12 / 14
allied
academies
Page 68
September 23-24, 2019 | Prague, Czech Republic
2
nd
International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
“Schubert dressing”: Musical counter-stimulation to accompany painful interventions
Claire Oppert
Saint-Germain-en-Laye, France
Context:
Benefits of music therapy to patients hospitalised
in palliative phase have previously been reported (OPPERT,
2012, 2014, 2016).
Objective:
To observe potential sensory counter-stimulation
effects in patients in a palliative care unit exposed to music
during painful care interventions: bathing, dressings,
intravenous or intra-abdominal catheter insertion. Study
concerned: patients 80% oncological, 10% neurological; 20%
dementia, 5% psychotic; 230 hospitalisations per year; 10
beds; average stay 12 days.
Method:
Open, monocentric, prospective study by a music
therapist/cellist intervening at patient's bedside. Analysis of
200 “Schubert dressings” over 2 years in collaboration with
Unit’s health personnel. All patients consented consecutively
to receiving music therapy or not to accompany painful
intervention. Following data compiled on a specific
observation form: age, pathology, cognitive status, art tastes,
intervention type, pre-medication, session length. Following
data compiled before, during and after intervention: pulse
rate/BP, respiratory rate, thoracic expansion, pain status (VRS,
BRS), communication and anxiety (expressed directly and
hetero-assessed indirectly), patients' and carers' sentiments.
Results: Earliest results (intermediary results of 50 dressings
based on forms reporting comparatively with and without
musical counter-stimulation) reveal:
• 10-50 % pain reduction with “Schubert dressing”,
showing musical stimuli can relieve pain sensation
• muscle relaxation
• reduction in anxiety
• beneficial effect on carers
Conclusion:
Despite methodological difficulties, discussed
and analysed, associatedwith assessment – difficulty applying
scales approved for long term assessment used over a short
period, and issues of subjectivity – due to carers' responses
to music therapy session, “Schubert dressing” sessions had
significant positive effects on feelings of pain and anxiety
experienced by patients during painful interventions.
e
:
claire.oppert2@gmail.comJournal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2