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Nick

musical interaction- by Sarah S

Leicester- 15/1/2013
Today was my first day working with Richard Kensington and Sarah Matthews at Leicester children’s Hospital. It was interesting to work in this new environment; the staff at Leicester’s Children’s Hospital were very welcoming and enthusiastic towards the musicians and it was inspirational to see photographs of some of the work Opus had already done in this children’s hospital.
We entered the space with Sarah and Richard playing ‘The Maid and The Palmer’. It is an upbeat and lively piece of music. I was able to observe how the music added a positive energy to the space. This was then physically reflected by the carer of a young boy who performed a little dance to the music. During this time I began to engage with the musicians and played a gentle musical drone. I was standing close to the young boy whose carer had been dancing; he was lying in bed and reaching out his hand. I felt that he was communicating with me and so I wandered in his direction, still playing the guitar. Once close to his bed side it became clear that this young boy was unable to verbally communicate. However, his eye contact indicated that he was excited by the guitar. His carer then informed me that at home this young boy had three guitars of his own and that he was passionate about music. He was then focusing his gaze up on the guitar and reaching out to play it. As the musicians continued playing I held down the G Major chord and the young boy strummed the guitar. It was a very intimate situation and I was moved to witness the expression of joy the young boy was experiencing during this musical interaction.
We then began to play ‘Zamina’; this was also performed in an upbeat expression. The young boy was more intermittent with his strumming on this song and I read this to be because he was listening to the three of us singing the song and then he would reach out for the guitar and I would step up to his bed side for him to strum the guitar. Sarah then indicated to us all to bring the song to a close, the timing was perfect as I also felt that it was time to leave this young boy’s space and move to another area of the children’s ward.
As a result of this experience I have been able to reflect on literature I have read about children and musical interaction. Especially were the non –verbal child is concerned, the main thing I experienced was the importance of eye contact. Bunt (2007) suggests that this kind of non –verbal communication is vital when tuning into the child. Especially, when engaging in musical play in order to witness the emotion, to understand how intensely the child is interacting and in order to know when to deliver more musical interaction or to end it (90). It was a rewarding experience and I had the opportunity to see theory in action.

Music in Healthcare Training Opportunity – 11th-17th April 2013

We are pleased to announce that our next Music in Healthcare Settings training programme for musicians will take place on 11th, 12th, 15th, 16th and 17th April. This will take place in Derby, UK, with part of the time spent at the Royal Derby Hospital/Derbyshire Children’s Hospital.
A full brief and application form are attached below. You are advised to send your application asap as places may fill up quickly.
Please get in touch with any questions you may have.

Music in Healthcare Training opportunity Artists Brief April 2013
Application Form (pdf)
Application Form (.doc)

Some of the feedback from our last course:

‘Thank you so much for this opportunity. It was such a pleasure to explore such an exciting aspect of music making with such lovely like minded musicians, with such a high level of professional standard from the trainers delivering this course. I can’t believe we made such fantastic progress in only five days, and I am thoroughly invigorated by what I have seen can be achieved with music in a hospital setting.’

Taking time to be with people

A big part of our work as musicians in hospitals is to be there as a musician and a human being spending time with other human beings, to make music for and with them and to create a cultural venue within a clinical environment.

We often get asked if it is emotionally difficult to spend so much time in hospitals, especially with children. There are, of course, always emotional moments in our practice, and we allow ourselves to be emotional as part of our professional practice, indeed it is important that this emotion becomes part of our music-making to allow us to be ‘in-tune’ with the patients, visitors and staff with whom we work. We must always be careful, however, that we do not project our own emotions onto others – this is also part of our professional undertaking.

It is, however, more normal for us to work with the well-part of the person, to enhance and support the cultural, vibrant, and well part of the person. Medical staff work hard to take a holistic approach to their work, however, they are principally there to treat the illness. We are hugely privileged to be able to take the time for this approach, one which seems to complement and support the work of the hospital staff so well.

Over recent weeks, we have seen this human-to-human approach work so well. In Sheffield Teaching Hospitals, working with elderly patients and those with spinal and neurological injuries, we have recently been able to take more time to explore musical interests with individual patients, to support them in singing and playing musical instruments with us, and to rediscover their creative and cultural selves. Medical staff have observed and taken part in some of these sessions, making new, human-to-human contact with patients and seeing new potential despite their illness or injury. It is fantastic to be able to support these new patient-staff partnerships.

In children’s hospitals, the time spent with individual patients and their families becomes special time, time for a parent and new baby to bond in a neonatal intensive care unit, time for ‘normal life’ to resume if only for a moment, time for music 🙂 When doctors, nurses and other hospital staff become part of these interactions, the space and relationships within the hospital change completely, and we are all human beings together.

Leo Tolstoy wrote (What is Art, 1897):
‘… In order correctly to define art, it is necessary, first of all, to cease to consider it as a means to pleasure and to consider it as one of the conditions of human life… Art is a human activity consisting in this, that one man consciously, by means of certain external signs, hands on to others feelings he has lived through, and that other people are infected by these feelings and also experience them.’

It’s wonderful to be able to share music-making, a ‘condition of human life’, with all those we encounter in hospitals.

More feedback

This time from some of our artistic young participants taking part at children’s hospitals around the region…

Some feedback from the past 2 weeks…

Here’s a small selection of feedback from children’s hospital patients and parents from the past two weeks….

Thank you so much for the musical experience this morning. What a lovely surprise…… it was fantastic that you came in with your instruments so that both children and adults could have some much needed stress relief, entertainment and engagement.

It’s made my stay memorable and I really liked it cause of the guitar as I love them. Thank you.

‘J’ really enjoyed the music. He joined in and enjoyed looking and learning about the different instruments. Thanks for taking his mind off being in hospital.

Your music and songs have really helped cheer my daughter ‘A’ up. Any myself too. It was great to see her smile. You have brought her happy memories back from her holiday. We were all really interested in learning about your instruments. I think you may have encouraged her to get back into her dance now. Also you have helped relax her prior to her MRI today. Thank you. She keeps humming WACKA WACKA and smiling. Thank you very much.

I enjoyed it, thanks very much. It was my first time playing the violin. I liked the sound. OPUS played very well.

‘B’ was in bed when you came in still feeling quite drowsy. Now she’s up and about feeling happy.

The music was a lovely surprise and very calming for the children. ‘J’ especially enjoyed using the instruments and making up his own music.

I have seen the musicians in our daycare ward and in outpatients. It was clear to me that the music was enjoyed by all and so very well received. I was particularly impressed to see the children participating.

It was fab, really cheered everyone up and brought everyone together.

Thank you so much. Wow, what a wonderful lift to all of our days. “We are not poorly any more” Well maybe only a little. Please continue with your wonderful music. x

It’s clear from the great feedback we are receiving that our aim of creating cultural venues within the hospital is really working, allowing children, parents and staff to share music-making together, and within communities of wards, bays and families. Thanks everybody for your feedback, including some fabulous pictures which I will try to post soon 🙂

Reflective moment

Sarah, Rich and Nick sharing a reflective moment after a day at Derbyshire Children’s Hospital visiting medical and surgical wards, Accident and Emergency and Neonatal Intensive Care.

Music in Healthcare Settings Training

It’s the final day of our 5-day music in healthcare training today, and we’ve had a great time exploring the skills and competencies required to deliver this work alongside a fabulous group of trainees. We’ve spent time in the training room exploring, alongside many other things, repertoire, improvisation and ethical principles behind this practice. We’ve also spent a couple of afternoons at Derbyshire Children’s Hospital, playing music for and with patients, visitors and staff on surgical and medical wards, in the neonatal unit and in A&E. Final day today bringing all our learning and experiences together. Many thanks to our trainees for embarking on this journey with enquiring minds, a spirit of adventure and enthusiasm, and a real passion for this practice.

Connections – first day at Leicester Royal Infirmary Children’s Hospital

Our 18 month residency at Leicester Royal Infirmary Children’s Hospital began on 11th September, and what a fabulous day it was! After having a tour of the wards and outpatients areas of this really busy hospital, we began our work on one of the wards accompanied by one of the play specialists. Some lovely interactions with children and babies, all of whom were finding the music engaging in ways which suited their individual situations. Play staff had been struggling to engage one particular patient in any activities, however he immediately found the music-making engaging and his mood brightened significantly. Music became a means of communication with him, and one which staff were then able to use.

During the afternoon session we were asked to attend a treatment room where a doctor had previously tried to take bloods from a young girl accompanied by her mother and play staff. Despite trying various distractions, the child had previously become too distressed and agitated for them to be able to take bloods, and it had taken a long time for the child to calm down after the attempt. We were asked to help. We were already playing music as the child and her mother entered the treatment room, the doctor and nurses all ready to take bloods. The girl sat on her mother’s knee, and though she was still a little agitated and upset by the procedure, it was completed quickly and succesfully this time around. As the child had become agitated, we reflected this in our music, recognising the child’s distress and being ‘with her’ through the music. As the procedure finished, we gradually calmed the music and she quickly calmed with us until we gradually resolved the music to a gentle rendition of Zamina (aka Waka Waka), a popular song across Africa. The girl’s mother knew the song, and joined in with us, singing gently to her daughter as her previously restraining arms transformed to ones for cuddling and comforting. We all left the room in a calm and peaceful state (if a little emotional at the beauty of what we had all just witnessed), and crucially with mother and daughter reconnected through music.

Shadowing OPUS musicians in hospital

I spent two consecutive Fridays shadowing the Musicians from OPUS on the children’s wards at the Royal Derby Hospital. On the first Friday the instruments that the musicians performed with were the guitar, a bodhran drum, ukelele and the melodeon. The second Friday the melodeon was replaced by violin. The musicians would travel from ward to ward performing a mixture of songs, such as “sunshine in my heart” and “wind the bobbin up”, as well as an array of instrumental pieces.

We also brought a trolley filled with various percussion and melodic instruments, these instruments were dispatched to the children whenever a musical connection was established. The musicians also had a designated play area on one of the wards where these instruments were laid out and the children were able to explore and express themselves whilst playing with the instruments.

Whilst observing the musicians in these various settings I was able to witness how the personalities of the children impacted on the music and vice versa. For example: when they were working in the designated play area, one particular child cautiously started playing with the instruments, warily experimenting with the volume and sound of the instrument. As the child interacted with the instruments they seem to be testing the musician’s reactions. This opened a gateway of communication for the musicians, allowing them to instil confidence in the child’s expression with the instrument. The musicians achieved this by mimicking back to the child what they played on the instrument. It was interesting to observe how some children became excited and others became more thoughtful in their musical expression after this communication had taken place.

Another interesting observation I made whilst shadowing the musicians as they travelled around the wards was, how the songs and the instrumental pieces produced different effects. The instrumental pieces seemed to create a deeper connection with the children and their families. On many an occasion emotions were unveiled by the instrumental pieces. Whilst the songs seemed to act as more of an interlude, almost having an element of play attached to them.

As the musicians went from areas of play to, areas where children were suffering with serve illnesses, I was able to witness how the musicians musically sensed the environment. They seemed to know whether a song or an instrumental piece was required in order to connect with the children or individual child. This displayed a deep sensitivity to the children’s physical and emotional situation. It was a very powerful and positive experience that has left me with many new questions and profound memories.

Sarah Steenson, July 2012