, and a reduction in self-reported perception of pain. While music therapy performs well in empirical measures of hospice-related need areas, mindfulness techniques and practice may enhance the music therapist’s capacity for self-care and administering hospice treatment. Additionally, music therapy may be a good companion to a mindfulness based therapy due to similar cognitive effects and processes that are utilized in each. This thesis will formulate a conceptual framework in which mindfulness and body awareness might be used as an integral aspect to the music therapist's practice in the hospice setting.
ContributorsRynex, Benjamin Warren (Author) / Rio, Robin (Thesis advisor) / Eubanks, Kymla (Thesis advisor) / Sebren, Ann (Committee member) / Arizona State University (Publisher)
Created2018
Description
BACKGROUND: Delirium is often not recognized by clinicians at hospice facilities, leading to the lack of beneficial interventions. The aim of this study is to find a baseline of how many patients show signs of delirium, dementia, or both, determine whether clinicians are recognizing these signs, and observe how dementia and delirium are being treated for these patients.
DESIGN: Patient charts were reviewed to obtain demographic information, medications, and patients' progress throughout stay including pharmacologic and non-pharmacologic interventions and results. Patients were then interviewed using the short portable mental status questionnaire.
SETTING: The prevalence and management of dementia and delirium was evaluated in 10 Hospice of the Valley inpatient settings.
RESULTS: Out of the 159 participants (mean age = 77.72 years), 93 (58.5%) presented with moderate to severe cognitive impairment, but only 38 participants (23.9%) had a formal diagnosis of dementia. Out of the 93 participants with significant cognitive impairment, 60 participants (65.6%) were treated with benzodiazepines and 82 (88.2%) were treated with opioids. Fifty-nine (63.4%) participants with cognitive impairment had documented non pharmacological interventions such as repositioning and reorientation, but only 22 (23.7%) participants received more meaningful non-pharmacological interventions such as hand massages, targeted videos, and favorite music.
CONCLUSIONS: The current study found a high prevalence of moderate to severe cognitive impairment without a diagnosis of dementia. A likely cause is the high frequency of opioids and benzodiazepines prescribed, causing drug-induced sedation and delirium which significantly impairs cognitive abilities. Safer alternatives, such as non-opioid pain medications, should be considered within the hospice population, especially given that age is a risk factor for delirium. A tool would be helpful to encourage staff to identify and document use of non-pharmacological interventions.
DESIGN: Patient charts were reviewed to obtain demographic information, medications, and patients' progress throughout stay including pharmacologic and non-pharmacologic interventions and results. Patients were then interviewed using the short portable mental status questionnaire.
SETTING: The prevalence and management of dementia and delirium was evaluated in 10 Hospice of the Valley inpatient settings.
RESULTS: Out of the 159 participants (mean age = 77.72 years), 93 (58.5%) presented with moderate to severe cognitive impairment, but only 38 participants (23.9%) had a formal diagnosis of dementia. Out of the 93 participants with significant cognitive impairment, 60 participants (65.6%) were treated with benzodiazepines and 82 (88.2%) were treated with opioids. Fifty-nine (63.4%) participants with cognitive impairment had documented non pharmacological interventions such as repositioning and reorientation, but only 22 (23.7%) participants received more meaningful non-pharmacological interventions such as hand massages, targeted videos, and favorite music.
CONCLUSIONS: The current study found a high prevalence of moderate to severe cognitive impairment without a diagnosis of dementia. A likely cause is the high frequency of opioids and benzodiazepines prescribed, causing drug-induced sedation and delirium which significantly impairs cognitive abilities. Safer alternatives, such as non-opioid pain medications, should be considered within the hospice population, especially given that age is a risk factor for delirium. A tool would be helpful to encourage staff to identify and document use of non-pharmacological interventions.
ContributorsDe Jesus, Sarah Spicer (Author) / Hamilton, Gillian (Thesis director) / Glenberg, Arthur (Committee member) / Volk-Craft, Barbara (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
5 With over 55,000 pediatric deaths per year in the United States, there is a tremendous need for pediatric palliative and hospice care facilities. While this programmatic typology exists in several countries around the world - including over 45 centers in the United Kingdom alone - only two pediatric palliative and hospice facilities are operational in the United States. Offering a spectrum of care that extends from respite to end-of-life, these facilities would benefit over 8,600 children daily in the U.S. In addition to compiling research in order to build a case for the express need for such a facility, I propose that this typology requires a unique organizational scheme that diverges from the traditional program of home or hospital. Rather than adhering to the hierarchies found in a singlefamily residence, upon which the current model is organized, this new type of design revolves around the Nurses' Station as the nucleus of the facility. Additionally, the design relies heavily upon biophilic stratagem and play therapy, which further influence the program and form of the building. These tactics are used to enhance the psychological state of the patient, family, and medical staff and to mitigate the impact of a life-threatening or life-limiting illness.
ContributorsCase, Jessica Marie (Author) / Zingoni, Milagros (Thesis director) / Hejduk, Renata (Committee member) / Peavey, Erin (Committee member) / School of Sustainability (Contributor) / The Design School (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
White Dove Thrift Shoppes, two stores in Phoenix run by Hospice of the Valley, serve a vital function in the city. These stores allow members of the community to donate and shop while furthering the Hospice cause. Many aspects of the stores run smoothly but there is always room for improvement. While no formal goals have been established, it seems likely that management is looking for ways to increase sales and improve brand awareness. To determine how this can be accomplished, I conducted an external audit interviewed White Dove personnel. To remain competitive, White Dove needs to emphasize its strengths. Among these is the sense of community White Dove provides for its volunteers, customers, and management. The store offers high quality merchandise at a low price, which is essential for the thrift industry. The stores also are quite innovative, which will serve them well in the future. Along with its strengths, White Dove has some areas for improvement. To maximize profitability, it is recommended that White Dove engage in business practices that it is currently not exploring. In terms of marketing, the stores could advertise more within Hospice and the local community. Store tangibles could also be modified to make customers feel more comfortable. Additionally, White Dove should improve training methods for its volunteers and make all volunteers feel appreciated. Finally, managers have indicated that they would like to expand to a younger demographic. To accomplish this, White Dove can utilize ASU students and Greek life. If White Dove can successfully implement these recommendations and continue to highlight its strengths, the stores will remain competitive in the future.
ContributorsMcLellan, Brittany Ann (Author) / Ostrom, Amy (Thesis director) / Mokwa, Michael (Committee member) / Hutchman, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / W. P. Carey School of Business (Contributor) / School of Humanities, Arts, and Cultural Studies (Contributor) / Department of Supply Chain Management (Contributor) / Department of Marketing (Contributor)
Created2013-05
Description
The purpose of this project is to explore the historical context and current state of prison hospice programs in the US. This objective was accomplished through an extensive review and synthesis of the relevant literature pertaining to prison hospice programs in the US. The historical increase of the incarceration rate beginning in America during the 1980’s has led to the development of more elderly prisoners than ever before in the US. As prisoners age in the US correctional system, they experience faster-than-average health decline. Mass incarceration has placed incredible strain on the correctional system to provide healthcare to the medically complex elderly inmate population. This project proposes that some of this systematic strain may be alleviated through the action of prison hospice programs. Prison hospices replace unnecessary industrial medical interventions with personalized comfort care measures and the unique service of inmate volunteers. This approach to medical care at the end of life has become the standard of care for the free population but is slower to emerge in the prison context. This project asserts that the dying US inmate population should be offered the right to a dignified death through equitable access to hospice services.
ContributorsBatzli, Elisabeth Kathleen (Author) / Sturgess, Jessica (Thesis director) / Hamilton, Gillian (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
This honors thesis explores the potential use of LoRa technology for detecting moisture in a diaper. Tests of both onboard and external humidity sensors coupled with LoRa transmission are incredibly promising. The potential scale of the final device also shows much promise, measuring smaller than a U.S. dime. However, the estimated cost for producing these proof-of-concept units in bulk is $19.41 per unit. While this is believed to be a pessimistic estimate of the price, the cost of production remains too high regardless for large-scale implementation. The thesis concludes by emphasizing the need for further research and development to optimize the design and reduce the cost of production. Despite the limitations imposed by price, the idea of using LoRa in detecting moisture in a diaper remains intriguing and promising, however, RFID technology has many advantages, such as size, cost, and passive power features.
ContributorsBetlaf, Garrett (Author) / Aberle, James (Thesis director) / McDonald, James (Committee member) / Barrett, The Honors College (Contributor) / Electrical Engineering Program (Contributor)
Created2023-05
Description
ABSTRACT
Individuals receiving hospice care at the end of life have a unique set of needs, requiring interdisciplinary assessment and treatment to meet their multidimensional circumstances and create a supportive and comfortable experience. Music therapy is often an integral component of hospice care utilized to treat the whole person. While there are published music therapy assessment tools for use with the hospice population, there is no assessment tool specifically aimed at understanding the role of music preference in the context of the hospice patient’s multidimensional musical ecosystem identity. The purpose of this thesis was to create an assessment tool to understand and document the individualized connections between a hospice patient’s familiar and preferred music and their musical identity, in order to increase cultural awareness and to utilize music selection with purpose while supporting and empowering the patient. The proposed music preference assessment tool utilizes an ecomap structure and combines theories and philosophies from the fields of music therapy and social work. The needs of the hospice population are identified and music therapy is discussed as a treatment modality in hospice. Existing music therapy and social work assessments are identified and examined and elements of each are utilized in the creation of the proposed music preference assessment tool. A template and example assessment tool are provided with considerations for clinical implications and uses.
Individuals receiving hospice care at the end of life have a unique set of needs, requiring interdisciplinary assessment and treatment to meet their multidimensional circumstances and create a supportive and comfortable experience. Music therapy is often an integral component of hospice care utilized to treat the whole person. While there are published music therapy assessment tools for use with the hospice population, there is no assessment tool specifically aimed at understanding the role of music preference in the context of the hospice patient’s multidimensional musical ecosystem identity. The purpose of this thesis was to create an assessment tool to understand and document the individualized connections between a hospice patient’s familiar and preferred music and their musical identity, in order to increase cultural awareness and to utilize music selection with purpose while supporting and empowering the patient. The proposed music preference assessment tool utilizes an ecomap structure and combines theories and philosophies from the fields of music therapy and social work. The needs of the hospice population are identified and music therapy is discussed as a treatment modality in hospice. Existing music therapy and social work assessments are identified and examined and elements of each are utilized in the creation of the proposed music preference assessment tool. A template and example assessment tool are provided with considerations for clinical implications and uses.
ContributorsHodge, Lisa Diane (Author) / Belgrave, Melita (Thesis advisor) / Norton, Kay (Committee member) / Sullivan, Jill M (Committee member) / Arizona State University (Publisher)
Created2020