MT Exam 2

concepts of Robb Contextual model of support

Implement interventions that provide enough structure and support for patient to feel mastery over environment

Autonomy is key for this population for decision making to feel control and support

MT showing unconditional support

Role of certified child life specialist

provide therapeutic play, prep and education to reduce fear/anxiety for children in hospital settings; normalize medical environment; reduce trauma of hospitalization

Role of chaplains

provide support through prayer, spiritual guidance, religious rites/rituals, consolation in times of crisis or death, counsel through religious issues, and guidance to religious community resources

Role of occupational therapists

develop treatment plans to help patients maintain or regain everyday living skills - with children may use play to meet goals

Role of physical therapists

assess functioning and movement ability of patient, address goals like increase muscle strength, flexibility, endurance, joint mobility, coordination, and balance

Role of speech language pathologists

conduct oral-motor feeding evaluations, swallow studies, and language and speech evaluations; implement feeding/swallowing therapy, offer caregiver training, treat speech/language delays, and provide communication systems

Appropriate interventions for anxiety reduction

Breathing entrainment, Imagery, instrument/vocal play, listening, movement, music-assisted relaxation, re-creating music by singing or instrument play

Appropriate interventions for Autonomy/control

Improvisation, instrument/vocal play, movement, re-creating music by singing/playing instruments, songwriting/composition

Appropriate interventions for bereavement

Songwriting/composition

Appropriate interventions for coping skills

Breathing entrainment, imagery, improvisation, instrument/vocal play, lyric analysis, re-creating music by singing/playing instruments, songwriting/composition

Appropriate interventions for Developmental support

instrument/vocal play, movement, re-creating music by singing/instrument play

Appropriate interventions for legacy building

Lyric analysis, songwriting/composition

Appropriate interventions for motor skills

instrument/vocal play, movement

Appropriate interventions for normalization of the environment

improvisation, instrument/vocal play, listening, movement, re-creating music by singing/playing instruments

Appropriate interventions for pain management

Breathing entrainment, imagery, listening, movement, music-assisted relaxation

Appropriate interventions for procedural support

instrument/vocal play, listening, music-assisted relaxation, songwriting/composition

Appropriate interventions for self-expression

Improvisation, instrument/vocal play, lyric analysis, movement, re-creating music by singing/playing instruments, songwriting/composition

Description of procedural support for peds and adult

use music interventions like MAE or MAR to promote healthy coping and decrease distress during medical procedures

Examples of procedural support for peds

IV or PICC access, CT scan or other diagnostic testing,

Examples of procedural support for adults

Treatment process:

referral, patient assessment (reviewing chart, observing patient, and/or patient interview) to determine goals, develop treatment plan, implementation of MT interventions, documentation in patient’s chart

Habilitation vs rehabilitation

Habilitation is learning a skill for the first time; rehabilitation is relearning a skill that was previously acquired

Look at chart on 288?

Neural plasticity

Restoration (due to neural plasticity)

Aphasia

Impairment in using and understanding spoke and written language

Apraxia

Inability to complete the movements associated with speech, oral, motor movements is an issue

Acquired brain injury

Brain injuries occurring after birth and not due to hereditary, congenital, degenerative, or birth induced trauma

Ex: stroke, anoxic and hypoxic brain injuries

Stroke

Also called cerebrovascylar accident

Disruption of blood flow to brain

2 types: ischemic (restriction of blood flow to a region) and hemorrhagic (blood vessels rupture in brain

Anoxic brain injury

Total loss of oxygen to brain

Hypoxic brain injury

Some oxygen is reaching brain but not enough to sustain normal function

Traumatic brain injury

Brain is injured in a traumatic assault or accident or due to MVA, bike accident, etc

Disorder of Consciousness

Altered state of consciousness

Ex: coma, vegetative state, minimally conscious state

What does CVA stand for?

cerebrovascular accident

Common referrals for MT in medical

pain, anxiety, depressed mood, nausea, fatigue, need for coping support

How would you describe MT to a pediatric medical patient?

How would you describe MT to a pediatric patient’s family member?

How would you describe MT to a doctor?

Common symptoms among mental health diagnoses

Top down vs bottom up approach with childhood mental health - what is it and how is it important and used in MT

What is conduct disorder?

What is ODD?

what is recovery-oriented mental health care?

What are pro-social skills? Examples?

How are pro-social skills implemented in MT?

How does brain development occur in children with use-dependent way and how does this impact mental health? see ppt

Sample intervention for mental health

What are some appropriate goals for childhood mental health?

Rationale for MT in childhood mental health considering music+development+emotions+social bxs

Common mental health diagnoses for military populations

Factors that influence childhood mental health (PPT)

Common diagnoses for military

Traumatic brain injuries, PTSD

How does music processing and activation in brain support goals in these populations?

See ch 5