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1
MUSIC THERAPY IN PALLIATIVE CARE
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
Dr. Tara Rajendran, MBBS MFA
Physician-Musician, Founder - Oncology and Strings
27th International Conference of Indian Association of Palliative Care (IAPCON 2020)
Guwahati Medical College
14/February/2020, 12.40 PM-1.05 PM
2
DISCLOSURE INFORMATION
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
No competing interests
3
KEY FOCUS AREAS
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
NEUROBIOLOGY
MUSIC THERAPY
CLINICAL TRIALS
INTERVENTIONS
4
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
ATTENTION
MODULATING FACTORS
EMOTION
COGNITION
BEHAVIOUR
COMMUNICATION
5
MODULATION OF AMYGDALA ACTIVITY WITH MUSIC
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
Blood AJ, Zatorre RJ, Bermudez P, Evans AC. Emotional responses to pleasant and unpleasant music correlate with activity in paralimbic brain regions. Nature neuro
6
1. Music can induce “real” emotions (because the activity of core structures of
emotion processing was modulated by music).
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
2. Empirical basis for music-therapeutic approaches for the treatment of affective dis
Blood AJ, Zatorre RJ, Bermudez P, Evans AC. Emotional responses to pleasant and unpleasant music correlate with activity in paralimbic brain regions. Nature neu
7
INDIAN CLASSICAL MUSIC
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
8
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
Neurological Rehabilitation - Stroke, Brain Injury,dementia, depression other co
End of Life care
Acute Pain
Family of patients
9
1. Music listening.
2. Verbal/cognitive participation
3. Vocal participation
4. Physical participation
5. Verbal/emotional participation
6. Music-assisted relaxation.
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
INTERVENTIONS
Instrumental Music Therapy
Clinical Music Therapy
Patient preferred music
Therapeutic music therapy
Reception
Chemo Infusion
centers
Radiation rooms
Outpatient rooms
Inpatient floor
Post-Op
10
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
2006, RCT, 25 Patients
Anxiety Management in terminally ill
Horne-Thompson A, Grocke D. The effect of music therapy on anxiety in patients who are terminally ill. Journal of palliative medicine. 2008 May 1;11(4):582-90.
11
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
2015, RCT - 84 Patients
Low Dropout rate
Significant reduction in fatigue score
Warth M, Keßler J, Hillecke TK, Bardenheuer HJ. Music therapy in palliative care: A randomized controlled trial to evaluate effects on relaxation. Deutsches Ärztebla
12
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
2016, 84 Patients
Reduction of vascular sympathetic tone
Warth M, Kessler J, Hillecke TK, Bardenheuer HJ. Trajectories of terminally ill patients' cardiovascular response to receptive music therapy in palliative care. Journal o
13
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
2019
57 Patients, 53 Family members
Facilitated
Stress relief
Relaxation
Pain relief
Spiritual Support
Emotional support
General feeling of wellnessWood C, Cutshall SM, Wiste RM, Gentes RC, Rian JS, Tipton AM, Ann-Marie D, Mahapatra S, Carey EC, Strand JJ. Implementing a palliative medicine music therapy program: A quality improvement project. American Journal of Hospice and Palliative Medicine®. 2019 Jul;36(7):603-7.
14
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
One regional Cancer Center
1 year - Over 6000 patients
1 day - Out patient- 1000
15
ONCOLOGY AND STRINGS
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
Lecture Concert series 11 months, 2 Continents, 6 cities, 7 sessions, 1 TEDx Free mp3 Classical Instrumental clips
Stanford University Campus
Manipal University
Tata Memorial Hospital
ICCC, Ludhiana
TEDx AIIMS Bhubaneswar
16
Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA
Guwahati Medical College, India
February 14, 2020
12.45 PM - 13.05 PM
1. Dr. Naveen Salins MD, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), India
2. Dr. Sushma Bhatnagar ,Professor & Head, Department of Onco-Anaesthesia, Pain & Palliative Care, B.R. Ambedkar Institute
& Rotary Cancer Hospital, All India Institute of medical Sciences, New Delhi
3. Dr. Sanghamitra Bora MBBS, MSc. Pall Med (Cardiff University, UK), State Lead - Palliative Care,Assam Cancer Care
Foundation (Joint initiative of Govt of Assam & Tata Trusts), India.
Acknowledgement

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Music Therapy in Palliative Care

  • 1. 1 MUSIC THERAPY IN PALLIATIVE CARE Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM Dr. Tara Rajendran, MBBS MFA Physician-Musician, Founder - Oncology and Strings 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Guwahati Medical College 14/February/2020, 12.40 PM-1.05 PM
  • 2. 2 DISCLOSURE INFORMATION Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM No competing interests
  • 3. 3 KEY FOCUS AREAS Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM NEUROBIOLOGY MUSIC THERAPY CLINICAL TRIALS INTERVENTIONS
  • 4. 4 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM ATTENTION MODULATING FACTORS EMOTION COGNITION BEHAVIOUR COMMUNICATION
  • 5. 5 MODULATION OF AMYGDALA ACTIVITY WITH MUSIC Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM Blood AJ, Zatorre RJ, Bermudez P, Evans AC. Emotional responses to pleasant and unpleasant music correlate with activity in paralimbic brain regions. Nature neuro
  • 6. 6 1. Music can induce “real” emotions (because the activity of core structures of emotion processing was modulated by music). Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 2. Empirical basis for music-therapeutic approaches for the treatment of affective dis Blood AJ, Zatorre RJ, Bermudez P, Evans AC. Emotional responses to pleasant and unpleasant music correlate with activity in paralimbic brain regions. Nature neu
  • 7. 7 INDIAN CLASSICAL MUSIC Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM
  • 8. 8 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM Neurological Rehabilitation - Stroke, Brain Injury,dementia, depression other co End of Life care Acute Pain Family of patients
  • 9. 9 1. Music listening. 2. Verbal/cognitive participation 3. Vocal participation 4. Physical participation 5. Verbal/emotional participation 6. Music-assisted relaxation. Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM INTERVENTIONS Instrumental Music Therapy Clinical Music Therapy Patient preferred music Therapeutic music therapy Reception Chemo Infusion centers Radiation rooms Outpatient rooms Inpatient floor Post-Op
  • 10. 10 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 2006, RCT, 25 Patients Anxiety Management in terminally ill Horne-Thompson A, Grocke D. The effect of music therapy on anxiety in patients who are terminally ill. Journal of palliative medicine. 2008 May 1;11(4):582-90.
  • 11. 11 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 2015, RCT - 84 Patients Low Dropout rate Significant reduction in fatigue score Warth M, Keßler J, Hillecke TK, Bardenheuer HJ. Music therapy in palliative care: A randomized controlled trial to evaluate effects on relaxation. Deutsches Ärztebla
  • 12. 12 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 2016, 84 Patients Reduction of vascular sympathetic tone Warth M, Kessler J, Hillecke TK, Bardenheuer HJ. Trajectories of terminally ill patients' cardiovascular response to receptive music therapy in palliative care. Journal o
  • 13. 13 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 2019 57 Patients, 53 Family members Facilitated Stress relief Relaxation Pain relief Spiritual Support Emotional support General feeling of wellnessWood C, Cutshall SM, Wiste RM, Gentes RC, Rian JS, Tipton AM, Ann-Marie D, Mahapatra S, Carey EC, Strand JJ. Implementing a palliative medicine music therapy program: A quality improvement project. American Journal of Hospice and Palliative Medicine®. 2019 Jul;36(7):603-7.
  • 14. 14 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM One regional Cancer Center 1 year - Over 6000 patients 1 day - Out patient- 1000
  • 15. 15 ONCOLOGY AND STRINGS Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM Lecture Concert series 11 months, 2 Continents, 6 cities, 7 sessions, 1 TEDx Free mp3 Classical Instrumental clips Stanford University Campus Manipal University Tata Memorial Hospital ICCC, Ludhiana TEDx AIIMS Bhubaneswar
  • 16. 16 Presented at 27th International Conference of Indian Association of Palliative Care (IAPCON 2020) Presented by Dr. Tara Rajendran, MBBS MFA Guwahati Medical College, India February 14, 2020 12.45 PM - 13.05 PM 1. Dr. Naveen Salins MD, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), India 2. Dr. Sushma Bhatnagar ,Professor & Head, Department of Onco-Anaesthesia, Pain & Palliative Care, B.R. Ambedkar Institute & Rotary Cancer Hospital, All India Institute of medical Sciences, New Delhi 3. Dr. Sanghamitra Bora MBBS, MSc. Pall Med (Cardiff University, UK), State Lead - Palliative Care,Assam Cancer Care Foundation (Joint initiative of Govt of Assam & Tata Trusts), India. Acknowledgement